Pediatr Crit Care Me
-
To evaluate the effect of a Web-based calculator and decision-support system on infusion ordering errors and to estimate error frequency in pharmacy infusion preparation. ⋯ A Web-based calculator reduced significantly the total number of errors and eliminated all high-risk errors in the prescribing process for continuous pediatric infusions. With no observed errors in pharmacy preparation, this study provides data to support the use of computerized ordering as an independent safe and viable method for ordering continuous pediatric infusions.
-
Pediatr Crit Care Me · May 2006
Case ReportsGenetic deafness in a preterm infant with a critical postnatal course.
We present a case of deafness in a preterm infant with several predisposing factors of an acquired hearing impairment that, however, turned out to have a genetic cause. We describe the severe postnatal course and review the relevant literature. ⋯ To elucidate the nature of a hearing disorder, it is worthwhile to consider a genetic cause, despite the fact that it may seem unlikely in a severely sick preterm infant with numerous risk factors for a postnatally acquired hearing impairment and without a positive family history.
-
Pediatr Crit Care Me · May 2006
Uncuffed endotracheal tubes should not be used in seriously burned children.
To document a complication associated with placement of uncuffed endotracheal tubes in seriously burned children. ⋯ If children are critically burned and expected to require more than transient mechanical ventilatory support, low-pressure cuffed endotracheal tubes should be placed, regardless of the child's age.
-
Pediatr Crit Care Me · May 2006
The use of enteral naloxone to treat opioid-induced constipation in a pediatric intensive care unit.
To describe the effects of enteral naloxone used to treat opioid-induced constipation in pediatric intensive care patients. ⋯ Enteral naloxone may be effective in increasing stool output in opioid-induced constipation but carries the risk of introducing withdrawal symptoms. Further studies are needed to evaluate this agent for opioid-induced constipation in the intensive care unit.
-
Pediatr Crit Care Me · May 2006
Emergent use of extracorporeal membrane oxygenation during pediatric cardiac catheterization.
The goal of this study was to evaluate the utility of extracorporeal membrane oxygenation (ECMO) to resuscitate patients following critical cardiac events in the catheterization laboratory. ⋯ ECMO is a technically feasible and highly successful tool in the resuscitation of pediatric patients following critical events in the cardiac catheterization laboratory.