Pediatr Crit Care Me
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Pediatr Crit Care Me · Jul 2010
ReviewA critique of the apneic oxygenation test for the diagnosis of "brain death".
To determine the reliability and safety of the apneic oxygenation test to diagnose brain death for the purpose of organ donation. ⋯ : The apneic oxygenation test is unreliable in the diagnosis of brain death. It is scientifically flawed and hypothesized to cause brain death. In lieu of this test, a reliable test of brain perfusion should be mandatory, whereas the apneic oxygenation test, if performed at all, should be restricted to demonstration of apnea after brain perfusion has been shown to be absent.
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Pediatr Crit Care Me · Jul 2010
Diagnosis influences response of cerebral near infrared spectroscopy to intracranial hypertension in children.
To describe cerebral regional oxygen saturation measured by near infrared spectroscopy in the setting of normal and increased intracranial pressure in children to evaluate the association between cerebral regional oxygen saturation and intracranial pressure in comparison with other clinical variables. ⋯ These data suggest that cerebral regional oxygen saturation is lower with intracranial hypertension. However, the relationship between cerebral regional oxygen saturation and intracranial pressure is strongly influenced by diagnosis.
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Pediatr Crit Care Me · Jul 2010
Effect of patient- and team-related factors on stabilization time during pediatric intensive care transport.
To examine the effects of patient- and transport-related factors on the time spent at the referring hospital by an intensive care retrieval team to stabilize critically ill children and to study the relationship between stabilization time and patient outcome. ⋯ Stabilization time during intensive care transport is influenced by a number of patient- and transport-related factors, and cannot be used in isolation as an indicator of team efficiency. Time spent undertaking intensive care interventions early in the course of patient illness at the referring hospital does not worsen patient outcome, suggesting that the "scoop and run" model can be safely abandoned in interhospital transport.
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Pediatr Crit Care Me · Jul 2010
Challenge of predicting resting energy expenditure in children undergoing surgery for congenital heart disease.
To determine pre- and postoperative predictors of energy expenditure in children with congenital heart disease requiring open heart surgery; and to compare measured resting energy expenditure with current predictive equations. ⋯ Poor nutritional status preoperatively and cardiopulmonary bypass were associated with a greater energy expenditure post cardiac surgery. None of the current predictive equations predicted energy requirements within acceptable clinical accuracy.