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To evaluate clinical and treatment factors for patients recorded in the Extracorporeal Life Support Organization (ELSO) registry and survival of adult extracorporeal membrane oxygenation (ECMO) respiratory failure patients. Retrospective case review of the ELSO registry from 1986–2006. Data were analyzed separately for the entire time period and the most(More)
Plastic bronchitis is characterized by marked obstruction of the large airways by bronchial casts. We reviewed our experience and the literature to determine whether mortality rates are determined by underlying disease or cast type. We present 3 children with obstructive bronchial casts. One 3-year-old patient with Noonan's syndrome developed respiratory(More)
BACKGROUND Extracorporeal membrane oxygenation (ECMO) to support cardiopulmonary resuscitation (CPR) has been shown to improve survival in children and adults. We describe outcomes after the use of ECMO to support CPR (E-CPR) in adults using multiinstitutional data from the Extracorporeal Life Support Organization (ELSO) registry. METHODS Patients greater(More)
Objective criteria to predict extubation outcome in mechanically ventilated children are not available. Our goal was to study factors associated with extubation success and to evaluate the usefulness of the rapid shallow breathing index (RSBI) and the compliance, resistance, oxygenation, and pressure index (CROP index) in children. Data were prospectively(More)
We retrospectively reviewed the clinical course of group A Streptococcus necrotizing fasciitis complicating primary varicella in children admitted to Children's Hospital and Medical Center, Seattle, WA, during a 18-month period. The potential benefit of various therapeutic interventions was examined. Fourteen children ages 6 months to 10 years were treated(More)
BACKGROUND AND OBJECTIVE Single-center evaluations of pediatric antimicrobial stewardship programs (ASPs) suggest that ASPs are effective in reducing and improving antibiotic prescribing, but studies are limited. Our objective was to compare antibiotic prescribing rates in a group of pediatric hospitals with formalized ASPs (ASP+) to a group of concurrent(More)
Soft tissue foreign bodies (FB) represent a common cause for emergency department visits. Diagnosis may be difficult especially with non-radiopaque FB. The clinical course may be complicated by superficial or deep tissue infection. Use of imaging modalities such as ultrasound may be important for early diagnosis. We report a case of retained foreign body(More)
OBJECTIVE The last multicentered analysis of extracorporeal membrane oxygenation in pediatric acute respiratory failure was completed in 1993. We reviewed recent international data to evaluate survival and predictors of mortality. DESIGN Retrospective case series review. SETTING The Extracorporeal Life Support Organization Registry, which includes data(More)
OBJECTIVE To describe patient demographics, interventions, and outcomes in hospitalized children with macrophage activation syndrome (MAS) complicating systemic lupus erythematosus (SLE) or juvenile idiopathic arthritis (JIA). METHODS We performed a retrospective cohort study using data recorded in the Pediatric Health Information System (PHIS) database(More)
OBJECTIVE To describe the contribution of Vivien Thomas to the scientific and technical development of the Blalock-Taussig shunt. DESIGN Review of the literature and of the papers of Vivien Thomas, Alfred Blalock, and Helen Thomas. Literature review was done using MEDLINE, Ovid, and Library of Congress databases for topics including Vivien Thomas, Alfred(More)