Pediatr Crit Care Me
-
Pediatr Crit Care Me · Jan 2010
Case ReportsSuccessful use of extracorporeal life support in a hematopoietic stem cell transplant patient with diffuse alveolar hemorrhage.
To describe the successful use of extracorporeal life support in a hematopoietic stem cell transplant patient with diffuse alveolar hemorrhage. ⋯ Although the reported survival of hematopoietic stem cell transplant patients on extracorporeal membrane oxygenation remains low, each patient must be evaluated for potential benefit of extracorporeal life support.
-
Pediatr Crit Care Me · Jan 2010
Evaluation of a pediatric central venous oximetry catheter in critically ill children.
To compare the readings from a modified pediatric central venous oximetry (Scvo2) catheter with co-oximetry saturations of blood samples from critically ill children. ⋯ Pediatric central venous oximetry catheters provide accurate trending of continuous Scvo2 within the physiologic range studied.
-
Pediatr Crit Care Me · Jan 2010
Cardiac output measurement using an ultrasound dilution method: a validation study in ventilated piglets.
To assess agreement between a new method of cardiac output monitoring, using ultrasound dilution technology and ultrasound transit time-based measurement of pulmonary blood flow in a piglet model. ⋯ Ultrasound dilution cardiac output measurement is reliable in piglets with the use of a small volume of a nontoxic indicator (isotonic saline).
-
Pediatr Crit Care Me · Jan 2010
Case ReportsWithdrawal from multiple sedative agent therapy in an infant: is dexmedetomidine the cause or the cure?
To report withdrawal symptoms experienced by an infant following the prolonged use of dexmedetomidine. ⋯ In patients who fail to achieve adequate sedation with the use of traditional medications, dexmedetomidine is an adequate alternative. However, abrupt discontinuation of dexmedetomidine may result in withdrawal symptoms that may be avoided with a dexmedetomidine taper.
-
Pediatr Crit Care Me · Jan 2010
Case ReportsSevere pulmonary hypertension associated with the acute motor sensory axonal neuropathy subtype of Guillain-Barré syndrome.
To evaluate pulmonary hypertension associated with acute motor sensory axonal neuropathy subtype of Guillain-Barré syndrome. Guillain-Barré syndrome consists of a group of autoimmune disorders that generally manifest as symmetric, progressive, ascending paralysis. There are five subtypes of Guillain-Barré syndrome, and autonomic involvement has been described in all subtypes, including cardiovascular, vasomotor, or pseudomotor dysfunction of both the sympathetic and parasympathetic systems. ⋯ It is possible that many other individuals suffering from severe forms of Guillain-Barré syndrome, especially those with significant autonomic dysfunction, may actually have undiagnosed and therefore untreated pulmonary hypertension. Therefore, it is recommended that clinicians caring for critically ill children with Guillain-Barré syndrome have a high index of suspicion for pulmonary hypertension and consider echocardiography if there are clinical signs of this potentially fatal process.