Publications by authors named "Noelle Cadotte"

Objectives: We aimed to implement a post-cardiac arrest targeted temperature management (TTM) bundle to reduce the percent of time with a fever from 7% to 3.5%.

Design: A prospective, quality improvement (QI) initiative utilizing the Method for Improvement.

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Article Synopsis
  • Viral bronchiolitis is a common illness in kids, and while treatment is mainly supportive, some may have serious bacterial infections (cSBIs) that require antibiotics; identifying these infections can be tricky.
  • A study conducted at a children's hospital from 2012 to 2019 looked at children under 2 with bronchiolitis, finding that 4.2% had at least one cSBI, primarily bacterial pneumonia.
  • Factors increasing the risk of cSBI included needing invasive mechanical ventilation, high C-reactive protein levels, having complex chronic conditions, and being admitted to the PICU.
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A 4-year-old former 26-week premature male presented to the U.S. Naval Hospital Guam emergency department in respiratory failure secondary to human metapneumovirus requiring urgent intubation.

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Background: High-frequency percussive ventilation (HFPV) is an alternative mode of mechanical ventilation that has been shown to improve gas exchange in subjects with severe respiratory failure. We hypothesized that HFPV use would improve ventilation and oxygenation in intubated children with acute bronchiolitis.

Methods: In this single-center prospective cohort study we included mechanically ventilated children in the pediatric ICU with bronchiolitis 1-24 months old who were transitioned to HFPV from conventional invasive mechanical ventilation from November 2018-April 2020.

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