Pediatr Crit Care Me
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Pediatr Crit Care Me · Sep 2004
Comparative StudyDeaths in a neonatal intensive care unit: a 10-year perspective.
To examine changes in the characteristics and management of infants dying in a regional neonatal intensive care unit in 1987-1988 vs. 1997-1998. ⋯ The mortality rate of sick infants decreased significantly between 1987-1988 and 1997-1998, showing the improvements in neonatal intensive care during that decade. In 1997-1998, congenital malformations had become the leading cause of death. Parental involvement in life-and-death questions seems to have become the rule, and almost two thirds of neonatal intensive care unit deaths followed a decision to forgo life support.
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Pediatr Crit Care Me · Sep 2004
Comparative StudySurvival outcomes after extracorporeal cardiopulmonary resuscitation instituted during active chest compressions following refractory in-hospital pediatric cardiac arrest.
To report survival outcomes and to identify factors associated with survival following extracorporeal cardiopulmonary resuscitation for in-hospital pediatric cardiac arrest. ⋯ Extracorporeal cardiopulmonary resuscitation can be used to successfully resuscitate selected children following refractory in-hospital cardiac arrest, and can be implemented during active cardiopulmonary resuscitation. Intact neurologic survival can sometimes be achieved, even when the duration of in-hospital cardiopulmonary resuscitation is prolonged. In this series, children with isolated heart disease were more likely to survive following extracorporeal cardiopulmonary resuscitation than were children with other medical conditions.
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Pediatr Crit Care Me · Sep 2004
Case ReportsFomepizole alone for severe infant ethylene glycol poisoning.
To report a case of a massive ingestion of ethylene glycol in an infant successfully treated by fomepizole without hemodialysis. ⋯ Although not yet approved for this indication in the child, fomepizole seemed safe and effective in a case of severe ethylene glycol poisoning, without the need for hemodialysis.
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Pediatr Crit Care Me · Sep 2004
Diabetic ketoacidosis: predictors of outcome in a pediatric intensive care unit of a developing country.
To study the outcome and predictors of mortality in children with diabetic ketoacidosis. ⋯ Two thirds of children with diabetic ketoacidosis in our series had new-onset diabetes, and 13.2% died. Serum osmolality at admission was the most important predictor of death.
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Pediatr Crit Care Me · Sep 2004
Interactive Web sites for families and physicians of pediatric intensive care unit patients: a preliminary report.
To describe our experience with a Web-based communications program for the patients, families, and referring physicians of patients admitted to our pediatric intensive care unit. ⋯ We conclude that both families and referring physicians find Web-based communications during a child's PICU hospitalization to be very helpful. We suggest that the Web-based PICU communications be developed and studied for both medical and economic impact.