Pediatr Crit Care Me
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Pediatr Crit Care Me · Jun 2014
ReviewCitrate Anticoagulation During Continuous Renal Replacement Therapy in Pediatric Critical Care.
To provide the pediatric intensivist an in-depth understanding of citrate as regional anticoagulant during continuous renal replacement therapy. ⋯ Continuous renal replacement therapy is the most common modality of renal replacement in the critical care setting. Regional anticoagulation is an ideal option in a critically ill child after recent surgery or with coagulopathy. Therefore, regional citrate anticoagulation in the pediatric critical care population requiring renal replacement therapy is commonly employed. Complications of citrate anticoagulation can be avoided with a greater understanding of the properties and clearance of citrate. Continued reporting of observational data and the development of prospective multicenter trials using citrate anticoagulation are needed to ensure safe and standardized care in the pediatric population.
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Pediatr Crit Care Me · Jun 2014
An Electronic Delphi Study to Establish Pediatric Intensive Care Nursing Research Priorities in 20 European Countries.
To identify and to establish research priorities for pediatric intensive care nursing science across Europe. ⋯ The results of this study inform the European Society of Pediatric and Neonatal Intensive Care's nursing research agenda in the future. The results allow nurse researchers within Europe to encourage collaborative initiatives for nursing research.
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Reports of the burden of hypertension in hospitalized children are emerging, but the prevalence and significance of this condition within the PICU are not well understood. The aims of this study were to validate a definition of hypertension in the PICU and assess the associations between hypertension and acute kidney injury, PICU length of stay, and mortality. ⋯ Hypertension is common in the PICU and is associated with worse clinical outcomes. Future studies are needed to confirm these results.
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Pediatr Crit Care Me · Jun 2014
The Importance of Microalbuminuria in Predicting Patient Outcome in a PICU.
To evaluate the prognostic significance of microalbuminuria in critically ill children. ⋯ Microalbuminuria is a simple, inexpensive, and useful tool for predicting mortality and morbidity in critically ill children in the PICU.
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Pediatr Crit Care Me · Jun 2014
Pressure and Flow Waveform Characteristics of Eight High-Frequency Oscillators.
The differences in performance of early generation high-frequency oscillators have been attributed to their distinct pressure and flow waveforms. Recently, five new oscillators have been commercially released. The objective of this study was to characterize the pressure and flow waveforms of eight commercially available oscillators. ⋯ Current high-frequency oscillators deliver different waveforms. As these may result in variable clinical performance, operators should be aware that these differences exist.