Pediatr Crit Care Me
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Pediatr Crit Care Me · Mar 2020
Multicenter StudyExtracorporeal Membrane Oxygenation in Pediatric Pulmonary Hypertension.
To describe the epidemiology, critical care interventions, and mortality of children with pulmonary hypertension receiving extracorporeal membrane oxygenation. ⋯ Children with pulmonary hypertension who require extracorporeal membrane oxygenation support have a significantly greater odds of mortality compared with those without pulmonary hypertension. Risk factors for mortality include age, absence of pneumonia, pre-extracorporeal membrane oxygenation acidosis, extracorporeal cardiopulmonary resuscitation, pulmonary hemorrhage, neurologic complications, renal replacement therapy, and acidosis while on extracorporeal membrane oxygenation. Identification of those pulmonary hypertension patients requiring extracorporeal membrane oxygenation who are at even higher risk for mortality may inform clinical decision-making and improve prognostic awareness.
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Pediatr Crit Care Me · Mar 2020
Intracranial Electroencephalography in Pediatric Severe Traumatic Brain Injury.
Electroencephalography is used in neurocritical care for detection of seizures and assessment of cortical function. Due to limited resolution from scalp electroencephalography, important abnormalities may not be readily detectable. We aimed to identify whether intracranial electroencephalography allows for improved methods of monitoring cortical function in children with severe traumatic brain injury. ⋯ These findings suggest that intracranial electroencephalography may be useful for detection of secondary insult development in children with traumatic brain injury.