Pediatr Crit Care Me
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Pediatr Crit Care Me · May 2012
Comparative StudyCentral venous catheter-associated bloodstream infections in a pediatric intensive care unit: effect of the location of catheter insertion.
To compare the rate of central venous catheter-associated bloodstream infections between pediatric intensive care unit admissions where central venous catheters were inserted within the same hospital (internal central venous catheters) and those where central venous catheters were inserted before transfer from other hospitals (external central venous catheters). ⋯ The rate of catheter-associated bloodstream infections in the pediatric intensive care unit is significantly affected by external insertion of the central venous catheter. Future interventions to reduce nosocomial infections on pediatric intensive care units will need to be specifically targeted at this high-risk patient group.
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Pediatr Crit Care Me · May 2012
Fluid overload is associated with impaired oxygenation and morbidity in critically ill children.
Fluid overload is common in the critically ill and is thought to contribute to oxygenation failure and mortality. Since increasing disease severity often requires more fluid for resuscitation, it is unclear whether fluid overload is a causative factor in morbidity or is simply an indicator of disease severity. ⋯ This is the first study to report that positive fluid balance adversely affected the pediatric intensive care unit course in children who did not receive renal replacement therapy. While timely administration of fluids is lifesaving, positive fluid balance after hemodynamic stabilization may impact organ function and negatively influence important outcomes in critically ill patients.
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Pediatr Crit Care Me · May 2012
Editorial CommentPandemic H1N1 2009: are we comparing apples with oranges?.