Pediatr Crit Care Me
-
Pediatr Crit Care Me · Jul 2011
Association of bacterial pneumonia and respiratory failure in children with community-acquired influenza infection.
To investigate the association of bacterial pneumonia and respiratory failure in children with community-acquired influenza infection presenting to a pediatric intensive care unit. ⋯ Our findings suggest that bacterial pneumonia was associated with increased odds of respiratory failure in both previously healthy children and those with chronic medical conditions. Early aggressive therapy should be considered for patients with severe influenza.
-
Pediatr Crit Care Me · Jul 2011
Comparative StudyIn vitro performance comparison of the Sensormedics 3100A and B high-frequency oscillatory ventilators.
The Sensormedics 3100A and 3100B are widely used to provide high-frequency oscillatory ventilation in clinical practice. Infants and children <35 kg are typically oscillated with the 3100A and >35 kg with the 3100B. This study compares the effect of ventilator and patient parameters on delivered tidal volume during high-frequency oscillatory ventilation of a test lung with these devices. ⋯ Multiple variables contribute to the delivered tidal volume during high-frequency oscillatory ventilation, including ventilator model selection and endotracheal tube size. It is possible that real-time, clinical monitoring of delivered tidal volume during high-frequency oscillatory ventilation would allow better titration and maximize performance of these ventilators in caring for critically ill patients.
-
To describe a unique experience providing critical care to infants and children in Haiti 3 months after a major earthquake. ⋯ Pediatric critical care can be implemented in low-income countries but requires significant resource use and careful patient selection. Consideration should be paid to the costs of delivering critical care in developing countries, which can inadvertently appropriate resources that have a larger impact on pediatric public health.