Publications by authors named "A Pettenazzo"
Article Synopsis
- The study analyzed the management of status epilepticus (SE) in 115 children admitted to the pediatric intensive care unit (PICU) and aimed to understand how treatment varied between hospitals.
- It found that second-level hospitals tended to use anesthetics and perform intubations more often than the referral hospital, especially when seizures started at home or were associated with respiratory issues.
- There was no significant link between intubation and SE duration or patient outcomes, indicating that inappropriate invasive treatments might lead to unnecessary PICU admissions.
Background: Febrile infection-related epilepsy syndrome (FIRES) is a rare and catastrophic clinical syndrome occurring in previously healthy patients. Aetiology is still unknown and outcome usually poor. We describe a case of myoclonic prolonged super refractory status epilepticus (P-SRSE) in FIRES in a patient admitted to the paediatric intensive care unit of Padova, Italy.
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- The study aimed to assess the effectiveness and safety of using ketamine as a continuous infusion for pain relief and sedation in pediatric patients in the PICU, over a period of at least 12 hours.
- Involving 77 patients, the results showed that after 24 hours of ketamine treatment, comfort levels improved significantly, while the need for other sedative and pain medications decreased for most patients.
- However, some adverse effects were noted, with a small percentage of patients experiencing issues like hypertension and agitation, and interventions were required in six cases.
Objectives: To investigate how life-sustaining treatment (LST) decisions are made and identify problematic ethical concerns confronted by physicians and nurses in pediatric intensive care within Italy.
Methods: An 88-question online survey was created, based on a previous qualitative study conducted by this team. The survey was designed to identify how LST decisions were managed; contrasting actual practices with what participants think practices should be.