Pediatr Crit Care Me
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Acidosis is now recognized as an important component of the severe malaria syndrome and a predictor of fatal outcome. Alterations in plasma potassium concentrations are commonly associated with acidosis. To date, there is little information about the changes in potassium in severe malaria. ⋯ Hypokalemia is a common complication of severe malaria; however, it is often not apparent on admission. On correction of acidosis, plasma potassium decreases precipitously, and thus careful, serial monitoring of serum potassium is suggested in patients with severe malaria complicated by acidosis.
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Pediatr Crit Care Me · Jan 2004
Current limitations of volumetric capnography in surfactant-depleted small lungs.
To investigate the suitability of volumetric capnography for assessing alveolar gas exchange in very small, surfactant-depleted lungs. ⋯ Volumetric capnography is a useful tool to detect impaired alveolar gas exchange in surfactant-depleted small lungs. However, the method failed if there was no alveolar plateau in the volumetric capnogram especially in stiff lungs with short exhalation times.
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Pediatr Crit Care Me · Jan 2004
Predicted versus measured energy expenditure by continuous, online indirect calorimetry in ventilated, critically ill children during the early postinjury period.
Compare the energy expenditure, predicted by anthropometric equations, with that measured by continuous on-line indirect calorimetry in ventilated, critically ill children during the early postinjury period. ⋯ Predictive equations do not accurately predict energy expenditure in ventilated, critically ill children during the early postinjury period; if available, indirect calorimetry must be performed.
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Pediatr Crit Care Me · Jan 2004
Clinical Trial Controlled Clinical TrialDecision making and satisfaction with care in the pediatric intensive care unit: findings from a controlled clinical trial.
To facilitate critical decision making and improve satisfaction with care among families of patients in a pediatric intensive care unit. ⋯ Prospectively screening for and intervening to mitigate potential conflict did not increase decision making or parental satisfaction with the care provided in this pediatric intensive care unit.
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Pediatr Crit Care Me · Jan 2004
Review Case ReportsCavernous sinus thrombosis complicating sinusitis.
Septic cavernous sinus thrombosis is a rare complication of paranasal sinusitis. ⋯ The diagnosis of septic cavernous sinus thrombosis requires a high index of suspicion and confirmation by imaging; early diagnosis and surgical drainage of the underlying primary source of infection in conjunction with long-term intravenous antibiotic therapy are critical for an optimal clinical outcome.