scholarly journals Prevalence and Clinical Significance of Hyponatremia in Pediatric Intensive Care

2019 ◽  
Vol 08 (03) ◽  
pp. 130-137
Author(s):  
Khouloud A. Al-Sofyani
Keyword(s):  
Intensive Care ◽  
Independent Risk Factor ◽  
Chart Review ◽  
Pediatric Intensive Care ◽  
Retrospective Chart Review ◽  
Tertiary Hospital ◽  
Prolonged Hospital Stay ◽  
Severe Hyponatremia ◽  
Risk Of Mortality ◽  
Prolonged Hospital

AbstractA retrospective chart review was conducted to estimate the prevalence and severity level of hyponatremia on admission at the pediatric intensive care unit (PICU) in a Saudi tertiary hospital. Hyponatremia was highly prevalent (67.2%) and severe hyponatremia was frequent among patients with Pediatric Risk of Mortality score > 10%. Severe hyponatremia was also associated with increased length of stay (p = 0.04) and a trend of increased mortality (p = 0.054). However, disease severity was not an independent risk factor of mortality in PICU, but might confound other risk factors that render the children requiring prolonged hospital stay, mechanical ventilation, and increased health costs.

Severe Food Protein Induced Enterocolitis Syndrome (FPIES) in the Pediatric Intensive Care Unit (PICU): A Retrospective Chart Review

2015 ◽  
Vol 135 (2) ◽  
pp. AB47
Author(s):  
Tamar Weinberger ◽  
Elizabeth Feuille ◽  
Anna H. Nowak-Wegrzyn ◽  
Cecilia Thompson
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Pediatric Intensive Care Unit ◽  
Chart Review ◽  
Pediatric Intensive Care ◽  
Retrospective Chart Review ◽  
Food Protein

Late endoscopic evaluation of the ostium size after external dacryocystorhinostomy

2020 ◽  
pp. 112067212097604
Author(s):  
Reem R Al Huthail ◽  
Yasser H Al-Faky
Keyword(s):  
Chart Review ◽  
Retrospective Chart Review ◽  
Tertiary Hospital ◽  
Nasal Endoscope ◽  
Long Term Follow Up ◽  
Mean Size ◽  
External Dacryocystorhinostomy ◽  
The Mean

Objective: To evaluate the effect of chronicity on the size of the ostium after external dacryocystorhinostomy (DCR) with intubation. Methods: Design: A retrospective chart review of patients who underwent external DCR with intubation over 10 years from January 2003 at a tertiary hospital. All patients were recruited and examined with rigid nasal endoscope. Results: A total number of 66 (85 eyes) patients were included. The mean age at the time of evaluation was 53.1 years with gender distribution of 54 females (81.8 %). The mean duration ±SD between the date of surgery and the date of evaluation was 33.2 ± 33.6 (6–118 months). Our study showed an overall anatomical and functional success of 98.8% and 95.3%, respectively. The mean size of the ostium (±SD) was 23.0 (±15.7) mm2 (ranging from 1 to 80.4 mm2). The size of the ostium was not a significant factor for failure ( p = 0.907). No statistically significant correlation was found between the long-term duration after surgery and the size of the ostium ( R: 0.025, p = 0.157). Conclusions: Nasal endoscopy after DCR is valuable in evaluating the ostium with no observed potential correlation between the long-term follow-up after surgery and the size of the ostium.

scholarly journals Additional considerations for "checklists to guide the supportive and critical care of tuberculous meningitis"

2020 ◽  
Vol 5 ◽  
pp. 64
Author(s):  
Anuradha Behl ◽  
Sumeet Dhawan
Keyword(s):  
Health Care ◽  
Critical Care ◽  
Intensive Care ◽  
Tuberculous Meningitis ◽  
Inpatient Care ◽  
Neurological Complications ◽  
Prolonged Hospital Stay ◽  
Invasive Procedures ◽  
Systematic Assessment ◽  
Prolonged Hospital

Checklists are pivotal in the systematic assessment of critically ill patients, pre-operative assessments and for patients with multisystem involvements. Management of tuberculous meningitis is challenging due to prolonged hospital stay, multiple neurological complications like seizures, stroke, raised intracranial tension, stroke, neurosurgical interventions, multiple invasive procedures, health-care-associated sepsis, and ventilation. All these complications are managed by separate checklists to avoid treatment-related errors. The current manuscript aims to ensure completeness of inpatient care addressing issues addressing diagnostic issues, supportive care, and intensive care related issues.

Intensive care unit waiting time in the emergency room is related to more prolonged hospital stay and increases in costs of hospitalization

2017 ◽  
Vol 42 ◽  
pp. 417
Author(s):  
Fernanda Ribeiro Quintino dos Santos ◽  
Juliana Pedroli Nepomuceno ◽  
Mauricio de Nassau Machado ◽  
Suzana Margareth Lobo
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Emergency Room ◽  
Hospital Stay ◽  
Waiting Time ◽  
Prolonged Hospital Stay ◽  
Prolonged Hospital

Validation of a modified pediatric risk of mortality III model in a pediatric intensive care unit in Thailand

2018 ◽  
Vol 2 (4) ◽  
pp. 65 ◽  
Author(s):  
Kanokpan Ruangnapa ◽  
Sittikiat Sucheewakul ◽  
Tippawan Liabsuetrakul ◽  
Edward McNeil ◽  
Kantara Lim ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Pediatric Intensive Care Unit ◽  
Pediatric Intensive Care ◽  
Risk Of Mortality

scholarly journals Assessment of delirium in children admitted into the Intensive Care Unit: psCAM-ICU Tool

2020 ◽  
Vol 38 (2) ◽  
pp. 140-148
Author(s):  
Ángela María Henao Castaño ◽  
Edwar Yamith Pinzon Casas
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Critically Ill ◽  
Pediatric Intensive Care ◽  
Confusion Assessment Method ◽  
Assessment Method ◽  
Primary Diagnosis ◽  
Critically Ill Children ◽  
Associated Risk Factors ◽  
Prolonged Hospital

Background: Delirium has been identified as a risk factor for the mortality of critically ill patients, generating great social and economic impacts, since patients require more days of mechanical ventilation and a prolonged hospital stay in the intensive care unit (ICU), thus increasing medical costs. Objective: To describe the prevalence and characteristics of delirium episodes in a sample of 6-month to 5-year-old children who are critically ill. Methods: Cohort study at a Pediatric Intensive Care Unit (PICU) in Bogotá (Colombia). Participants were assessed by the Preschool Confusion Assessment Method for the ICU (psCAM-ICU) within the first twenty-four hours of hospitalization. Results: One quarter of the participants (25.8%) presented some type of delirium. Among them, two sub-types of delirium were observed: 62.5% of the cases were hypoactive and 37.5% hyperactive. Moreover, from them, six were male (75%) and 2 female (25%). Primary diagnosis was respiratory tract infection in 62.55% of the patients, while respiratory failure was diagnosed in the remaining 37.5%. Conclusions: The implementation of delirium monitoring tools in critically ill children provides a better understanding of the clinical manifestation of this phenomenon and associated risk factors in order to contribute to the design of efficient intervention strategies.

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