Pediatr Crit Care Me
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Pediatr Crit Care Me · Mar 2011
Potential pediatric intensive care unit demand/capacity mismatch due to novel pH1N1 in Canada.
To investigate the possibility of pediatric intensive care unit shortfalls, using pandemic models for a range of attack rates and durations. The emergence of the swine origin pH1N1 virus has led to concerns about shortfalls in our ability to provide pediatric ventilation and critical care support. ⋯ Reducing the attack rate among children, whether through vaccination or additional measures, such as social distancing, will be critical to ensure sufficient pediatric intensive care unit capacity for continued pediatric care.
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Pediatr Crit Care Me · Mar 2011
Multicenter StudyPerformance of the Pediatric Index of Mortality 2 for pediatric cardiac surgery patients.
To evaluate the performance of the Pediatric Index of Mortality 2 (PIM-2) for pediatric cardiac surgery patients admitted to the pediatric intensive care unit (PICU). ⋯ The PIM-2 demonstrated poor performance with fair discrimination, poor calibration, and predictive ability for pediatric cardiac surgery population and thus cannot be recommended in its current form as an adequate adjustment tool for quality measurement in this patient group.
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Pediatr Crit Care Me · Mar 2011
Multicenter StudyDaily practice of mechanical ventilation in Italian pediatric intensive care units: a prospective survey.
To assess how children requiring endotracheal intubation are mechanically ventilated in Italian pediatric intensive care units (PICUs). ⋯ Mechanical ventilation is frequently used in Italian PICUs with almost one child of two requiring endotracheal intubation. Children treated with MV represent a more severe category of patients than children who are breathing spontaneously. Describing the standard care and how MV is performed in children can be useful for future clinical studies.