Pediatr Crit Care Me
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Pediatr Crit Care Me · Sep 2015
Multicenter StudyMulticenter Analysis of the Factors Associated With Unplanned Extubation in the PICU.
To identify factors associated with unplanned extubation in PICUs. ⋯ The rate of unplanned extubation is higher in patients aged less than 6 years. Patient factors, such as decreased level of sedation, loose or slimy endotracheal tube, and staffing factors such as floating nurse from another unit, contribute to unplanned extubation in children.
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Pediatr Crit Care Me · Sep 2015
Multicenter StudyEnd-of-Life Practices Among Tertiary Care PICUs in the United States: A Multicenter Study.
To describe variability in end-of-life practices among tertiary care PICUs in the United States. ⋯ Most deaths in Collaborative Pediatric Critical Care Research Network-affiliated PICUs occur after life support has been limited or withdrawn. Wide practice variation exists in requests for organ donation and autopsy.
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Pediatr Crit Care Me · Sep 2015
Multicenter StudyTrends in PICU Admission and Survival Rates in Children in Australia and New Zealand Following Cardiac Arrest.
To describe the temporal trends in rates of PICU admissions and mortality for out-of-hospital cardiac arrests and in-hospital cardiac arrests admitted to PICU over the last decade. ⋯ Despite improvements in overall outcomes in children admitted to Australian and New Zealand PICUs, survival of children admitted with out-of-hospital cardiac arrest or in-hospital cardiac arrest did not change significantly over the past decade.
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Pediatr Crit Care Me · Sep 2015
Multicenter Study Observational StudyRisk Factors for Mortality and Outcomes in Pediatric Acute Lung Injury/Acute Respiratory Distress Syndrome.
Children admitted to PICUs often present with or develop respiratory failure that requires mechanical ventilation. We prospectively identified children admitted to three general PICUs, with the goal of identifying risk factors for mortality. ⋯ Mortality is high in pediatric acute lung injury/acute respiratory distress syndrome. Mechanical ventilation-associated risk factors for death among such patients are potential targets for intervention.
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Pediatr Crit Care Me · Jul 2015
Multicenter StudyFactor VIII May Predict Catheter-Related Thrombosis in Critically Ill Children: A Preliminary Study.
If we can identify critically ill children at high risk for central venous catheter-related thrombosis, then we could target them for pharmacologic thromboprophylaxis. We determined whether factor VIII activity or G value was associated with catheter-related thrombosis in critically ill children. ⋯ Factor VIII activity may be used to stratify critically ill children based on their risk for catheter-related thrombosis.