Ventilator-associated pneumonia in children after cardiac surgery in The Netherlands

We conducted a retrospective cohort study in an academic tertiary care center to characterize ventilator-associated pneumonia (VAP) in pediatric patients after cardiac surgery in The Netherlands. All patients following cardiac surgery and mechanically ventilated for ≥24 h were included. The primary outcome was development of VAP. Secondary outcomes were duration of mechanical ventilation and length of ICU stay. A total of 125 patients were enrolled. Their mean age was 16.5 months. The rate of VAP was 17.1/1,000 mechanical ventilation days. Frequently found organisms were Haemophilus influenzae, Moraxella catarrhalis, Staphylococcus aureus and Pseudomonas aeruginosa. Patients with VAP had longer duration of ventilation and longer ICU stay. Risk factors associated with the development of VAP were a PRISM III score of ≥10 and transfusion of fresh frozen plasma. The mean VAP rate in this population is higher than that reported in general pediatric ICU populations. Children with VAP had a prolonged need for mechanical ventilation and a longer ICU sta

Cardiogenic Shock

http://deepblue.lib.umich.edu/bitstream/2027.42/192992/2/Cardiogenic Shock_2013.pdfDescription of Cardiogenic Shock_2013.pdf : Published versio

Biomarkers in Pediatric Sepsis

http://deepblue.lib.umich.edu/bitstream/2027.42/192993/2/Biomarkers in Pediatric Sepsis_2011.pdfDescription of Biomarkers in Pediatric Sepsis_2011.pdf : Published versio

Risk factors for failed tracheal intubation in pediatric and neonatal critical care specialty transport

Objective. Nearly 200,000 pediatric and neonatal transports occur in the United States each year with some patients requiring tracheal intubation. First-pass intubation rates in both pediatric and adult transport literature are variable as are the factors that influence intubation success. This study sought to determine risk factors for failed tracheal intubation in neonatal and pediatric transport.Children's Hospital Medical Center of Akronhttp://deepblue.lib.umich.edu/bitstream/2027.42/191948/2/Risk Factors for Failed Tracheal Intubation in Pediatric and Neonatal Critical Care Specialty Transport.pdfDescription of Risk Factors for Failed Tracheal Intubation in Pediatric and Neonatal Critical Care Specialty Transport.pdf : Published versio