• Pediatric Delirium and All-Cause PICU Readmissions Within 1 Year

    10 days ago - By Pediatric Critical Care Medicine

    Objectives:
    Delirium in critically ill children is associated with increased in-hospital morbidity and mortality. Little is known about the lingering effects of pediatric delirium in survivors after hospital discharge. The primary objective of this study was to determine whether children with delirium would have a higher likelihood of all-cause PICU readmission within 1 calendar year, when compared with children without delirium.
    Design:
    Retrospective cohort study.
    Setting:
    Tertiary care, mixed PICU at an urban academic medical center.
    Patients:
    Index admissions included all children...
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  • Assessing the Impact of Nasotracheal Intubation on Postoperative Neonates With Congenital Heart Disease: A Quality Improvement Project at a Single Heart Center

    Assessing the Impact of Nasotracheal Intubation on Postoperative Neonates With Congenital Heart Disease: A Quality Improvement Project at a Single Heart Center

    10 days ago - By Pediatric Critical Care Medicine

    OBJECTIVES:
    Nasotracheal intubation is associated with fewer unplanned extubations and improved oral motor skills compared with orotracheal intubation. Our study aimed to implement a practice change from OTI to NTI for neonatal cardiac surgery and assess impact on postoperative outcomes.
    DESIGN:
    Single-center, prospective, quality improvement study.
    SETTING:
    Academic children's hospital.
    PATIENTS:
    One hundred thirty neonates undergoing cardiac surgery with cardiopulmonary bypass.
    INTERVENTIONS:
    NTI during index cardiac surgery.
    MEASUREMENTS AND MAIN RESULTS:
    Data were collected between...
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  • Calcium Administration During Cardiopulmonary Resuscitation for In-Hospital Cardiac Arrest in Children With Heart Disease Is Associated With Worse Survival-A Report From the American Heart Association's Get With The Guidelines-Resuscitation Registry

    Calcium Administration During Cardiopulmonary Resuscitation for In-Hospital Cardiac Arrest in Children With Heart Disease Is Associated With Worse Survival-A Report From the American Heart Association's Get With The Guidelines-Resuscitation Registry

    10 days ago - By Pediatric Critical Care Medicine

    Objectives:
    IV calcium administration during cardiopulmonary resuscitation for pediatric in-hospital cardiac arrest is associated with worse survival. We evaluated survival to hospital discharge in children with heart disease , where calcium is more frequently administered during CPR.
    Design:
    Retrospective study of a multicenter registry database.
    Setting:
    Data reported to the American Heart Association's Get With The Guidelines-Resuscitation registry.
    Patients:
    Children younger than 18 years with HD experiencing an index IHCA event requiring CPR between January 2000 and January 2019...
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