Pediatr Crit Care Me
-
Pediatr Crit Care Me · Jun 2019
An Innovative Virtual Reality Experience in the PICU: A Pilot Study.
Patients in the PICU frequently have limitations that impede independent interactions with their environment. Virtual reality is an immersive experience that may improve outcomes in critically ill children. The objective of this study was to assess feasibility and satisfaction with virtual reality. ⋯ Virtual reality is an innovative, easily administered, and enjoyable tool that subjectively calms PICU patients in an otherwise chaotic environment.
-
Pediatr Crit Care Me · Jun 2019
The Fragility of Statistically Significant Findings in Pediatric Critical Care Randomized Controlled Trials.
The Fragility Index measures the number of events on which the statistical significance of a result depends and has been suggested as an adjunct statistical assessment for interpretation of trial results. This study aimed to assess the robustness of statistically significant results from pediatric critical care randomized controlled trials with dichotomous outcomes. ⋯ Results from pediatric critical care randomized controlled trials with dichotomous outcomes reporting statistically significant findings often hinge on a small number of outcome events. Clinicians should exercise caution when interpreting results of trials with a low Fragility Index.
-
Pediatr Crit Care Me · Jun 2019
Observational StudyIntensivists Performed Percutaneous Bicaval Double-Lumen Echo-Guided Extracorporeal Membrane Oxygenation Cannulation at Bedside in Newborns and Children: A Retrospective Analysis.
To describe a single institution experience on echo-guided percutaneous bicaval double lumen extracorporeal membrane oxygenation cannulation performed at the bedside by intensivists. ⋯ The described technique proved to be feasible, safe, and effective. Further investigation is needed.
-
Pediatr Crit Care Me · Jun 2019
Observational StudyClinical Profile and Predictors of Outcome of Pediatric Acute Respiratory Distress Syndrome in a PICU: A Prospective Observational Study.
To study the clinical profile, predictors of mortality, and outcomes of pediatric acute respiratory distress syndrome. ⋯ Pediatric acute respiratory distress syndrome contributes to a significant burden in the PICU of a developing country and is associated with significantly higher mortality. Infection remains the most common etiology. Higher severity of illness scores at admission, development of pneumothorax, and a positive fluid balance at 48 hours predicted poor outcome.