Pediatr Crit Care Me
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Pediatr Crit Care Me · Jan 2010
A tertiary care center's experience with therapeutic hypothermia after pediatric cardiac arrest.
To describe the use and feasibility of therapeutic hypothermia after pediatric cardiac arrest. ⋯ This is the largest study reported on the use of therapeutic mild hypothermia in pediatric cardiac arrest to date. We found that therapeutic hypothermia was feasible, with target temperature achieved in <3 hrs overall. Temperature below target range was associated with increased mortality. Prospective study is urgently needed to determine the efficacy of therapeutic hypothermia in pediatric patients after cardiac arrest.
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Pediatr Crit Care Me · Jan 2010
Activated recombinant factor VII for refractory bleeding during extracorporeal membrane oxygenation.
To determine the frequency of adverse events with the use of activated recombinant factor VII during extracorporeal membrane oxygenation support and to quantify the effect on bleeding parameters. ⋯ Activated recombinant factor VII administration during extracorporeal membrane oxygenation support was associated with a decrease in bleeding severity (indicated by chest tube output and blood product transfusion rates) and was not associated with an increased rate of thromboembolic complications.
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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.
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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.
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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).