Journal of Pediatric Critical Care最新文献

Neuroparalytic snakebite resulting in cerebral salt wasting and refractory hyponatremia: A case report 神经瘫痪性蛇咬伤导致脑盐耗竭和难治性低钠血症：病例报告

Journal of Pediatric Critical Care Pub Date : 2024-07-01 DOI: 10.4103/jpcc.jpcc_38_24

Bhakti U Sarangi, Noopur Kulkarni, Savita Rani, A. Walimbe, Rachit Garg

引用次数: 0

Life-threatening bradycardia in an anorexia nervosa patient: A case report 神经性厌食症患者出现危及生命的心动过缓：病例报告

Journal of Pediatric Critical Care Pub Date : 2024-07-01 DOI: 10.4103/jpcc.jpcc_29_24

Alexandra W. Obremskey, Janis L. Sethness, Tarane Shafi, T. Brogan

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Challenges in estimating the severity of kidney dysfunction in critically ill children 估计重症儿童肾功能障碍严重程度的挑战

Journal of Pediatric Critical Care Pub Date : 2024-07-01 DOI: 10.4103/jpcc.jpcc_44_24

R. Rameshkumar, M. Chidambaram, R. Bhowmick

引用次数: 0

Does weekend and out-of-hour duty affect the outcome of neurological emergencies in children? – A prospective observational study from Southern Nigeria 周末和非工作时间值班会影响儿童神经急症的治疗效果吗？- 尼日利亚南部的前瞻性观察研究

Journal of Pediatric Critical Care Pub Date : 2024-07-01 DOI: 10.4103/jpcc.jpcc_24_24

P. Ikhurionan, M. T. Abiodun

{"title":"Does weekend and out-of-hour duty affect the outcome of neurological emergencies in children? – A prospective observational study from Southern Nigeria","authors":"P. Ikhurionan, M. T. Abiodun","doi":"10.4103/jpcc.jpcc_24_24","DOIUrl":"https://doi.org/10.4103/jpcc.jpcc_24_24","url":null,"abstract":"\u0000 \u0000 \u0000 There is a growing body of literature that suggests increased rates of morbidity and mortality for pediatric conditions admitted on a weekend compared with weekdays. Whether this association is seen in Nigerian children presenting with neurologic emergencies is not certain. Understanding the effect of weekend admission on the outcome of pediatric neurologic emergencies is important to allocate personnel and resources more efficiently. This study was conducted to determine whether weekend and out-of-hour duty affect the outcome of neurological emergencies in children.\u0000 \u0000 \u0000 \u0000 This study used a cross-sectional analytic design over an 18-month period. Children aged 1 month–18 years presenting with neurologic emergencies were prospectively recruited over an 18-month period. The association between the dependent variable and independent variables was tested using the Chi-squared test and odds ratio. The level of statistical significance was accepted as P < 0.05.\u0000 \u0000 \u0000 \u0000 A total of 146 children with neurologic emergencies were seen during the study period with 33.6% occurring on weekends. The average duration of stay (DOS) was 7.6 (±5.7) days. There was no difference in DOS between children based on the day of admission (P = 0.241) or the hour of admission (P = 0.155). Eleven (7.5%) of study subjects died during the study period. There was no difference in outcome based on day ([weekends – 6.1% vs. weekday – 8.2%] [P = 0.896]) or hour of admission ([out-of-hour – 7.3% vs. working hours – 7.7%] [P = 0.958]).\u0000 \u0000 \u0000 \u0000 Weekend and out-of-hour duty does not affect the outcome of neurological emergencies in children.\u0000","PeriodicalId":34184,"journal":{"name":"Journal of Pediatric Critical Care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141851418","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Takotsubo cardiomyopathy in a 7-month-old infant with familial hemophagocytic lymphohistiocytosis: A case report 一名 7 个月大患有家族性嗜血细胞淋巴组织细胞增多症的婴儿患上了塔克次氏心肌病：病例报告

Journal of Pediatric Critical Care Pub Date : 2024-07-01 DOI: 10.4103/jpcc.jpcc_35_24

Payal Gupta, S. S. Patil, U. Pillay

引用次数: 0

Evaluating the impact of intubation pillow on laryngoscopy grade in children: A Randomized controlled trial 评估插管枕对儿童喉镜检查等级的影响：随机对照试验

Journal of Pediatric Critical Care Pub Date : 2024-07-01 DOI: 10.4103/jpcc.jpcc_16_24

Sonya Susan George, Arun K. Kurian, Sajan Philip George, Lakshmanan Jeyasheelan, B. Yadav

{"title":"Evaluating the impact of intubation pillow on laryngoscopy grade in children: A Randomized controlled trial","authors":"Sonya Susan George, Arun K. Kurian, Sajan Philip George, Lakshmanan Jeyasheelan, B. Yadav","doi":"10.4103/jpcc.jpcc_16_24","DOIUrl":"https://doi.org/10.4103/jpcc.jpcc_16_24","url":null,"abstract":"\u0000 \u0000 \u0000 Laryngoscopy and intubation remain critical in pediatric patients as compared to adult patients due to different anatomy. This study was conducted to compare the Cormack and Lehane grade (CL) of laryngoscopy, percentage of glottic opening (POGO) score, and the efficacy of backward upward rightward pressure (BURP) maneuver to improve laryngoscopy grade with or without the use of intubation pillow.\u0000 \u0000 \u0000 \u0000 A randomized controlled trial was done from January 2020 to July 2020 on 68 children with 34 children in Group 1 (with intubation pillow) and 34 patients in Group 2 (without intubation pillow). Children between 5 and 12 years of age (the American Society of Anesthesiologists class I and II) planned for surgery under general anesthesia with endotracheal tube were included in this study. Pillow of 4 cm size was used in 5–9 years and 6 cm pillow in 9–12 years of age group. Macintosh laryngoscope was used for intubation. CL grading and POGO score were assessed. BURP maneuver was given in cases of difficult laryngoscopy of CL grade above 2 and its effect on improvement in CL grading was measured.\u0000 \u0000 \u0000 \u0000 Group 1 children had significantly more CL grade I (83.3% vs. 16.7%); significantly lesser CL Grade IIb (23.1% vs. 76.9%, P = 0.001); and significantly more POGO score (97% vs. 86%, P < 0.05) than Group 2. The use of BURP maneuver significantly improved the laryngoscopy view in both the groups.\u0000 \u0000 \u0000 \u0000 The use of intubation pillow in children between 5 and 12 years of age facilitated better laryngoscopy view and POGO score.\u0000","PeriodicalId":34184,"journal":{"name":"Journal of Pediatric Critical Care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141844283","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Left main bronchus compression by massive pericardial effusion: A rare cause of respiratory distress in an infant: A case report 大量心包积液压迫左主支气管：婴儿呼吸窘迫的罕见病因：病例报告

Journal of Pediatric Critical Care Pub Date : 2024-07-01 DOI: 10.4103/jpcc.jpcc_34_24

K. Sudeep, S. Angurana, Harshita Nori, S. Naganur, Anmol Bhatia

引用次数: 0

Tomographic index (ONSD/ETD) as a predictor of short-term neurological outcome in children with severe traumatic brain injury: A single-center retrospective observational study from Mexico 断层扫描指数（ONSD/ETD）作为严重脑外伤儿童短期神经功能预后的预测指标：墨西哥单中心回顾性观察研究

Journal of Pediatric Critical Care Pub Date : 2024-07-01 DOI: 10.4103/jpcc.jpcc_15_24

Juan Enrique García Maytorena, Yanyn Ameyaly Cabrera Antonio, Kassandra Aglae Salazar Vázquez, A. Alatorre, V. Martínez

{"title":"Tomographic index (ONSD/ETD) as a predictor of short-term neurological outcome in children with severe traumatic brain injury: A single-center retrospective observational study from Mexico","authors":"Juan Enrique García Maytorena, Yanyn Ameyaly Cabrera Antonio, Kassandra Aglae Salazar Vázquez, A. Alatorre, V. Martínez","doi":"10.4103/jpcc.jpcc_15_24","DOIUrl":"https://doi.org/10.4103/jpcc.jpcc_15_24","url":null,"abstract":"\u0000 \u0000 \u0000 Traumatic brain injury (TBI) is a prevalent condition in the pediatric population. An index between the diameter of the optic nerve sheath diameter (ONSD) and the transverse eyeball transverse diameter (ETD) measured in the tomographic scan has been described in adults, with a cutoff value of ≥0.25 for predicting poor neurologic prognoses. This study was conducted to analyze the relationship between the index ONSD/ETD with the neurological outcome in children with severe TBI.\u0000 \u0000 \u0000 \u0000 This was single-center, retrospective study, conducted from March 2021 to November 2022. Patients older than 30 days and up to 16 years of age admitted with severe TBI were included in the study. Measurements of the ONSD/ETD index by cranial tomography were calculated. The population was divided into two groups, one with index ≥0.25 and other with index <0.25. Glasgow Outcome Scale-Extended (GOSE) and outcome were compared between groups.\u0000 \u0000 \u0000 \u0000 Thirty patients were recruited. Patients with inde × 0.25 or higher had a lower GOSE (60% (1–2 points) vs. 60% (7–8 points)), more days of mechanical ventilation (MV) (8 days, interquartile range IQR 5–17 days vs. 3 days, IQR 2–4 days P = 0.005), and more length of pediatric intensive care unit (PICU) stay (12 days, IQR 9–23 days vs. 5 days, IQR 4–8 days P = 0.007) than patients with index <0.25.\u0000 \u0000 \u0000 \u0000 The ONSD/ETD index was a reliable indicator for predicting the neurological outcome of patients with severe TBI. An index ≥0.25 was associated with more days of PICU stay and MV with worse neurological outcomes.\u0000","PeriodicalId":34184,"journal":{"name":"Journal of Pediatric Critical Care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141850265","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Journal of Pediatric Critical Care Pub Date : 2024-07-01 DOI: 10.4103/jpcc.jpcc_48_24

Sasidaran Kandasamy, K. G. S. Reddy, Nivesh Subburaj

{"title":"Similarities and differences between intermittent hemodialysis and sustained low-efficiency dialysis","authors":"Sasidaran Kandasamy, K. G. S. Reddy, Nivesh Subburaj","doi":"10.4103/jpcc.jpcc_48_24","DOIUrl":"https://doi.org/10.4103/jpcc.jpcc_48_24","url":null,"abstract":"\u0000 Acute kidney injury (AKI) is a multifaceted syndrome with diverse etiologies encountered very frequently in all critical care service units. Time and again, multiple researchers have proven its independent contribution to increasing morbidity and mortality in hospitalized children and adults. This undeniable fact has guided the development of newer strategies and logical concepts that have led to new modalities of treating AKI. In the absence of curative medical therapy, kidney replacement therapy (KRT) is considered the primary supportive therapy for AKI, and when initiated at the right time, it has the potential to bridge the gap toward cure. Among all KRT methods, blood-based dialysis occupies a prominent role and has now become the cornerstone of treatment for critically ill children with AKI. Two major methods usually employed are “intermittent hemolysis” (IHD) and “continuous kidney replacement therapy” (CKRT). Currently, a third method called “sustained low-efficiency dialysis (SLED)” is gaining momentum in critical care. It is a hybrid method; in simpler terms, it is a slow and prolonged IHD that may carry a few of the critical merits of CKRT. This narrative review article sheds light on SLED, as well as its comparison to IHD in critical care practice.","PeriodicalId":34184,"journal":{"name":"Journal of Pediatric Critical Care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141844917","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Significance of effluent dose in continuous renal replacement therapy in children 儿童持续肾脏替代疗法中流出剂量的意义

Journal of Pediatric Critical Care Pub Date : 2024-07-01 DOI: 10.4103/jpcc.jpcc_49_24

Satheesh Ponnarmeni, Sasidaran Kandasamy, J. Shobana

引用次数: 0