Pediatr Crit Care Me
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Pediatr Crit Care Me · May 2007
Identification of adrenal insufficiency in pediatric critical illness.
To determine physicians' beliefs and practices regarding adrenal dysfunction in pediatric critical illness. ⋯ There is no consensus among pediatric intensivists or endocrinologists as to how often adrenal insufficiency occurs in pediatric critical illness or how to diagnose this condition. Despite this lack of consensus, however, many pediatric intensivists would empirically treat hypotensive patients who they suspect may have adrenal insufficiency. Prospective studies are required to determine the definition, frequency, and appropriate treatment of adrenal insufficiency in critically ill pediatric patients.
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Pediatr Crit Care Me · May 2007
Editorial CommentComputerized physician order entry: friend or foe?
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Pediatr Crit Care Me · Mar 2007
Regional and central venous oxygen saturation monitoring following pediatric cardiac surgery: concordance and association with clinical variables.
To compare changes in regional cerebral or flank oxygen saturation measured by near-infrared spectroscopy with changes in central venous oxygen saturation (ScvO2) and to determine clinical variables associated with these changes. ⋯ Neither individual values nor changes in rSO2 are interchangeable measures of ScvO2 in postoperative pediatric cardiac patients. The unique relationship between changes in PaCO2 and cerebral rSO2 supports the hypothesis that cerebral near-infrared spectroscopy monitors regional cerebral oxygenation. Clinical application of this monitor must include recognition of the clinical variables that affect regional brain oxygenation.