Publications by authors named "Kavipriya Komeswaran"
Article Synopsis
- In Kentucky, a study examined children with status asthmaticus (SA) in the Pediatric Intensive Care Unit (PICU) who received treatments like inhaled volatile anesthetics (IVA) and/or Extracorporeal Membrane Oxygenation (ECMO).
- Out of 1772 children with SA, seven received rescue therapies: one received only IVA, five received both IVA and ECMO, and one received only ECMO; all had undergone standard asthma treatments before escalation.
- The findings suggest that while there wasn't a clear benefit of using IVA before ECMO, many patients transitioned to ECMO, hinting that earlier ECMO interventions might be more advantageous despite the risks and high costs involved.
Adverse Tracheal Intubation Events in Critically Ill Underweight and Obese Children: Retrospective Study of the National Emergency Airway for Children Registry (2013-2020).
Kelsey M Gladen David Tellez Natalie Napolitano Lauren R Edwards Ronald C Sanders Kavipriya Komeswaran
Pediatr Crit Care Med
February 2024
Article Synopsis
- The study examines the relationship between being underweight or obese and negative airway outcomes during tracheal intubation in critically ill children aged 0-17, using data from a national registry between 2013-2020.
- Findings show that underweight (27.5% of patients) and obese (8.2% of patients) children are at a higher risk of experiencing adverse intubation-related events and severe hypoxemia compared to those of normal weight (57.1%).
- It was noted that underweight children are particularly vulnerable, having higher incidences of oxygenation and ventilation failure as the reason for intubation, and they face a greater chance of negative airway outcomes compared to normal weight peers.
A retrospective data analysis was conducted to evaluate enteral nutrition practices for children admitted with status asthmaticus in a single-center pediatric intensive care unit. Of 406 charts, 315 were analyzed (63% male); 135 on bilevel positive airway pressure ventilation (BIPAP) and 180 on simple mask. Overall median age and weight were 6.
View Article and Find Full Text PDF