Pediatr Crit Care Me
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Pediatr Crit Care Me · Sep 2010
Multicenter StudyPrevalence of adverse events in pediatric intensive care units in the United States.
Selection of relevant patient safety interventions for the pediatric intensive care (PICU) requires identification of the types and severity of adverse events (AEs) and adverse drug events (ADEs) that occur in this setting. The study's objectives were to: 1) determine the rates of AEs/ADEs, including types, severity, and preventability, in PICU patients; 2) identify population characteristics associated with increased risk of AEs/ADEs; 3) develop and test a PICU specific trigger tool to facilitate identification of AEs/ADEs. ⋯ AEs and ADEs occur frequently in the PICU setting. These data provide areas of focus for evidence-based prevention strategies to decrease the substantial risk to this vulnerable pediatric population.
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Pediatr Crit Care Me · Sep 2010
Multicenter StudyCritical illness in children with influenza A/pH1N1 2009 infection in Canada.
To describe characteristics, treatment, and outcomes of critically ill children with influenza A/pandemic influenza A virus (pH1N1) infection in Canada. ⋯ During the first outbreak of influenza A/pH1N1 infection, when the population was naïve to this novel virus, severe illness was common among children with underlying chronic conditions and aboriginal children. Influenza A/pH1N1-related critical illness in children was associated with severe hypoxemic respiratory failure and prolonged mechanical ventilation. However, this higher rate and severity of respiratory illness did not result in an increased mortality when compared with seasonal influenza.
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To investigate outcomes among neonates with herpes virus infection reported to the Extracorporeal Life Support Organization (ELSO) Registry and analyze factors associated with death before hospital discharge with this virus. Currently, scant data exist regarding extracorporeal membrane oxygenation support in neonates with herpes virus infection. ⋯ In this cohort of neonatal patients with overwhelming infections due to herpes simplex virus who were supported with extracorporeal membrane oxygenation, survival was dismal. Patients with disseminated herpes simplex virus infection presenting with septicemia/shock are unlikely to survive, even with aggressive extracorporeal support.
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Pediatr Crit Care Me · Sep 2010
Effect of dexmedetomidine on pulmonary artery pressure after congenital cardiac surgery: A pilot study.
To characterize the effects of dexmedetomidine on the pulmonary artery pressure in patients after congenital cardiac surgery. ⋯ Administration of dexmedetomidine after congenital cardiac surgery was not associated with any increase in pulmonary artery pressure.