Systemic hypertension associated with venovenous extracorporeal membrane oxygenation for pediatric respiratory failure.

Background/purpose: Arterial hypertension (HTN) is common in neonates on venoarterial (VA) extracorporeal membrane oxygenation (ECMO), but HTN in pediatric venovenous (VV) ECMO has not been well described. The authors noted HTN in their VV ECMO experience and hypothesized that HTN was associated with fluid status, steroid use, and renal insufficiency.

Methods: Records of 50 patients receiving VV ECMO for respiratory failure were reviewed.

Primary use of the venovenous approach for extracorporeal membrane oxygenation in pediatric acute respiratory failure.

Objectives: To describe a single center's experience with the primary use of venovenous cannulation for supporting pediatric acute respiratory failure patients with extracorporeal membrane oxygenation (ECMO).

Design: Retrospective chart review of all patients receiving extracorporeal life support at a single institution.

Setting: Pediatric intensive care unit at a tertiary care children's hospital.

The assessment and management of chronic pain in children.

Chronic pain in children and adolescents is frequently misdiagnosed by caregivers. It is not treated until it results in the loss of routine ability and function. Chronic pain is often associated with underlying diseases commonly seen in childhood, including sickle cell disease, malignancy, rheumatologic disorders, inflammatory bowel disease, trauma, and states where there is no identifiable etiology.

Diffuse alveolar hemorrhage in pediatric hematopoietic cell transplant patients.

Objective: Diffuse alveolar hemorrhage (DAH) is defined as a syndrome of hypoxia, dyspnea, infiltrates on chest radiograph, and bloody fluid on successive bronchoalveolar lavages without apparent infection. Minimal experience has been reported with DAH after hematopoietic cell transplant (HCT) in children. We reviewed the incidence, management and outcome of DAH in a pediatric HCT population.