Pediatr Crit Care Me
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Pediatr Crit Care Me · Nov 2015
Comparative Study Observational StudyLocation of the Central Venous Catheter Tip With Bedside Ultrasound in Young Children: Can We Eliminate the Need for Chest Radiography?
To compare the use of bedside ultrasound and chest radiography to verify central venous catheter tip positioning. ⋯ Bedside ultrasound showed a good agreement with chest radiography in detecting central venous catheter tip location and revealing incorrect positions. Ultrasound could be a preferable method for routine verification of central venous catheter tip and can contribute to increased patient safety.
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Pediatr Crit Care Me · Nov 2015
Multicenter StudyAssociation Between Extracorporeal Membrane Oxygenation Center Volume and Mortality Among Children With Heart Disease: Propensity and Risk Modeling.
To evaluate the relationship between extracorporeal membrane oxygenation center volume and mortality in children undergoing heart operations using propensity score matching in a multiinstitutional cohort. ⋯ We demonstrated no relationship between extracorporeal membrane oxygenation center volume and mortality. Further analyses are needed to evaluate this relationship.
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Pediatr Crit Care Me · Nov 2015
Randomized Controlled Trial Multicenter StudyTargeting Glycemic Control After Pediatric Cardiac Surgery: The Influence of Age on Insulin Requirement.
Factors influencing the development of hyperglycemia and pattern of insulin requirement in children undergoing cardiac surgery are poorly understood. This study investigated the impact of age on the pattern of hyperglycemia and insulin requirement in children after cardiac surgery. ⋯ When tight glycemic control is targeted in children who have undergone cardiac surgery, children in the older child age group (5-16 yr) require insulin at significantly higher doses. Further study is needed to understand the mechanisms involved.