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OBJECTIVE Review the predictive powers of somatosensory evoked potentials (SEPs) in severe brain injury. DATA SOURCES Publications in the scientific literature, manual review of article bibliographies, and questioning workers in the field. STUDY SELECTION Studies addressing the prediction of outcome after severe brain injury using SEPs. DATA(More)
OBJECTIVE Many tests have been used to predict outcome following severe brain injury. We compared predictive powers of clinical examination (pupillary responses, motor responses and Glasgow Coma Scale, GCS), electroencephalography (EEG) and computed tomography (CT) to that of somatosensory evoked potentials (SEPs) in a systematic review. MATERIALS AND(More)
OBJECTIVE To determine energy dose and number of biphasic direct current shocks for pediatric ventricular fibrillation (VF) and pulseless ventricular tachycardia (VT). DESIGN Observation of preshock and postshock rhythms, energy doses, and number of shocks. SETTING Pediatric hospital. PATIENTS Shockable ventricular dysrhythmias. INTERVENTIONS None.(More)
Pupillary responses are a simple test commonly used as a predictor of outcome after severe brain injury. It is also common for clinicians to associate bilaterally absent pupillary responses with very poor prognosis. We report a series of cases of severely brain injured children with bilaterally absent pupillary responses who had favourable outcomes. From a(More)
OBJECTIVE To directly compare the predictive powers of somatosensory evoked potentials (SEPs) to those of motor and pupillary responses. DESIGN AND SETTING Prospective clinical study in a paediatric intensive care unit. PATIENTS AND PARTICIPANTS 102 severely brain-injured children less than 15 years of age. MEASUREMENTS AND RESULTS SEPs and motor and(More)
OBJECTIVE To evaluate the outcome of children 1 and 5 years after severe brain injury (Glasgow Coma Score < 8) using a functional measure [Glasgow Outcome Scale (GOS)] and a health status measure (the Torrance Health State (HUI:1)) and to determine the ability of somatosensory evoked potentials (SEPs) to predict these long-term outcomes. DESIGN(More)
AIM To determine outcomes of surgical treatment of infants with hypoplastic left heart syndrome (HLHS). METHODS Retrospective analysis of medical records of infants with HLHS. RESULTS 129 of 206 (63%) infants with HLHS were managed surgically over the period 1983-2004. Survival from all stages of surgical repair was 52 (40%) patients with significantly(More)
AIM To describe a respiratory support programme for children at home by parents and layperson carers. METHODS Analysis of records of children with long-term mechanical respiratory support at home. RESULTS From 1979 to 2008 the programme managed 168 children (median age 7 years, range 3 weeks-19 years) with obstructive sleep apnoea (55, 32%),(More)
OBJECTIVE Traumatic brain injury is a significant cause of morbidity and mortality in children. Cerebral autoregulation disturbance after traumatic brain injury is associated with worse outcome. Pressure reactivity is a fundamental component of cerebral autoregulation that can be estimated using the pressure-reactivity index, a correlation between slow(More)
We studied the interchangeability of two blood gas syringes (Johns, Hardie Health Care Products Pty Ltd and Marksman, Martell Medical Products Inc) for the collection of blood for the analysis of PCO2, PO2, pH, sodium, potassium and glucose in 71 intensive care unit patients. The interchangeability of these two syringes with a specially designed syringe(More)