Pediatr Crit Care Me
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Pediatr Crit Care Me · Sep 2011
Aortopexy as treatment for tracheo-bronchomalacia in children: an 18-year single-center experience.
To define the factors influencing the outcome of aortopexy as management of tracheo-bronchomalacia. ⋯ Aortopexy proved to be an effective treatment for most cases of tracheo-bronchomalacia, but major comorbidity was associated with an adverse outcome. Our data suggest that aortopexy should be considered in most cases of severe tracheo-bronchomalacia.
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Pediatr Crit Care Me · Sep 2011
Case ReportsComputed tomography may demonstrate pseudosubarachnoid hemorrhage in diffuse cerebral edema after cardiorespiratory arrest.
To report the cases of two children who died from diffuse cerebral edema after cardiorespiratory arrest and who had radiologic findings of subarachnoid hemorrhage on computed tomography, the presence of which was excluded on subsequent postmortem examination. ⋯ Radiologic mimics of subarachnoid hemorrhage have been reported in the adult literature and are termed pseudosubarachnoid hemorrhage. A diagnosis of pseudosubarachnoid hemorrhage, rather than true subarachnoid hemorrhage, should be considered in the context of diffuse cerebral edema after cardiorespiratory arrest. Interpretation of the radiologic finding of subarachnoid hemorrhage in a child after a prolonged cardiac arrest should be cautious to avoid unnecessary and deleterious management and investigation for aneurysms.
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Pediatr Crit Care Me · Sep 2011
World Federation of Pediatric Intensive Care and Critical Care Societies: Global Sepsis Initiative.
According to World Health Organization estimates, sepsis accounts for 60%-80% of lost lives per year in childhood. Measures appropriate for resource-scarce and resource-abundant settings alike can reduce sepsis deaths. In this regard, the World Federation of Pediatric Intensive Care and Critical Care Societies Board of Directors announces the Global Pediatric Sepsis Initiative, a quality improvement program designed to improve quality of care for children with sepsis. ⋯ The World Federation of Pediatric Intensive Care and Critical Care Societies Global Pediatric Sepsis Initiative is online. Success in reducing pediatric mortality and morbidity, evaluated yearly as a measure of global child health care quality improvement, requires ongoing active recruitment of international participant centers. Please join us at http://www.pediatricsepsis.org or http://www.wfpiccs.org.
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Pediatr Crit Care Me · Sep 2011
A survey on training in pediatric cardiopulmonary resuscitation in Latin America, Spain, and Portugal.
To determine how training in pediatric cardiopulmonary resuscitation is provided in the Iberoamerican countries. ⋯ Pediatric cardiopulmonary resuscitation training is not uniform across the majority of Iberoamerican countries, with poor organization and little institutional involvement. National groups should be created in each country to plan and coordinate pediatric cardiopulmonary resuscitation training and to coordinate with other Iberoamerican countries.
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Pediatr Crit Care Me · Sep 2011
Case ReportsIpsilateral lobar emphysema in an infant with a repaired congenital diaphragmatic hernia.
To report a case of lobar emphysema in an infant who had a congenital diaphragmatic hernia that was surgically repaired at birth. ⋯ Lobar emphysema can be a rare development in patients who had a congenital diaphragmatic hernia at birth. This can result in respiratory failure and needs surgical intervention.