Pediatr Crit Care Me
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Pediatr Crit Care Me · May 2011
Continuous veno-venous single-pass albumin hemodiafiltration in children with acute liver failure.
To investigate the applicability, efficacy, and safety of single-pass albumin dialysis in children. ⋯ In childhood acute liver failure, treatment with single-pass albumin dialysis was generally well tolerated and seems to be effective in detoxification and in improving blood pressure, thus stabilizing the critical condition of children before liver transplantation and facilitating bridging to liver transplantation. It may be beneficial in avoiding severe neurologic sequelae after acute liver failure and thereby improve survival. Single-pass albumin dialysis is an inexpensive albumin-based detoxification system that is easy to set up and requires little training. Whether and to what extent single-pass albumin dialysis can support children with acute liver failure until native liver recovery remains unclear.
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Pediatr Crit Care Me · May 2011
Impact of a computerized note template/checklist on documented adherence to institutional criteria for determination of neurologic death in a pediatric intensive care unit.
Variability exists in the documentation of death by neurologic criteria in children. We hypothesized that the use of a note template/checklist, which included directive (educational) prompts based on institutional neurologic determination of death criteria, improved thoroughness of documentation within our institutional guidelines for the neurologic determination of death. ⋯ Use of a note template/checklist to guide and document neurologic determination of death improved adherence to institutional criteria for assessment of cessation of neurologic function.
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Pediatr Crit Care Me · May 2011
Handover after pediatric heart surgery: a simple tool improves information exchange.
To improve the quality of handover of complex patients after pediatric cardiac surgery through the use of a simple handover tool. ⋯ Use of a simple tool during handover of pediatric postcardiac surgery patients resulted in a more complete exchange of critical information with no significant prolongation of the handover duration.
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Pediatr Crit Care Me · May 2011
Comparative StudyInfluenza A (pH1N1) infection in children admitted to a pediatric intensive care unit: differences with other respiratory viruses.
To describe the clinical features of patients admitted to the pediatric intensive care unit (PICU) with acute lower respiratory tract infection (LRTI) attributable to influenza A pH1N1 virus and compare them with those admitted with LRTI due to other viral pathogens. ⋯ Patients with influenza A pH1N1 respiratory virus infection presented with more severe illness. Outcomes were similar in both groups.