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BACKGROUND The aim of this study was to investigate the current practice of sedation, analgesia, and neuromuscular blockade in critically ill children on pediatric intensive care units (PICUs) in the UK and identify areas that merit further study. METHODS Data were gathered in a prospective observational study of 338 critically ill children in 20 UK(More)
A 12-year-old boy presented to a district hospital with diabetic ketoacidosis (DKA): pH, 6.97; base excess, 227.5mmol/L; bicarbonate, 2.5 mmol/L; glucose 29 mmol/L. A urinalysis showed 41 ketones ($160 mg/dL). Standard DKA management according to U.K. guidelines was instituted (1). Fluid was replaced at maintenance plus 7.5% dehydration, with correction(More)
BACKGROUND Scoliosis surgery in childhood is associated with a range of postoperative complications that may require admission to the pediatric intensive care unit (PICU) or high-dependency unit (HDU). AIM The aim of this study was to identify preoperative factors associated with PICU and HDU admissions after corrective surgery and devise a scoring system(More)
A previously fi t and well 3-year-old girl presented with sudden onset of tetraparesis associated with urinary incontinence, following a brief episode of cervicalgia. Although she reported falling down a fl ight of stairs, this was not witnessed or heard by her mother. Clinical examination revealed generalised hypotonia, arefl exia and tetraparesis. The(More)
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