Pediatr Crit Care Me
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Pediatr Crit Care Me · May 2012
Hepatoadrenal syndrome in pediatric patients with end-stage liver disease.
Adrenal insufficiency in patients with liver failure, referred to as hepatoadrenal syndrome, is well characterized in adult patients but has not yet been described in children. We present 22 pediatric subjects with end-stage liver disease and adrenal insufficiency, diagnosed using the cosyntropin stimulation test. ⋯ Children with end-stage liver disease are at risk for hepatoadrenal syndrome and should have their cortisol levels monitored since clinical manifestations may not be diagnostic.
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Pediatr Crit Care Me · May 2012
Transition from neonatal intensive care unit to special care nurseries: experiences of parents and nurses.
To explore parents' and nurses' experiences with the transition of infants from the neonatal intensive care unit to a special care nursery. ⋯ Both parents and nurses considered present transitional arrangements to be inadequate. Nurses should provide more effective discharge planning and transitional care. A positive labeling of the transition as a first step to home discharge for the newborn seems appropriate. Parents need to be better-informed and should be involved in the planning process.