Publications by authors named "Brett Russi"
Oral Nutrition During Continuous Albuterol for Pediatric Critical Asthma: A Matched Cohort Study.
Pediatr Gastroenterol Hepatol Nutr
November 2024
Article Synopsis
- The study investigates the practice of withholding oral nutrition from children with critical asthma receiving continuous albuterol in a pediatric ICU, aiming to determine its safety and effects on respiratory failure.
- A retrospective analysis was conducted with 36 cases (children receiving nutrition) and 72 matched controls (children not receiving nutrition), focusing on outcomes like aspiration-related respiratory failure and the duration of albuterol treatment.
- Findings indicated no respiratory failure events in either group, with those receiving nutrition having longer albuterol treatment durations but similar outcomes in terms of length of stay and mortality, suggesting that withholding nutrition may not be necessary.
Objectives: To characterize the prescribing trends and clinical outcomes related to azithromycin (AZI) among children hospitalized for critical asthma (CA).
Methods: We performed a multicenter, retrospective cohort study using the Pediatric Health Information Systems registry of children 3 to 17 years of age hospitalized in a PICU for CA from January 2011 to December 2022. We excluded for alternative indications for AZI (eg, atypical pneumonia, B.
Background: Noninvasive respiratory support (NRS) for pediatric critical asthma includes CPAP; bi-level positive airway pressure (BPAP); and heated, humidified, high-flow nasal cannula (HFNC). We used the Virtual Pediatric System database to estimate NRS by prescribing rates for pediatric critical asthma and characterize patient clinical features and in-patient outcomes by the initial NRS device applied.
Methods: We performed a retrospective cohort study from 125 participating pediatric ICUs among children 2-17 years of age hospitalized for critical asthma and prescribed NRS from 2017 through 2021.
Article Synopsis
- The study analyzed the characteristics and outcomes of 39 children, aged 5-17, hospitalized with status asthmaticus and treated with either high-flow nasal cannula (HFNC) or bilevel positive airway pressure (BiPAP).
- It found that children receiving BiPAP were generally older, had more severe asthma, and experienced longer treatments with medications compared to those using HFNC.
- Overall, both treatments were well tolerated with no significant differences in mortality, mechanical ventilation rates, or length of hospital stay, highlighting a need for more research to determine which method is superior under different circumstances.