Archivos argentinos de pediatría
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Arch Argent Pediatr · Oct 2018
Multicenter Study Observational StudyPost-extubation non-invasive ventilation in the pediatric intensive care unit: a multicenter study.
Extubation failure is a complication that increases morbidity and mortality. Noninvasive ventilation (NIV) has demonstrated to be effective as ventilatory support therapy. ⋯ The use of post-extubation NIV may be a useful tool to prevent reintubation with invasive mechanical ventilation. Immunocompromised patients and those with neurological history had a higher rate of failure. Patients with failure tolerated less hours of NIV and had a longer length of stay in the pediatric intensive care unit.
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Arch Argent Pediatr · Apr 2018
Multicenter Study Clinical TrialImpact of a program aimed at reducing catheter-related infections implemented in nine pediatric intensive care units in Argentina.
Catheter-related infections (CRIs) cause a high level of morbidity and mortality with the increasing use of hospital resources. ⋯ The program achieved a significant reduction in CRI rates. Based on the program, CRI surveillance was implemented in all participating pediatric intensive care units. Training and continuous surveillance are necessary to maintain and improve the outcomes accomplished with the program.
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Arch Argent Pediatr · Jun 2015
Multicenter Study Observational StudyValidation of the Pediatric Index of Mortality 2 (PIM2) in Argentina: a prospective, multicenter, observational study.
The Pediatric Index of Mortality 2 (PIM2) is one of the most commonly used scoring systems to predict mortality in patients admitted to pediatric intensive care units (PICU) in Argentina. The objective of this study was to validate the PIM2 score in PICUs participating in the Quality of Care Program promoted by the Argentine Society of Intensive Care. ⋯ The PIM2 score adequately discriminates survivors from non-survivors. However, it underscores the overall risk of death, especially in adolescent patients and those hospitalized due to respiratory disease. It is critical to take such differences into account when interpreting results.
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Arch Argent Pediatr · Jun 2010
Multicenter Study[Cardiopulmonary resuscitation in nine pediatric intensive care units of the Argentine Republic].
The cardiopulmonary resuscitation (CPR) is a common setting in the pediatric intensive care unit (PICU). There are very few reports or publications that evaluate the form of CPR administered in children. ⋯ Most common etiologies of PCR were hypoxia and shock. Most children received drugs. The drugs most used were the association adrenaline-bicarbonate and adrenaline alone. The chances of recovery were not favorable when CPR was conducted for over sixty minutes or more than six doses of adrenaline were given, without response. CPR in PICU children has a high mortality. Most patients discharged from hospital, had neurological normal state or slight disability. PICU physicians were highly trained in CPR with resuscitation courses.