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Journal of Pediatric Critical Care最新文献

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Pediatric tracheostomy – From a rare procedure to an elective procedure 小儿气管切开术-从罕见手术到选择性手术
Journal of Pediatric Critical Care Pub Date : 2023-01-01 DOI: 10.4103/jpcc.jpcc_95_22
P. Sharma
{"title":"Pediatric tracheostomy – From a rare procedure to an elective procedure","authors":"P. Sharma","doi":"10.4103/jpcc.jpcc_95_22","DOIUrl":"https://doi.org/10.4103/jpcc.jpcc_95_22","url":null,"abstract":"","PeriodicalId":34184,"journal":{"name":"Journal of Pediatric Critical Care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42053178","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
Fatal podophyllin poisoning with multi-organ toxicity: A case report 致死性鬼臼碱中毒合并多器官毒性1例
Journal of Pediatric Critical Care Pub Date : 2023-01-01 DOI: 10.4103/jpcc.jpcc_47_23
BhaktiU Sarangi, Shridhar Jadhav, Ajay Walimbe, Manikiran Reddy, Siddhi Gawhale, RHema Priya
{"title":"Fatal podophyllin poisoning with multi-organ toxicity: A case report","authors":"BhaktiU Sarangi, Shridhar Jadhav, Ajay Walimbe, Manikiran Reddy, Siddhi Gawhale, RHema Priya","doi":"10.4103/jpcc.jpcc_47_23","DOIUrl":"https://doi.org/10.4103/jpcc.jpcc_47_23","url":null,"abstract":"Accidental poisoning with household products is one of the leading causes of involuntary injuries among children in low- and middle-income countries. Podophyllin poisoning is a rare and potentially fatal occurrence. The podophyllotoxin is a lipid-soluble cytotoxic compound with no antidote and its toxicity includes life-threatening neurological and multisystem complications. We report a case of a 2-year-old girl with accidental podophyllin poisoning causing multi-organ dysfunction who did not survive despite timely aggressive support and explore the possibility of early use of activated charcoal and role of extra-corporeal therapies such as hemoperfusion as a life-saving measure in such situations.","PeriodicalId":34184,"journal":{"name":"Journal of Pediatric Critical Care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135750691","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
Impact of introduction of a rounding checklist in a pediatric intensive care unit of a developing country: A quality improvement project 发展中国家儿科重症监护室采用四舍五入检查表的影响:质量改进项目
Journal of Pediatric Critical Care Pub Date : 2023-01-01 DOI: 10.4103/jpcc.jpcc_67_23
Qalab Abbas, Awais Abbas, FarisAbdul Aziz, NaveedUr Rehman Siddiqui, Yasmin Hashwani, Iraj Khan, AniqaAbdul Rasool, Anwar Ul Haque
{"title":"Impact of introduction of a rounding checklist in a pediatric intensive care unit of a developing country: A quality improvement project","authors":"Qalab Abbas, Awais Abbas, FarisAbdul Aziz, NaveedUr Rehman Siddiqui, Yasmin Hashwani, Iraj Khan, AniqaAbdul Rasool, Anwar Ul Haque","doi":"10.4103/jpcc.jpcc_67_23","DOIUrl":"https://doi.org/10.4103/jpcc.jpcc_67_23","url":null,"abstract":"Background: Patients admitted to critical care need timely interventions after evaluating all clinical parameters. This study aims to assess the impact of the comprehensive rounding checklist on physician compliance and patient-related outcomes in a multidisciplinary pediatric intensive care unit (PICU). Subjects and Methods: This prospective observational study was conducted in two phases over period of 2 months at multidisciplinary PICU from Pakistan. A structured rounding checklist of 35 components encompassing patient care was introduced and implemented in the PICU. During the preimplementation phase, a nurse took notes of relevant patient clinical details missed by the physician during the round, included them in the rounding checklist. And during the implementation phase, the nurse actively intervened when a physician did not discuss a particular component during the round. All components discussed were check marked. Results: The checklist was completed for 812 rounds (162 patients) in preimplementation and 2348 rounds (590 patients) in the postimplementation phase. Most frequently missed components in the preimplementation phase were checking for surgical site infection (8.9%), discharge plan (7.5%), deep vein thrombosis (DVT) prophylaxis (7.3%), and ventilator-associated pneumonia bundles (7.0%). Whereas, during the postimplementation phase, resident teaching (8.0%), discharge plan (7.2%), and DVT prophylaxis (6.5%) were most frequently missed. Hospital length of stay decreased from 4.5 ± 3.7 to 4.1 ± 2.9 days (P = 0.05), and overall mortality decreased from 19% to 11.4% (P < 0.05). Conclusions: Introducing the checklist with a prompter, improved physician compliance and patient-related outcomes in our PICU.","PeriodicalId":34184,"journal":{"name":"Journal of Pediatric Critical Care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135750979","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
Integrated care in cardiac intensive care unit for noncardiovascular complications in children after open-heart surgery: A comprehensive review 心脏重症监护病房对儿童心内直视手术后非心血管并发症的综合护理:一项综合综述
Journal of Pediatric Critical Care Pub Date : 2023-01-01 DOI: 10.4103/jpcc.jpcc_58_23
Muhammad Shahzad, YasserAbdulrhman Alheraish, ReemMohamed Beheri, Khaled Alarwan
{"title":"Integrated care in cardiac intensive care unit for noncardiovascular complications in children after open-heart surgery: A comprehensive review","authors":"Muhammad Shahzad, YasserAbdulrhman Alheraish, ReemMohamed Beheri, Khaled Alarwan","doi":"10.4103/jpcc.jpcc_58_23","DOIUrl":"https://doi.org/10.4103/jpcc.jpcc_58_23","url":null,"abstract":"Congenital heart defects (CHDs), the most common major birth defects, undergo effective surgical care in the last decade, enhancing survival. After heart surgery, mechanical, infectious, and noninfectious causes induce pediatric pulmonary problems. Necrotizing enterocolitis and feeding intolerance are frequent digestive issues. Diuretics relieve fluid excess, but early dialysis may help in cardiac intensive care unit (CICU) patients. Cumulative insulin dosages improve postoperative hyperglycemia. Noncardiac organ system problems are common in current pediatric cardiac intensive care units including seizures needing anti-epileptics. While, managing the patients in CICU, one must consider noncardiac organ system integrity and function.","PeriodicalId":34184,"journal":{"name":"Journal of Pediatric Critical Care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135751001","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
Coronavirus disease 2019 pneumonia with acute respiratory distress syndrome in a child requiring prolonged mechanical ventilation: A case report 需要长时间机械通气的儿童冠状病毒病2019肺炎伴急性呼吸窘迫综合征1例报告
Journal of Pediatric Critical Care Pub Date : 2023-01-01 DOI: 10.4103/jpcc.jpcc_59_23
Sagar Lad, Shraddha Sunthwal, Sanjay Bafna, Rajesh Kulkarni, Preeti Lad, Salma Ahmadi, Raj Ganacharya
{"title":"Coronavirus disease 2019 pneumonia with acute respiratory distress syndrome in a child requiring prolonged mechanical ventilation: A case report","authors":"Sagar Lad, Shraddha Sunthwal, Sanjay Bafna, Rajesh Kulkarni, Preeti Lad, Salma Ahmadi, Raj Ganacharya","doi":"10.4103/jpcc.jpcc_59_23","DOIUrl":"https://doi.org/10.4103/jpcc.jpcc_59_23","url":null,"abstract":"Coronavirus disease 2019 (COVID-19) infection in children predominantly presents with milder symptoms and is apparently less severe. However, 2% of acute pediatric COVID-19 cases possessed severe manifestations. Here, we describe a case study of a 4-year-old boy suffering from acute COVID-19 infection that presented like an adult ARDS requiring prolonged ventilation and medical course complicated with hospital-acquired infection and thrombosis which is very rarely seen. After 45 days of mechanical ventilation, the child was successfully weaned off from ventilatory support. Notably, analysis of the current literature revealed that this represents the longest reported hospitalization and ventilation period for a child presenting with COVID-19 pneumonia with potential complications. It highlights the importance of allowing sufficient time for clinical interventions to take effect, even when the prognosis appears poor. Hence, treating physicians should be aware of this atypical presentation.","PeriodicalId":34184,"journal":{"name":"Journal of Pediatric Critical Care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135748731","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
Secondary hemophagocytic lymphohistiocytosis in children with dengue: A case series 登革热儿童继发性噬血细胞性淋巴组织细胞增多症:一个病例系列
Journal of Pediatric Critical Care Pub Date : 2023-01-01 DOI: 10.4103/jpcc.jpcc_45_23
Nirosha Ponnuraj, Manoj Kumar, Saravanan Muthuarumugam, Reghupathy Panneerselvam
{"title":"Secondary hemophagocytic lymphohistiocytosis in children with dengue: A case series","authors":"Nirosha Ponnuraj, Manoj Kumar, Saravanan Muthuarumugam, Reghupathy Panneerselvam","doi":"10.4103/jpcc.jpcc_45_23","DOIUrl":"https://doi.org/10.4103/jpcc.jpcc_45_23","url":null,"abstract":"Hemophagocytic lymphohistiocytosis (HLH) is a rare, potentially lethal condition characterized by the activation of macrophages, natural killer cells, and T-cells, leading to a dysregulated immune response. Genetic mutations cause primary HLH; infections, tumors, or autoimmunity can trigger secondary HLH. Dengue infections can rarely be complicated by secondary HLH, which is a potential cause of mortality apart from shock or hemorrhage. A high index of suspicion is needed as clinical features are nonspecific and overlap with dengue. We report three children with dengue infection complicated by secondary HLH. All three children recovered with timely management.","PeriodicalId":34184,"journal":{"name":"Journal of Pediatric Critical Care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135750981","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
Myxedema crisis in an adolescent girl, successfully treated by oral thyroxine: A case report 青春期少女黏液性水肿危机，口服甲状腺素成功治疗一例报告
Journal of Pediatric Critical Care Pub Date : 2023-01-01 DOI: 10.4103/jpcc.jpcc_40_23
Krutika Tandon, Rahul Tandon, Amit Kumar, Shradha Patel, Sandip Mori, Fenil Thakkar
{"title":"Myxedema crisis in an adolescent girl, successfully treated by oral thyroxine: A case report","authors":"Krutika Tandon, Rahul Tandon, Amit Kumar, Shradha Patel, Sandip Mori, Fenil Thakkar","doi":"10.4103/jpcc.jpcc_40_23","DOIUrl":"https://doi.org/10.4103/jpcc.jpcc_40_23","url":null,"abstract":"Myxedema crisis is a condition with high mortality. It affects adults more often than children. Patients present with low blood pressure, low pulse, low body temperature, hypoventilation, and gastrointestinal dysfunction. Here, we present a case report of a teenage girl who was diagnosed with acquired hypothyroidism at the age of 7 years and was effectively treated with oral thyroxine in myxedema crisis.","PeriodicalId":34184,"journal":{"name":"Journal of Pediatric Critical Care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135750967","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
Sedation in critically ill mechanically ventilated children: Common though contentious 危重机械通气儿童的镇静：常见但有争议
Journal of Pediatric Critical Care Pub Date : 2023-01-01 DOI: 10.4103/jpcc.jpcc_91_22
Vijai William, S. Angurana
{"title":"Sedation in critically ill mechanically ventilated children: Common though contentious","authors":"Vijai William, S. Angurana","doi":"10.4103/jpcc.jpcc_91_22","DOIUrl":"https://doi.org/10.4103/jpcc.jpcc_91_22","url":null,"abstract":"","PeriodicalId":34184,"journal":{"name":"Journal of Pediatric Critical Care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45991146","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
Pediatric tracheostomy decannulation: A prospective study at a tertiary care centre 儿科气管造口拔管术：一项在三级护理中心进行的前瞻性研究
Journal of Pediatric Critical Care Pub Date : 2023-01-01 DOI: 10.4103/jpcc.jpcc_77_22
P. Kumar, Abhilasha Somashekhar, G. Basavaraja, K. Sanjay, A. Fathima, Praveen Baskar
{"title":"Pediatric tracheostomy decannulation: A prospective study at a tertiary care centre","authors":"P. Kumar, Abhilasha Somashekhar, G. Basavaraja, K. Sanjay, A. Fathima, Praveen Baskar","doi":"10.4103/jpcc.jpcc_77_22","DOIUrl":"https://doi.org/10.4103/jpcc.jpcc_77_22","url":null,"abstract":"Background: Advances in neonatal and pediatric intensive care have increased the number of children who survive with disabilities. The management of the tracheostomized child is a complex and demanding assignment as they have higher rates of complications. Ideally, the decannulation process should proceed once the child no longer requires mechanical ventilation and the underlying pathology has resolved or been reversed. This study highlights our experience in managing pediatric tracheostomy decannulation at a tertiary care center. Subjects and Methods: This was a single-center, prospective study conducted at the tertiary care pediatric hospital for a period of 1 year. Children with tracheostomy in situ who got admitted for laryngotracheobronchoscopy and decannulation were included. Results: Indication of tracheostomy was broadly divided into reasons causing upper airway obstruction and those requiring prolonged intubation. It showed that 82% were due to prolonged intubation, in which 85.3% were due to neurological reasons. The success rate for decannulation was 97%. Age of child, duration of intubation, posttracheostomy period, and type of tracheostomy tube had no significant correlation with outcome of tracheostomy decannulation. Conclusions: Resolution of primary indication for tracheostomy is required before planning of tracheotomy decannulation. Bronchoscopic airway evaluation and decannulation trial in operation theater is needed for successful decannulation. There was no impact of age, duration of intubation, posttracheostomy period, and type of tracheostomy tube on the outcome of tracheostomy decannulation.","PeriodicalId":34184,"journal":{"name":"Journal of Pediatric Critical Care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49069058","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
Choice of antiepileptic in benzodiazepines refractory convulsive status epilepticus in children 苯二氮卓类药物在儿童难治性惊厥持续状态中的抗癫痫选择
Journal of Pediatric Critical Care Pub Date : 2023-01-01 DOI: 10.4103/jpcc.jpcc_97_22
B. Mukund, V. Bhat
{"title":"Choice of antiepileptic in benzodiazepines refractory convulsive status epilepticus in children","authors":"B. Mukund, V. Bhat","doi":"10.4103/jpcc.jpcc_97_22","DOIUrl":"https://doi.org/10.4103/jpcc.jpcc_97_22","url":null,"abstract":"","PeriodicalId":34184,"journal":{"name":"Journal of Pediatric Critical Care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48262515","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
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