Pediatr Crit Care Me
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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.
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Pediatr Crit Care Me · Sep 2011
Risk factors for postoperative acute kidney injury in pediatric cardiac surgery patients receiving angiotensin-converting enzyme inhibitors.
Angiotensin-converting enzyme inhibitor therapy is often initiated in pediatric patients who have had cardiac surgery. Acute kidney injury can occur in patients secondary to angiotensin-converting enzyme inhibitor initiation. Risk factors for acute kidney injury after angiotensin-converting enzyme inhibitor initiation have yet to be defined in postoperative pediatric cardiac patients. ⋯ Initiation of angiotensin-converting enzyme inhibitor after cardiac surgery in pediatric patients may result in acute kidney injury. The presence of cyanosis and coadministration of furosemide are independent risk factors for acute kidney injury in patients receiving angiotensin-converting enzyme inhibitor.
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Pediatr Crit Care Me · Sep 2011
Transfusion of leukocyte-depleted red blood cells is not a risk factor for nosocomial infections in critically ill children.
Transfusion of red blood cells is increasingly linked with adverse outcomes in critically ill children. We tested the hypothesis that leukocyte-depleted red blood cell transfusions were independently associated with increased development of bloodstream infections, ventilator-associated pneumonias, or urinary tract infections. ⋯ Transfusion of leukocyte-depleted red blood cells was not independently associated with the development of nosocomial infections in a heterogeneous group of critically ill children.
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Pediatr Crit Care Me · Sep 2011
Food and Drug Administration approval for medications used in the pediatric intensive care unit: a continuing conundrum.
Many drugs used in the pediatric intensive care unit are administered "off label," i.e., they have been neither thoroughly tested for efficacy and safety nor approved for use in children. The U.S. Congress has enacted legislation to promote standards and requirements for Food and Drug Administration labeling for drugs used in pediatrics. Nevertheless, we hypothesized that most medications used in our pediatric intensive care unit were not Food and Drug Administration approved for use in pediatric patients. ⋯ Despite the efforts of Congress, 67% of medications prescribed and administered in the pediatric intensive care unit did not have Food and Drug Administration approval or had only limited approval, underscoring the need for the medical community to demand oversight and research to improve drug labeling for our patient population.