Pediatr Crit Care Me
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Pediatr Crit Care Me · Dec 2017
Comparative StudyTime to Asthma-Related Readmission in Children Admitted to the ICU for Asthma.
To compare the time to asthma-related readmissions between children with a previous ICU hospitalization for asthma and those with a non-ICU hospitalization and to explore predictors of time to readmission in children admitted to the ICU. ⋯ Children previously admitted to the ICU for asthma had a shorter time to asthma-related readmission, compared with children who did not require intensive care, underlining the importance of targeted long-term postdischarge follow-up of these children. Children of preschool age and who have a lengthier hospital stay are particularly at risk for future morbidity.
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Pediatr Crit Care Me · Dec 2017
Enteral Nutrition Practices in Critically Ill Children Requiring Noninvasive Positive Pressure Ventilation.
Evaluate the practice of providing enteral nutrition in critically ill children requiring noninvasive positive pressure ventilation. ⋯ A majority of patients requiring noninvasive positive pressure ventilation received enteral nutrition within 24 hours. However, less than half achieved caloric and protein goals during their PICU admission. Further investigation is warranted to determine the safety and effectiveness of early enteral nutrition in this population.
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Pediatr Crit Care Me · Dec 2017
Extubation Failure Is Associated With Increased Mortality Following First Stage Single Ventricle Reconstruction Operation.
To identify the prevalence, causes, risk factors, and outcomes associated with extubation failure following first stage single ventricle reconstruction surgery. ⋯ There is a high prevalence of extubation failure following first stage single ventricle reconstruction, and this is associated with considerably worse patient outcomes. The high prevalence and also the wide variation in rates of extubation failure in reported literature provide with an opportunity for implementation of quality assurance activities to minimize this complication and improve outcomes.
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Pediatr Crit Care Me · Dec 2017
Sepsis in Children: Global Implications of the World Health Assembly Resolution on Sepsis.
Sepsis, worldwide the leading cause of death in children, has now been recognized as the global health emergency it is. On May 26, 2017, the World Health Assembly, the decision-making body of the World Health Organization, adopted a resolution proposed by the Global Sepsis Alliance to improve the prevention, diagnosis, and management of sepsis. ⋯ The resolution highlights sepsis as a global threat and urges the 194 United Nations member states to take specific actions and implement appropriate measures to reduce its human and health economic burden. The resolution is a major step toward achieving the targets outlined by the Sustainable Developmental Goals for decreasing mortality in infants and children, but implementing it will require a concerted global effort.
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Pediatr Crit Care Me · Dec 2017
Body Composition Changes in Severely Burned Children During ICU Hospitalization.
Prolonged hospitalization due to burn injury results in physical inactivity and muscle weakness. However, how these changes are distributed among body parts is unknown. The aim of this study was to evaluate the degree of body composition changes in different anatomical regions during ICU hospitalization. ⋯ ICU hospitalization is associated with greater lean mass loss in the upper limbs of burned children. Mobilization programs should include early mobilization of upper limbs to restore upper extremity function.