OBJECTIVES Survival for hematopoietic stem cell transplant patients requiring pediatric intensive care unit admission may be improving. This study was conducted to review outcomes for patients undergoing hematopoietic stem cell transplantation requiring admission to our pediatric intensive care unit and to identify variables impacting survival. DESIGN Retrospective database review. SETTING ...

BACKGROUND Acute lung injury (ALI)/acute respiratory distress syndrome (ARDS) represents a devastating complication observed in critical care medicine. The purpose of this study is to investigate the epidemiological aspects of ALI/ARDS in pediatric intensive care unit (PICU) and risk factors of mortality. METHODS Patients with ALI/ARDS in PICU of Beijing Children's Hospital, a tertiary medica...

Myasthenia gravis (MG) is an autoimmune disease resulting in destruction of the post-synaptic nicotinic receptors at the neuromuscular junction. Classically, the earliest symptoms of MG are ocular, including ptosis and diplopia. Other less common early symptoms include dysphagia and fatigable chewing. Our case report describes the unusual presentation of MG in a teenager patient and presented f...

BACKGROUND Hematopoietic stem-cell transplant (HSCT) is associated with many risk factors for life-threatening complications. Post-transplant critical illness often requires admission to the pediatric intensive care unit (PICU). METHODS A retrospective analysis was made on the risk factors associated with PICU admission and mortality of all HSCT patients at Helen DeVos Children's Hospital fro...

OBJECTIVES To compare outcomes of children receiving noninvasive ventilation with those receiving invasive ventilation as first-line mode of mechanical ventilation following unplanned intensive care admission. DESIGN Propensity score-matched cohort study analyzing data prospectively collected by the Pediatric Intensive Care Audit Network over 8 years (2007-2014). SETTING Thirty-one PICUs in...

Objectives The objectives of this study was to explore the accuracy Cornell Assessment for Pediatric Delirium (CAP-D), Confusion Method Intensive Care Unit (pCAM-ICU), and Preschool (psCAM-ICU) when implemented in routine care as delirium screening tools, assess patient characteristics clinical variables that may affect their validity. Design This is a prospective observational study. Setting c...

Abstract
 Introduction: In this study, we aimed to discuss the transfusion-associated costs in view of transfusion practice pediatric intensive care unit (PICU) by considering previously well-defined indications blood transfusions and evidence-based evaluation for decision-making patients.
 Materials Methods: During a year period (January 2017-December 2017) 76 patients, receiving wit...

CRITICALCARENURSE Vol 28, No. 2, APRIL 2008 125 risk associated with altered skin integrity for critically ill children. Immature bowel and bladder control and large heads are inevitable contributory risk factors specific to children. Concomitant pain and altered appearance are physical and emotional burdens for patients and families already experiencing stress associated with hospitalization i...

BACKGROUND Hypophosphatemia is one of the common disorders that develop in critically ill patients. It has potential complications and is often unrecognized in those patients. OBJECTIVE Determining the incidence of hypophosphatemia in critically ill children, its association with clinical outcomes and the possible risk factors. METHODS 50 patients were enrolled in the study. Levels of serum...

INTRODUCTION The first steps in goal-directed therapy for sepsis are early diagnosis followed by appropriate triage. These steps are usually left to the physician's judgment, as there is no accepted biomarker available. We aimed to determine biomarker phenotypes that differentiate children with sepsis who require intensive care from those who do not. METHODS We conducted a prospective, observ...