Feasibility of non-invasive neuro-monitoring during extracorporeal membrane oxygenation in children.

Introduction: Detection of neurological complications during extracorporeal membrane oxygenation (ECMO) may be enhanced with non-invasive neuro-monitoring. We investigated the feasibility of non-invasive neuro-monitoring in a paediatric intensive care (PIC) setting.

Methods: In a single centre, prospective cohort study we assessed feasibility of recruitment, and neuro-monitoring via somatosensory evoked potentials (SSEP), electroencephalography (EEG) and near infrared spectroscopy (NIRS) during venoarterial (VA) ECMO in paediatric patients (0-15 years).

Validation of the 'paediatric extracorporeal membrane oxygenation prediction' model in a UK extracorporeal membrane oxygenation centre.

Introduction: There is a need for a universal risk-adjustment model that may be used regardless of the indication and nature of neonatal or paediatric extracorporeal membrane oxygenation support. The 'paediatric extracorporeal membrane oxygenation prediction' model appeared to be a promising candidate but required external validation.

Methods: We performed a validation study using institutional database of extracorporeal membrane oxygenation patients (2008-2019).

Experience of Circuit Survival in Extracorporeal Continuous Renal Replacement Therapy Using Small-Calibre Venous Cannulae.

Objectives: To describe an experience of circuit survival in extracorporeal continuous renal replacement therapy using small-calibre (< 7 French gauge [F]) venous cannulae.

Design: An observational study.

Setting: A multidisciplinary, university-affiliated PICU.

Infection control circle of safety.

This article is based on a presentation given by the authors at the 42nd Congress of the Association for Perioperative Practice (AfPP), October 2006, in the United Kingdom. The conference theme was Circles of Influence and the Congress also hosted an International Federation of Perioperative Nurses (IFPN) Study Day featuring a safety theme. This article contains a brief review of the influence of infection control practices on perioperative practice and surgical outcome.

Severe acute respiratory syndrome and its effects on health care: how Canada has dealt with this ordeal.

The global epidemic of severe acute respiratory syndrome (SARS) indirectly has affected all health care facilities in affected nations and has unaffected nations on alert. Health care practitioners need to be aware of infection control measures to prevent the spread of SARS. This article looks at this new disease and how it has affected the delivery of health care in Canada.

Continuing education--what is all the fuss about?

Advances in medicine and technology are demanding increased, and more diverse, education and learning. To provide quality patient care perioperative nurses need to be up to date. Is it possible to accomplish this task in our era of healthcare staff shortages and budget cuts? Step outside the traditional classroom and see where it leads.

Oh my, the pressure!

The intraoperative phase of a surgical patient's hospital stay has been overlooked as a major contributor of pressure ulcers that may arise postoperatively. Pressure ulcers are defined and then the hazards, underlying knowledge, and prevention tactics are reviewed. Bed sore, decubitous ulcer, pressure sore, and pressure ulcer are different terms describing the same problem encountered by medical and surgical patients.