Pediatr Crit Care Me
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Pediatr Crit Care Me · Feb 2017
Comparative Study Clinical TrialBedside Ultrasound for the Diagnosis of Abnormal Diaphragmatic Motion in Children After Heart Surgery.
To assess the utility of bedside ultrasound combining B- and M-mode in the diagnosis of abnormal diaphragmatic motion in children after heart surgery. ⋯ Chest ultrasound performed by intensivists is a valid tool for the diagnosis of diaphragmatic paralysis, presenting greater sensitivity and specificity than fluoroscopy. Chest ultrasound should be routinely used after pediatric heart surgery given its reliability, reproducibility, availability, and safety.
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Pediatr Crit Care Me · Feb 2017
Multicenter StudyEMpowerment of PArents in THe Intensive Care Questionnaire: Translation and Validation in Italian PICUs.
To translate and validate the EMpowerment of PArents in THe Intensive Care questionnaire to measure parent satisfaction and experiences in Italian PICUs. ⋯ The Italian version of the EMpowerment of PArents in THe Intensive Care questionnaire has satisfactory reliability and validity estimates and seems to be appropriate for Italian PICU setting. It is an important instrument providing benchmark data to be used in the process of quality improvement toward the development of a family-centered care philosophy within Italian PICUs.
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Pediatr Crit Care Me · Feb 2017
Clinical TrialLong-Term Follow-Up on Health-Related Quality of Life After Mechanical Circulatory Support in Children.
The objective of this study was to evaluate health-related quality of life in long-term survivors of mechanical circulatory support after acute cardiopulmonary failure. ⋯ Long-term survivors' health-related quality of life as reported by their parents is lower than that of healthy children. However, the self-assessed health-related quality of life of the patients older than 12 years in our group is comparable to a healthy control population.
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Pediatr Crit Care Me · Feb 2017
Clinical TrialMannose-Binding Lectin Levels in Critically Ill Children With Severe Infections.
Low mannose-binding lectin levels and haplotypes associated with low mannose-binding lectin production have been associated with infection and severe sepsis. We tested the hypothesis that mannose-binding lectin levels would be associated with severe infection in a large cohort of critically ill children. ⋯ Mannose-binding lectin levels are largely genetically determined. This relationship was preserved in children during critical illness, despite the effect of large-volume fluid administration on mannose-binding lectin levels. Previous literature evaluating an association between mannose-binding lectin levels and severe infection is inconsistent; we found no relationship in our PICU cohort. We found that mannose-binding lectin levels were lower after aggressive fluid resuscitation and suggest that studies of mannose-binding lectin in critically ill patients should assess mannose-binding lectin haplotypes to reflect preillness levels.
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Pediatr Crit Care Me · Feb 2017
Comparative StudyThe Clinical Impact of Heated Humidified High-Flow Nasal Cannula on Pediatric Respiratory Distress.
To assess the impact on a single PICU of introducing high-flow nasal cannula as a management tool for respiratory distress. ⋯ The introduction of high-flow nasal cannula as a therapy for respiratory distress in the PICU was associated with a significant decrease in the PICU intubation rate with no associated change in mortality.