Pediatr Crit Care Me
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Pediatr Crit Care Me · Nov 2015
Comparative Study Observational StudyLocation of the Central Venous Catheter Tip With Bedside Ultrasound in Young Children: Can We Eliminate the Need for Chest Radiography?
To compare the use of bedside ultrasound and chest radiography to verify central venous catheter tip positioning. ⋯ Bedside ultrasound showed a good agreement with chest radiography in detecting central venous catheter tip location and revealing incorrect positions. Ultrasound could be a preferable method for routine verification of central venous catheter tip and can contribute to increased patient safety.
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To estimate the organ donation potential of patients dying at a children's hospital. ⋯ The number of pediatric potential candidates for donation after circulatory determination of death was significantly larger than potential candidates for donation after neurologic determination of death at our hospital, but the actual donation rate was significantly lower. Increasing acceptance of donation after circulatory determination of death could increase organ donation. Among all children having withdrawal of life-sustaining therapies, donation after circulatory determination of death potential is less for infants.
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Pediatr Crit Care Me · Nov 2015
Multicenter StudyAssociation Between Extracorporeal Membrane Oxygenation Center Volume and Mortality Among Children With Heart Disease: Propensity and Risk Modeling.
To evaluate the relationship between extracorporeal membrane oxygenation center volume and mortality in children undergoing heart operations using propensity score matching in a multiinstitutional cohort. ⋯ We demonstrated no relationship between extracorporeal membrane oxygenation center volume and mortality. Further analyses are needed to evaluate this relationship.
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Pediatr Crit Care Me · Nov 2015
A Novel Method to Identify the Start and End of the Winter Surge in Demand for Pediatric Intensive Care in Real Time.
Implementation of winter surge management in intensive care is hampered by the annual variability in the start and duration of the winter surge. We aimed to develop a real-time monitoring system that could identify the start promptly and accurately predict the end of the winter surge in a pediatric intensive care setting. ⋯ We have developed and tested a novel method to identify the start and predict the end of the winter surge in emergency demand for pediatric intensive care.