Publications by authors named "Garrett P Keim"
Crit Care Explor
May 2024
Article Synopsis
- A study found a potential link between the use of noninvasive positive pressure ventilation (NIPPV) in children with bronchiolitis and the occurrence of in-hospital cardiac arrest (IHCA).
- In a retrospective analysis of over 4,600 ICU admissions, only 1.2% experienced IHCA, with most cases involving invasive mechanical ventilation (IMV) rather than NIPPV.
- The data suggested that NIPPV might actually lower the odds of IHCA compared to IMV, indicating it could be a safer option for managing respiratory support in these patients.
Pediatr Pulmonol
February 2024
Article Synopsis
- Ultrasound assessments of the diaphragm in healthy children under 18 were studied to establish baseline thickness and contractility values, highlighting the need for pediatric-specific data in acute care.
- Measurements included diaphragm thickness during breathing and ventilation, with outcomes compared across different age groups and conditions (spontaneous vs. mechanical ventilation).
- Results showed no significant age-related differences in diaphragm thickness and thickening fraction, but diaphragm excursion and strain improved with age; however, all contractility measures decreased significantly during mechanical ventilation.
Article Synopsis
- The study aimed to analyze respiratory failure characteristics in children before experiencing in-hospital cardiac arrest (IHCA) and how these factors relate to survival rates.
- It involved reviewing data from a cohort of children under 18 who received CPR while on invasive mechanical ventilation in ICUs between January 2017 and June 2021, focusing on their respiratory conditions just before the arrest.
- Findings indicated that many patients had severe respiratory issues leading up to the arrest, and those with higher oxygen needs and more significant oxygenation failure had poorer chances of survival.
