Pediatr Crit Care Me
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Pediatr Crit Care Me · Sep 2009
A tale of two bridges: effect of the bloodless bridge on renal function and blood pressure in neonates managed with venoarterial extracorporeal membrane oxygenation.
To investigate if a change in bridge design of the extracorporeal membrane oxygenation (ECMO) circuit had an impact on renal function and blood pressure in neonates requiring venoarterial ECMO support. ⋯ Patients managed on venoarterial ECMO after the transition to the "bloodless" bridge had less hypertension compared with those managed before the bridge change. This may reflect improved maintenance of renal perfusion associated with transition to an ECMO bridge design that does not require intermittent circulation with associated arterial-venous shunting.
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Pediatr Crit Care Me · Sep 2009
Airway exchange catheters use in the airway management of neonates and infants undergoing surgical treatment of laryngeal stenosis.
Congenital and acquired upper airway obstruction in infants commonly manifests as an acute, potentially life-threatening condition or a slow and gradual deterioration and can be a challenge to the pediatric anesthesiologist. This case series reports the nonconventional use of pediatric airway exchange catheters emergent and short-term airway management and lung ventilation in neonates and infants with severe laryngotracheal stenosis. ⋯ Airway exchange catheters represent a useful additional tool for short-term advanced airway management for both oxygenation and ventilation in neonates and infants presenting with severe laryngotracheal stenosis.
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Pediatr Crit Care Me · Jul 2009
Pediatric organ donation: a national survey examining consent rates and characteristics of donor hospitals.
To characterize the eligible pediatric donor pool in the United States by age, consent rate, location, and cause of donor loss. ⋯ Overall pediatric consent rates were 69.2% but varied by age. Eligible donors were found most often in hospitals with level I trauma programs or PCCM fellowship programs. Few hospitals had >10 eligible donors in a 12-month period. This study is the first to describe in detail the U.S. pediatric donor population.
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Pediatr Crit Care Me · Jul 2009
Multicenter StudyManagement of severely injured children in road accidents in France: impact of the acute care organization on the outcome.
To examine the impact of acute care management on outcome in children severely injured in road accidents. ⋯ The management in a more aggressive center for children admitted to TRR and monitored for ICP, when indicated, is associated with a better outcome. This could be explained by a more extensive experience in trauma management.