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Admission Plasma Troponin I Is Associated With Mortality in Pediatric Intensive Care.
Pediatr Crit Care Med
September 2016
1Pediatric Intensive Care Unit, Imperial College Healthcare NHS Trust, St Mary's Hospital, London, United Kingdom. 2Respiratory, Critical Care and Anaesthesia Section (Portex Unit), Institute of Child Health, University College London, London, United Kingdom. 3Department of Chemical Pathology, Imperial College Healthcare NHS Trust, St Mary's Hospital, London, United Kingdom. 4Children's Acute Transport Service, Great Ormond Street Hospital NHS Foundation Trust, London, United Kingdom.
Objectives: Assessment of whether admission plasma troponin I level is associated with mortality or requirement for vasoactive drugs in pediatric intensive care.
Design: Retrospective cohort study.
Setting: Single centre, tertiary referral general PICU, without a cardiac surgical program.
Printed three-dimensional airway model assists planning of single-lung ventilation in a small child.
Br J Anaesth
October 2015
Department of Anaesthesia, Institute of Child Health, University College London, London, UK Institute of Cardiovascular Science, University College London, London, UK.
Background: Single-lung ventilation in infants and small children is challenging because suitable sizes of double-lumen cuffed tracheal tubes are not available. A 6-yr-old child required pulmonary saline washout for primary alveolar proteinosis, and therefore needed sequential single-lung ventilation in order to achieve safe oxygenation. Before undertaking this potentially hazardous procedure, we practised bronchial intubation on an anatomical model of her airway constructed from computed tomography (CT) data.
View Article and Find Full Text PDFTracheal foreign body following tube change during percutaneous dilational tracheostomy: a cautionary tale.
Anaesth Intensive Care
August 2000
Department of Intensive Care, Sir Charles Gairdner Hospital, Perth, Western Australia.
Although studies have shown percutaneous dilational tracheostomy to be a safe and cost-effective alternative to conventional surgical tracheostomy, there are inherent risks and complications. We report an incident occurring during percutaneous dilational tracheostomy using the Portex technique, in which a significant cuff leak occurring on insertion of the tracheostomy tube necessitated an immediate tube change. During this latter procedure, using a fresh Portex kit and guidewire, the guidewire introducer became dislodged from the guidewire assembly and inadvertently impacted in the trachea.
View Article and Find Full Text PDFIn vitro experiments were performed to test the flammability of endotracheal tubes in the presence of CO2 laser beams Two types of tubes (Rusch and Portex) were exposed to laser beams at 15 or 30 W intensity for varying periods of time oxygen environments of 25% or 60%. Red rubber Rusch tubes were significantly (p less than 0.01) more resistant to ignition than plastic Portex tubes at both higher energy exposures and greater durations of exposure.
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