Pediatr Crit Care Me
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Pediatr Crit Care Me · Nov 2005
Case ReportsSurvival of candida sepsis in extracorporeal membrane oxygenation.
To report the survival of fungal sepsis in extracorporeal membrane oxygenation. ⋯ Candidemia, particularly Candida albicans species, may not be a contraindication for extracorporeal membrane oxygenation support. With antifungal therapy and adequate inotropic use to counter the effects of septicemia, survival can be maintained until the patient adequately recovers, allowing decannulation, removal of all catheters, and eventual bloodstream sterility.
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Pediatr Crit Care Me · Nov 2005
Comment Randomized Controlled TrialCumulative fluid intake minus output is not associated with ventilator weaning duration or extubation outcomes in children.
The effect of fluid balance on respiratory outcomes for critically ill children has not been evaluated. The only indicator of fluid balance routinely recorded across our intensive care units was estimated fluid intake and output. We sought to determine whether cumulative intake minus output (I-O) at the start of weaning predicted weaning duration and whether cumulative I-O at extubation predicted extubation failure. ⋯ Although routinely recorded, cumulative fluid I-O does not appear to have clinical utility in cases managed according to a mechanical ventilator protocol in which tidal volume and oxygenation on minimal levels of ventilator support are systematically tested.
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Pediatr Crit Care Me · Nov 2005
Clinical TrialPredictive factors for the success of noninvasive mask ventilation in infants and children with acute respiratory failure.
Noninvasive mask ventilation (NIV) is a treatment option in acute respiratory failure in adults. This study was performed to determine prognostic variables for the success of NIV in a group of infants and children with respiratory failure for a wide range of reasons. ⋯ NIV can be successfully applied to infants and children with acute respiratory failure in the setting of a pediatric intensive care unit. The level of Fio2 after 1 hr of NIV may be a predictive factor for the treatment success.