Pediatr Crit Care Me
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Pediatr Crit Care Me · Sep 2012
Development and validation of a neonatal intensive care parent satisfaction instrument.
To develop and test the psychometric properties of the EMPATHIC-N (EMpowerment of PArents in THe Intensive Care-Neonatology) questionnaire measuring parent satisfaction. ⋯ The EMPATHIC-N questionnaire is a valid quality performance indicator to measure the delivered care as perceived by parents.
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Pediatr Crit Care Me · Sep 2012
Randomized Controlled TrialPlacement of peripherally inserted central catheters in children guided by ultrasound: a prospective randomized, and controlled trial.
To compare the use of vascular Doppler ultrasound with vein visualization and palpation for positioning peripherally inserted central catheters in children and to determine the influence of these methods on the success of the first puncture attempt, catheter positioning, and time required for the accomplishment. ⋯ The use of ultrasound increased the successful positioning of peripherally inserted central catheters in comparison with the venous anatomic landmark visualization and palpation technique and further optimized the time spent on the procedure.
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Pediatr Crit Care Me · Sep 2012
An investigation into the prevalence and outcome of patients admitted to a pediatric intensive care unit with viral respiratory tract infections in Cape Town, South Africa.
To describe the prevalence and outcome of patients admitted to a pediatric intensive care unit with viral respiratory tract infections. ⋯ Viral respiratory tract infection is common in this pediatric intensive care unit associated with significant morbidity and mortality, which may relate to the high burden of comorbidity and HIV.
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Pediatr Crit Care Me · Sep 2012
Comparative StudyCentral venous catheter-associated complications in infants with single ventricle: comparison of umbilical and femoral venous access routes.
Among infants with single-ventricle heart disease who require surgical palliation, central venous access is routinely obtained via the umbilical or femoral veins. Both routes are associated with potential complications, including thrombosis. We sought to analyze the clinical outcomes of patients with umbilical venous catheter vs. femoral central venous catheter placement at the time of initial central venous access in this high-risk patient population. ⋯ In this population, initial placement of an umbilical venous catheter rather than a femoral venous catheter resulted in significantly lower risks of catheter thrombosis and iliofemoral vein occlusion. For femoral venous catheters, the prevalence of thrombosis, but not of iliofemoral vein occlusion, is proportional to the duration of catheterization.
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Pediatr Crit Care Me · Sep 2012
Comparative StudyParental involvement and kangaroo care in European neonatal intensive care units: a policy survey in eight countries.
To compare, in a large representative sample of European neonatal intensive care units, the policies and practices regarding parental involvement and holding babies in the kangaroo care position as well as differences in the tasks mothers and fathers are allowed to carry out. ⋯ This study showed that, although the majority of units in all countries reported a policy of encouraging both parents to take part in the care of their babies, the intensity and ways of involvement as well as the role played by mothers and fathers varied within and between countries.