Pediatr Crit Care Me
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Pediatr Crit Care Me · Oct 2003
Comparative StudyVentilator-associated pneumonia in intubated children: comparison of different diagnostic methods.
To compare different methods for diagnosis of ventilator-associated pneumonia in intubated children. ⋯ Our data show that the most reliable diagnostic method for ventilator-associated pneumonia is a bacterial index of >5, using blind protected bronchoalveolar lavage. Further studies should evaluate the validity of all these methods according to the gold standard (autopsy).
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Pediatr Crit Care Me · Oct 2003
Clinical TrialEffect of red blood cell transfusion on oxygen consumption in the anemic pediatric patient.
To compare oxygen consumption (Vo(2)) measured by indirect calorimetry before and after a packed red blood cell (PRBC) transfusion in patients with isovolemic anemia. ⋯ A significant increase in Vo(2) was noted after a red blood cell transfusion in pediatric patients with isovolemic anemia. These findings suggest that Vo(2) was dependent on the supply of oxygen in this subset of pediatric patients. Responding to increased oxygen delivery by increasing Vo(2) implies that these patients were functioning in a state of relative oxygen deficit and had made physiologic adaptive changes to function in this state.
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Pediatr Crit Care Me · Oct 2003
Practice of pediatric critical care medicine: results of the Future of Pediatric Education II survey of sections project.
To summarize the demographics and practice patterns of the current pediatric critical care workforce and to identify the key workforce issues that may affect the delivery of pediatric critical care services in the future. ⋯ PCCM physicians were increasingly women and working for >65 hrs/wk, with a good level of job satisfaction. Competition from a variety of sources seems to affect the work of PCCM physicians. The relatively small percentage of time devoted to research, however, is a finding of great concern.
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Pediatr Crit Care Me · Oct 2003
Deep sedation with propofol for children undergoing ambulatory magnetic resonance imaging of the brain: experience from a pediatric intensive care unit.
Use of intravenous propofol sedation to facilitate completion of magnetic resonance imaging of the brain in children. ⋯ Propofol can safely facilitate ambulatory magnetic resonance imaging of the brain in children, and it is associated with brief induction, recovery, and discharge times from the hospital. A drop in blood pressure, although mild and transient, does occur. Therefore, appropriate monitoring and preparedness for cardiorespiratory support are essential.
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Pediatr Crit Care Me · Oct 2003
Nosocomial catheter-related bloodstream infections in a pediatric intensive care unit: risk and rates associated with various intravascular technologies.
Nosocomial bloodstream infections are associated with increased patient morbidity, mortality, and hospital costs. More than 90% of these infections are related to the use of intravascular catheter devices. This study was done to assess the risk and rates of catheter related-bloodstream infections (CR-BSI) associated with different intravascular technologies in a pediatric intensive care unit population. ⋯ The use of extracorporeal life support therapy, the presence of multiple intravascular access devices, and the total duration of intravascular access device use were associated with an increase in the rate and risk of developing CR-BSI in our pediatric intensive care unit population. Larger, prospective studies may help elucidate additional factors responsible for these observations.