Pediatr Crit Care Me
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Pediatr Crit Care Me · Sep 2015
ReviewPilot Randomized Trials in Pediatric Critical Care: A Systematic Review.
Pilot trials are smaller randomized controlled trials conducted to inform the design and assess the feasibility of a large-scale trials. The objectives of this systematic review were to describe pilot trials in pediatric critical care, their conclusions about the clinical implications of the results, and the need for future research and to determine the frequency of large follow-up trials. ⋯ Published pilot trials in pediatric critical care often focus on clinical outcomes. They uncommonly report explicit feasibility outcomes, criteria for success, or rationale for the pilot sample size. These pilot trials infrequently lead to larger trials. Understanding and addressing the reasons for this are key to the success of pediatric critical care research.
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Pediatr Crit Care Me · Sep 2015
Multicenter StudyMulticenter Analysis of the Factors Associated With Unplanned Extubation in the PICU.
To identify factors associated with unplanned extubation in PICUs. ⋯ The rate of unplanned extubation is higher in patients aged less than 6 years. Patient factors, such as decreased level of sedation, loose or slimy endotracheal tube, and staffing factors such as floating nurse from another unit, contribute to unplanned extubation in children.
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Pediatr Crit Care Me · Sep 2015
Randomized Controlled TrialThermal Blanket to Improve Thermoregulation in Preterm Infants: A Randomized Controlled Trial.
To determine the effectiveness of temperature-controlled thermal blanket as additional thermoprotection. ⋯ By using thermal blanket to provide additional thermal protection for very low-birth-weight infants, the degree of hypothermia was improved, which related to fewer hypotensive cases and less dopamine usage.
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Pediatr Crit Care Me · Sep 2015
Multicenter Study Observational StudyRisk Factors for Mortality and Outcomes in Pediatric Acute Lung Injury/Acute Respiratory Distress Syndrome.
Children admitted to PICUs often present with or develop respiratory failure that requires mechanical ventilation. We prospectively identified children admitted to three general PICUs, with the goal of identifying risk factors for mortality. ⋯ Mortality is high in pediatric acute lung injury/acute respiratory distress syndrome. Mechanical ventilation-associated risk factors for death among such patients are potential targets for intervention.