Pediatr Crit Care Me
-
Pediatr Crit Care Me · May 2017
Acute Decompensation in Pediatric Cardiac Patients: Outcomes After Rapid Response Events.
We studied rapid response events after acute clinical instability outside ICU settings in pediatric cardiac patients. Our objective was to describe the characteristics and outcomes after rapid response events in this high-risk cohort and elucidate the cardiac conditions and risk factors associated with worse outcomes. ⋯ Congenital heart disease, previous cardiac surgery, and recent discharge from ICU were common among pediatric cardiac rapid responses. Progression to cardiopulmonary arrest during rapid response, need for ICU care, kidney injury after rapid response, and mortality were high. Single ventricle physiology was independently associated with increased mortality.
-
Pediatr Crit Care Me · May 2017
Prone Positioning Improves Ventilation Homogeneity in Children With Acute Respiratory Distress Syndrome.
To determine the effect of prone positioning on ventilation distribution in children with acute respiratory distress syndrome. ⋯ The response to prone position was variable in children with acute respiratory distress syndrome. Prone positioning improves homogeneity of ventilation and may result in recruitment of the dorsal lung regions.
-
Pediatr Crit Care Me · May 2017
Editorial CommentPostextubation Stridor: What's All That Beyond the Noise?