Noninvasive Hemodynamic Assessment for Late-Stage Truncus Arteriosus Management.

A 7-year-old girl with unoperated truncus arteriosus arrived in Finland as a refugee. In contrast to our previous practices, hemodynamic assessment was made using cardiovascular magnetic resonance instead of cardiac catheterization. During the 2-year follow-up period, the right ventricular pressure was estimated to be 50% of systemic pressure in echocardiogram evaluations.

The incidence, hospitalisations and deaths in acutely ill children with dysnatraemias.

Aim: The aim was to evaluate the incidence, hospitalisations and deaths in acutely ill children with dysnatraemias.

Methods: This was a register-based cohort study of 46 518 acutely ill children aged <16 years who visited a paediatric emergency department. Risk factors were assessed using two nested case-control studies.

Severe hospital-acquired hyponatremia in acutely ill children receiving moderately hypotonic fluids.

Background: Hypotonic fluids have been associated with hospital-acquired hyponatremia. The incidence of life-threatening severe hyponatremia associated with hypotonic fluids has not been evaluated.

Methods: This was a population-based cohort study of 46,518 acutely ill children 15 years of age or under who visited the pediatric emergency department (ED) at Oulu University Hospital, Finland, between 2007 and 2017.

Risk of Electrolyte Disorders in Acutely Ill Children Receiving Commercially Available Plasmalike Isotonic Fluids: A Randomized Clinical Trial.

Importance: The use of isotonic fluid therapy is currently recommended in children, but there is limited evidence of optimal fluid therapy in acutely ill children.

Objective: To evaluate the risk for electrolyte disorders, including hyponatremia, hypernatremia, and hypokalemia, and the risk of fluid retention in acutely ill children receiving commercially available plasmalike isotonic fluid therapy.

Design, Setting, And Participants: This unblinded, randomized clinical pragmatic trial was conducted at the pediatric emergency department of Oulu University Hospital, Finland, from October 3, 2016, through April 15, 2019.