Pediatr Crit Care Me
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Pediatr Crit Care Me · Mar 2013
Comparative StudyCharacteristics of family conferences at the bedside versus the conference room in pediatric critical care.
To compare characteristics of family conferences at the bedside vs. the conference room in the PICU. ⋯ Family conferences in the PICU are common both at the bedside and in conference rooms in a subpopulation of the most critically ill children and frequently result in a treatment decision or change in code status.
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Pediatr Crit Care Me · Mar 2013
Safe and effective use of a glycemic control protocol for neonates in a cardiac ICU.
To investigate the safety and efficacy of a hyperglycemia protocol in neonates with critical cardiac illness. Neonates are often regarded as high risk for hypoglycemia while receiving continuous insulin infusions and thus have been excluded from some clinical trials. ⋯ A glycemic control protocol can safely and effectively be applied to neonates with critical cardiac disease. Neonates with critical cardiac illness should be included in clinical trials evaluating the benefits of glycemic control.
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Pediatr Crit Care Me · Mar 2013
Hyponatremia during arginine vasopressin therapy in children following cardiac surgery.
To describe the incidence and severity of hyponatremia after initiation of arginine vasopressin therapy in children recovering from cardiothoracic surgery, and to compare these patients with a control group with similar disease complexity and severity who did not receive arginine vasopressin. ⋯ Hyponatremia occurred in nearly half of the infants and children receiving arginine vasopressin therapy in this study. Clinicians should be aware of this association, monitor serum sodium values closely, and consider providing less free water to these patients before hyponatremia occurs.