The Journal of pediatrics
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The Journal of pediatrics · Jun 2017
Parent Participation in Pediatric Intensive Care Unit Rounds via Telemedicine: Feasibility and Impact.
To evaluate feasibility and impact of telemedicine for remote parent participation in pediatric intensive care unit (PICU) rounds when parents are unable to be present at their child's bedside. ⋯ This proof-of-concept study indicates that remote parent participation in PICU rounds is feasible, enhances parent-provider communication, and offers parents reassurance. Providers reported a high level of satisfaction with minimal disruption. Technological advancements to streamline teleconferencing workflow are needed to ensure program sustainability.
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The Journal of pediatrics · Jun 2017
Randomized Controlled Trial Multicenter StudyDexamethasone for Parapneumonic Pleural Effusion: A Randomized, Double-Blind, Clinical Trial.
To assess whether dexamethasone (DXM) decreases the time to recovery in patients with parapneumonic pleural effusion. ⋯ In this trial, DXM seemed to be a safe and effective adjunctive therapy for parapneumonic pleural effusion.
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The Journal of pediatrics · Jun 2017
Comparison of Effort of Breathing for Infants on Nasal Modes of Respiratory Support.
To directly compare effort of breathing between high flow nasal cannula (HFNC), nasal intermittent mechanical ventilation (NIMV), and nasal continuous positive airway pressure (NCPAP). ⋯ For infants, effort of breathing is similar on HFNC, NIMV, and NCPAP after extubation, regardless of flow rate or inspiratory pressure. We speculate that bi-level NIMV may be superior if high levels of synchrony can be achieved.
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The Journal of pediatrics · Jun 2017
Mortality and Morbidity after Laparoscopic Surgery in Children with and without Congenital Heart Disease.
To determine the risk of morbidity and mortality after laparoscopic surgery among children with congenital heart disease (CHD). ⋯ Children with major or severe CHD have higher morbidity and mortality after laparoscopic surgery. Clinicians should consider the increased risks of laparoscopic surgery for these children during medical decision making.
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The Journal of pediatrics · Jun 2017
Brain Perfusion and Diffusion Abnormalities in Children Treated for Posterior Fossa Brain Tumors.
To compare cerebral perfusion and diffusion in survivors of childhood posterior fossa brain tumor with neurologically normal controls and correlate differences with cognitive dysfunction. ⋯ The treatment for MB, but not PA, was associated with globally reduced CBF. Treatment in both tumor types was associated with diffusion abnormalities of the mesial temporal lobe structures. Despite significant perfusion abnormalities in patients with MB, diffusion, but not perfusion, correlated with cognitive outcomes.