• Hemodynamic Response to Fluid Boluses for Hypotension in Children in a Cardiac ICU

    1 month ago - By Pediatric Critical Care Medicine

    Objectives:
    To describe the hemodynamic response to fluid boluses for hypotension in children in a cardiac ICU.
    Design:
    A prospective, observational study.
    Setting:
    Single-centered cardiac ICU.
    Patients:
    Children in a cardiac ICU with hypotension.
    Interventions:
    Clinician prescribed fluid bolus.
    Measurements and Main Results:
    Sixty-four fluid boluses were administered to 52 children. Fluid composition was 4% albumin in 36/64 , 0.9% saline in 18/64 , and cardiopulmonary bypass pump blood in 10/64. The median volume and duration were 5.0 mL/kg and 8 minutes , respectively. Hypovolemia/low...
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  • Prevalence of ICU Delirium in Postoperative Pediatric Cardiac Surgery Patients

    Prevalence of ICU Delirium in Postoperative Pediatric Cardiac Surgery Patients

    1 month ago - By Pediatric Critical Care Medicine

    Objectives:
    The objective of this study was to determine the prevalence of ICU delirium in children less than 18 years old that underwent cardiac surgery within the last 30 days. The secondary aim of the study was to identify risk factors associated with ICU delirium in postoperative pediatric cardiac surgical patients.
    Design:
    A 1-day, multicenter point-prevalence study of delirium in pediatric postoperative cardiac surgery patients.
    Setting:
    Twenty-seven pediatric cardiac and general critical care units caring for postoperative pediatric cardiac surgery patients in North...
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