Journal of Pediatric Critical Care最新文献_第10页

Extracorporeal membrane oxygenation for adults (2nd edition) 成人体外膜肺氧合（第2版）

Journal of Pediatric Critical Care Pub Date : 2022-09-01 DOI: 10.4103/jpcc.jpcc_74_22

K. Mittal

引用次数: 0

Incidence of new morbidity based on Functional Status Scale in children on discharge from pediatric intensive care unit of a developing country: A single-center observational study 基于功能状态量表的发展中国家儿科重症监护室出院儿童新发发病率：一项单中心观察性研究

Journal of Pediatric Critical Care Pub Date : 2022-09-01 DOI: 10.4103/jpcc.jpcc_46_22

A. Haque, Shoaib Bhatti, Saira Ahmed, I. Muhammad

{"title":"Incidence of new morbidity based on Functional Status Scale in children on discharge from pediatric intensive care unit of a developing country: A single-center observational study","authors":"A. Haque, Shoaib Bhatti, Saira Ahmed, I. Muhammad","doi":"10.4103/jpcc.jpcc_46_22","DOIUrl":"https://doi.org/10.4103/jpcc.jpcc_46_22","url":null,"abstract":"Background: Recently, short-term outcome among survival of children from pediatric intensive care unit (PICU) is assessed using the Functional Status Scale (FSS). New morbidity was defined as an increase in FSS score of ≥3 points from baseline to discharge from PICU. The objective of the study was to assess the incidence of newly acquired morbidity based on FSS in children on discharge from PICU. Subjects and Methods: A cross-sectional retrospective study was conducted on children (1 month–15 years) who were discharged alive from PICU from November 2021 to January 2022. The functional status was evaluated using FSS on the 1st day of admission and discharge from PICU to measure newly acquired morbidity. Results: Of a total of 200 patients, 155 patients were included in the study. The mean age was 3.79 ± 3.76 years, and 63.2% (98) were male. The mean PRISM score was 12.99 ± 5.22. The most common diagnostic categories were acute respiratory illnesses (41.3%) and infectious diseases (23.2%). The median FSS was 6.00 on admission, and the mean FSS on discharge was 7.02 ± 2.22. The incidence of morbidity was 12.2% (19/155). Young children and children with neurological diseases were highly associated with new morbidity in critically ill children on discharge from PICU. However, there was no statistical significance. The mortality rate was 11.5% during the same period. Conclusions: The incidence of new morbidity in critically ill pediatric patients at PICU discharge was 12.2%. Young age and children with neurological diseases were at high risk for new morbidity. Most of the patients (>94%) were discharged with good functional status.","PeriodicalId":34184,"journal":{"name":"Journal of Pediatric Critical Care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44702210","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: 2

Diphtheria: Still a problem in pediatric intensive care units, well beyond the prediction radar of PRISM III 白喉:仍然是儿科重症监护病房的一个问题，远远超出了PRISM III的预测雷达

Journal of Pediatric Critical Care Pub Date : 2022-09-01 DOI: 10.4103/jpcc.jpcc_71_22

L. Tiwari

引用次数: 0

Prevalence of peripheral venous cannula-related colonization and infections in pediatric intensive care unit: A single-center observational study 儿童重症监护病房外周静脉导管相关定植和感染的流行:一项单中心观察性研究

Journal of Pediatric Critical Care Pub Date : 2022-09-01 DOI: 10.4103/jpcc.jpcc_25_22

Parasuraman Nithya, K. Meenakshi, S. Naaraayan

{"title":"Prevalence of peripheral venous cannula-related colonization and infections in pediatric intensive care unit: A single-center observational study","authors":"Parasuraman Nithya, K. Meenakshi, S. Naaraayan","doi":"10.4103/jpcc.jpcc_25_22","DOIUrl":"https://doi.org/10.4103/jpcc.jpcc_25_22","url":null,"abstract":"Background: Intravenous (IV) access exposes patients to risk of catheter-related infections. The source of infection is either microbial colonization of the cannula or contamination of the hub or drugs. The study objectives were to estimate the prevalence of the peripheral venous cannula (PVC)-related infection and the factors associated with colonization and the antibiotic sensitivity pattern of the organisms causing infection. Subjects and Methods: It was a cross-sectional study which included infants and children who required an indwelling PVC. Visual infusion phlebitis (VIP) score was recorded for insertion site changes. Cannula tip and blood were sent for culture and antibiotic sensitivity. Catheter-related bloodstream infection was diagnosed based on bacterial growth in both the cannula tip and blood culture. Results: Out of the 256 children recruited in the study, 57% were males and 13% were undernourished. The most common primary illness was respiratory disease. Cannula tip growth was noted in 8.5%. The PVC colonization rate was 37.9/1000 catheter days. Multivariate analysis showed significant association between the primary illness, multiple attempts for insertion, longer duration of IV fluid use, retention of cannula beyond 96 h, and higher VIP scores >2 and cannula colonization. Conclusions: Apart from strict adherence to infection prevention techniques, disposal of cannula after one failed attempt, changing IV cannula after 96 h, inspection of cannula site to identify phlebitis early, and removal of the cannula when the VIP score is >2 may help to minimize cannula-related colonization and infection.","PeriodicalId":34184,"journal":{"name":"Journal of Pediatric Critical Care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45869444","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: 1

Rare case of lingual thyroglossal cyst presenting in infant with respiratory distress 婴儿呼吸窘迫并发舌状甲状舌管囊肿的罕见病例

Journal of Pediatric Critical Care Pub Date : 2022-09-01 DOI: 10.4103/jpcc.jpcc_43_22

Pankaj Agarwal, Saurabh Maheshwari, A. Tripathi, Karan Raheja, R. Goel, S. Dubey

引用次数: 0

Thrombosis of the internal jugular vein by malpositioned thoracostomy tube 胸腔造瘘管放置不当致颈内静脉血栓形成

Journal of Pediatric Critical Care Pub Date : 2022-09-01 DOI: 10.4103/jpcc.jpcc_65_22

Manzoor Ali, K. Alok, Joshi Ankur, T. Nikhil

引用次数: 0

Improving complex discharge process: It's all about parental education and empowerment 改善复杂的出院过程：这一切都与父母的教育和赋权有关

Journal of Pediatric Critical Care Pub Date : 2022-09-01 DOI: 10.4103/jpcc.jpcc_67_22

Hari Gourabathini, U. Bhalala

引用次数: 1

Functional assessment scales and their use in the pediatric intensive care unit 功能评估量表及其在儿科重症监护室中的应用

Journal of Pediatric Critical Care Pub Date : 2022-09-01 DOI: 10.4103/jpcc.jpcc_66_22

J. Hendy, M. Sundaram

引用次数: 0

Found alive after declared dead: Scientific basis underlying Lazarus phenomenon 拉撒路现象背后的科学基础

Journal of Pediatric Critical Care Pub Date : 2022-09-01 DOI: 10.4103/jpcc.jpcc_70_22

L. Tiwari, K. Krishnamurthy, Ajay Kumar, J. Chaturvedi, Jeevan Divakaran, N. Kissoon, S. Kinthala

引用次数: 0

Outbreak of respiratory syncytial virus infection in Eastern India during COVID-19 pandemic: An observational study from a single pediatric intensive care unit 新冠肺炎大流行期间印度东部爆发呼吸道合胞病毒感染：一项来自单个儿科重症监护室的观察性研究

Journal of Pediatric Critical Care Pub Date : 2022-07-01 DOI: 10.4103/jpcc.jpcc_27_22

Bubai Mandal, Satyabrata Roychowdhoury, Pinki Barui, M. Konar, S. Bhakta, M. Nandi, Mohammad Uz Zaman, M. Sarkar, M. Mahapatra

{"title":"Outbreak of respiratory syncytial virus infection in Eastern India during COVID-19 pandemic: An observational study from a single pediatric intensive care unit","authors":"Bubai Mandal, Satyabrata Roychowdhoury, Pinki Barui, M. Konar, S. Bhakta, M. Nandi, Mohammad Uz Zaman, M. Sarkar, M. Mahapatra","doi":"10.4103/jpcc.jpcc_27_22","DOIUrl":"https://doi.org/10.4103/jpcc.jpcc_27_22","url":null,"abstract":"Background: After the peak of the second wave of COVID-19 pandemic, we faced a surge of respiratory syncytial virus (RSV) infection. This study was aimed to estimate the severity, clinical course, and outcome of RSV-infected children admitted in pediatric intensive care unit and to identify the predictors of development of acute respiratory distress syndrome (ARDS). Subjects and Methods: This retrospective study included children below 5 years with influenza-like illnesses (ILI) due to RSV infection. The clinical, laboratory, treatment, and outcome-related parameters were assessed and a compared between ARDS and non-ARDS group. Results: Out of 44 ILI patients, 36 had RSV infection. Most of them (88.9%) were infants. Twenty-four (66.7%) patients developed ARDS and 9 (25%) were ventilated. Infants below 6 months, low birth weight (LBW) babies, consolidations (≥3 zones), interstitial edema (≥3 zones) in lung ultrasound, high pediatric sequential organ failure assessment (pSOFA), and Pediatric Risk of Mortality III score were significantly associated with ARDS. Conclusions: RSV-infected children with young age (1–6 months), LBW, higher lung ultrasound, and pSOFA score should alert physicians for progression to ARDS.","PeriodicalId":34184,"journal":{"name":"Journal of Pediatric Critical Care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49446315","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: 2