Tag: pediatric critical care
1. In a randomized trial, factors associated with a decline in glucose-corrected sodium in children experiencing diabetic ketoacidosis (DKA) included older age, previous diagnosis of diabetes, higher initial glucose-corrected sodium and chloride concentrations, and treatment with 0.45% sodium chloride
2. There was no association between decline in glucose-corrected sodium concentration...
1. In a single center quality improvement project, implementation of a clinical practice algorithm in mechanically ventilated patients in the pediatric ICU lead to a significant reduction in the number of endotracheal aspirate cultures (EACs) obtained.
2. Length of stay, mortality, and readmissions were unchanged despite the decrease in EACs.
Evidence...
1. Advance practitioners and neonatal fellows had the highest rates of neonatal tracheal intubation (TI) attempts in the neonatal intensive care unit (NICU) and delivery room (DR), while residents had fewer attempts. There was a significant association between the degree of training held by the intubator and the success...
1. Periviable infants born from 2008-2011 survived to 18-22 months corrected age at a higher rate than those born from 2000-2003.
2. Rates of reaching 18-22 months corrected age without neurodevelopmental impairment were higher for periviable infants born during 2008-2011 compared to those born from 2000-2003.
Evidence Rating: 2 (Good)
Study Rundown:...
1. After controlling for demographic characteristics, comorbidities and severity of illness, being overweight or obese were both associated with increased pediatric intensive care unit (PICU) mortality in the United States.
2. Including height in mortality analysis resulted in different conclusions than in prior studies. When height data was accounted for,...