Publications by authors named "Dusan Raffaj"
Objective: This study describes the baseline clinical characteristics, predictors of successful extubation at referring hospitals and short-term outcomes of children intubated for status epilepticus and referred to United Kingdom (UK) paediatric critical care transport teams (PCCTs).
Design: Multicentre audit with case-control analysis, conducted between 1 September 2018 and 1 September 2020.
Setting: This study involved 10 UK PCCTs.
Point-of-care ultrasound (POCUS) is an established, evidence-supported tool that can be used in neonatal and paediatric medicine, offering clinicians immediate diagnostic insights, assessment of interventions and improved safety profiles and success rate of various procedures. Its effective use requires an established education programme, governance and standardisation to ensure competence in this skill. While adult clinical practice has established POCUS training protocols, this had not been replicated in paediatrics.
View Article and Find Full Text PDFObjectives: To study the prevalence, evolution, and clinical factors associated with acute kidney injury in children admitted to PICUs with pediatric inflammatory multisystem syndrome temporally associated with severe acute respiratory syndrome coronavirus-2.
Design: Multicenter observational study.
Setting: Fifteen PICUs across the United Kingdom.
Objective: Syringe drivers are the principle method of giving small-volume continuous infusions of important drugs to patients. Many of these drugs are critical for the maintenance of normal physiology. Anecdotal evidence abounds of severe patient instability on movement of syringe drivers during infusion.
View Article and Find Full Text PDFArticle Synopsis
- Point-of-care ultrasound (POCUS) has become a crucial tool in critical care, especially for neonates and children, where other monitoring methods might not be suitable.
- An expert panel formed by the ESPNIC created clinical guidelines based on a thorough review of literature, achieving consensus on 39 out of 41 recommendations related to various POCUS applications.
- The newly established guidelines aim to improve the utilization of POCUS in intensive care settings for young patients and highlight the need for better quality studies and training programs to enhance its effectiveness.
Objective: Continuous renal replacement therapy (CRRT) is extremely challenging in very small children, as most CRRT intravascular access devices are too large. We aimed to quantify flow rates through several alternative intravascular devices.
Design: Experimental in vitro study simulating CRRT.