Publications by authors named "Andzelika Dechnik"
Objective: To evaluate the performance of synovial fluid biomarkers to identify children with culture-positive septic arthritis.
Methods: We identified children 6 months to 18 years old presenting to a single emergency department between 2007 and 2022 undergoing evaluation for septic arthritis defined by having a synovial fluid culture obtained. Our primary outcome was septic arthritis defined by a positive synovial fluid culture.
Background: Decisions about who should perform tracheal intubation in academic settings must balance the needs of trainees to develop competency in pediatric intubation with patient safety. Airway protocols during the COVID-19 pandemic may have reduced opportunities for trainees, representing an opportunity to examine the impact of shifting laryngoscopy responsibilities away from trainees.
Methods: This observational study combined data from 11 pediatric emergency departments in North America participating in either the National Emergency Airway Registry for Children (NEAR4KIDS) or a national pediatric emergency medicine airway education collaborative.
Article Synopsis
- - The study aimed to investigate how video-assisted laryngoscopy affects first-attempt success rates and negative airway outcomes during pediatric intubations.
- - Researchers analyzed data from over 1,400 intubation cases across 11 sites, finding that video-assisted laryngoscopy significantly improved the chances of successful first attempts and reduced severe complications like hypoxia.
- - Results indicated substantial variability in the use of video-assisted laryngoscopy across different sites, with higher usage linked to better outcomes, emphasizing its importance in pediatric emergency medicine.
C-Reactive Protein and Procalcitonin Levels May Not Predict Delirium in Critically Ill Children.
Pediatr Crit Care Med
November 2020
Objectives: The objective of this study was to investigate the relationship between C-reactive protein and procalcitonin and the diagnosis of delirium in critically ill children.
Design: Retrospective cohort study.
Setting: Tertiary care urban academic PICU.
Delirium is a syndrome characterised by an acute and fluctuating alteration in cognition and awareness. It occurs frequently in children with serious medical illness, and is associated with adverse outcomes such as increased length of hospital stay, duration of mechanical ventilation, hospital costs, and mortality. Delirium-especially the hypoactive subtype-is often overlooked by paediatric practitioners, but can be reduced by mitigating risks and effectively managed if detected early.
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