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Transitions in intensive care: Investigating critical slowing down post extubation.
PLoS One
January 2025
Department of Computer Science, University College London, London, United Kingdom.
Complex biological systems undergo sudden transitions in their state, which are often preceded by a critical slowing down of dynamics. This results in longer recovery times as systems approach transitions, quantified as an increase in measures such as the autocorrelation and variance. In this study, we analysed paediatric patients in intensive care for whom mechanical ventilation was discontinued through removal of the endotracheal tube (extubation).
View Article and Find Full Text PDFMultiplex Polymerase Chain Reaction Versus Standard Bacterial Culture in Critically Ill Children With Suspected Pneumonia.
Pediatr Infect Dis J
December 2024
Section of Infectious Diseases, Department of Pediatrics, University of Colorado School of Medicine and Children's Hospital Colorado, Aurora, Colorado.
Background: Bacterial lower respiratory tract infection, particularly ventilator-associated pneumonia (VAP), is a significant cause of morbidity and mortality in children who require mechanical ventilation (MV). Microbiologic diagnosis has relied on bacterial culture, but reverse transcriptase polymerase chain reaction (RT-PCR) with bacterial targets is now available for clinical use. We compared the diagnostic performance of tracheal aspirate (TA) multiplex RT-PCR to culture in children requiring MV with suspected lower respiratory tract infection.
View Article and Find Full Text PDFFrequency and pain intensity of painful procedures in premature infants hospitalized in the neonatal intensive care unit.
J Educ Health Promot
December 2024
Rohani NICU, Clinical Research Development Unit, Rouhani Hospital, Babol University of Medical Sciences, Babol, Iran.
Background: Various painful therapeutic and diagnostic procedures are performed daily for hospitalized infants. These procedures are very effective in their growth and recovery process. This study was conducted to determine "the frequency and pain intensity of painful procedures in premature infants hospitalized in NICU.
View Article and Find Full Text PDFIntroduction: Endotracheal tubes (ETT) are used in patients who require ventilatory support. Colonization of ETTs by microorganisms is associated with developing ventilator-associated pneumonia (VAP). Thus, this meta-analysis aims to compare conventional endotracheal tubes with those made using materials designed to prevent colonization.
View Article and Find Full Text PDFThe determinants for death in hospital following moderate to severe traumatic brain injury in Australia.
Emerg Med Australas
February 2025
National Trauma Research Institute, Alfred Health, Melbourne, Victoria, Australia.
Objectives: To establish the determinants of death in hospital for patients with moderate to severe traumatic brain injury (TBI) in Australia.
Design, Setting, Participants: Retrospective analysis of Australia New Zealand Trauma Registry (ANZTR) data. Cases were included if they presented to a participating hospital between 1 July 2015 and 30 June 2020 and had an Abbreviated Injury Severity (AIS) score - head greater than 2.
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