Pediatr Crit Care Me
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Pediatr Crit Care Me · Mar 2023
Organ Dysfunction Among Children Meeting Brain Death Criteria: Implications for Organ Donation.
Over 70% of pediatric organ donors are declared deceased by brain death (BD) criteria. Patients with these devastating neurologic injuries often have accompanying multiple organ dysfunction. This study was performed to characterize organ dysfunction in children who met BD criteria and were able to donate their organs compared with those deemed medically ineligible. ⋯ In our single-center experience, all children with BD had MODS, yet more than one-half were still able to donate organs. Future research should further evaluate transplant outcomes of dysfunctional organs prior to standardizing donation eligibility criteria.
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Pediatr Crit Care Me · Mar 2023
Observational StudySustained Low Efficiency Dialysis in Critically Ill Children With Acute Kidney Injury: Single-Center Observational Cohort in a Resource-Limited Setting.
To evaluate use of sustained low efficiency dialysis (SLED) in critically ill children with acute kidney injury in a resource-limited setting. ⋯ In critically ill children, our experience with SLED is that it is feasible and provides a viable form of kidney replacement therapy in a resource-limited setting.
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Pediatr Crit Care Me · Mar 2023
Observational StudyInter-Rater Reliability of Delirium Screening of Infants in the Cardiac ICU: A Prospective, Observational Study.
To determine the inter-rater reliability (IRR) of the Cornell Assessment for Pediatric Delirium (CAP-D) in infants admitted to a cardiac ICU (CVICU) and to explore the impact of younger age and mechanical ventilation on IRR. ⋯ In the youngest, most vulnerable infants admitted to the CVICU, further evaluation of the CAP-D tool is needed.
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Pediatr Crit Care Me · Mar 2023
Editorial CommentBalancing Fluid Resuscitation in Pediatric Sepsis.