Stay. The decision to stay, whether the children were freed from their parents. A written Einverst Ndniserkl Tion was obtained in all cases F. Ma e: DemographicDistress was assessed by acquiring COMFORT scale scores PHA-739358 Danusertib for each patient in the morning. Blood samples for determination of total cortisol and glucose levels were also obtained every morning. The mortality risk was assessed by PRISM scores. The statistical analysis was performed using the Mann-Whitney test of art. The weight COOLED level of significance was P \ 0.05. RESULTS. Twenty children were included and divided into two groups of 10 persons. The mean age was 6.5 months, with no statistically significant difference between the groups. The average scores on PRISM for both groups (14 and 13.
9. Therapy for each group were Similar to the total amount of analgesics and JNJ-38877605 sedatives administered. There were no statistically significant difference between the results of the comfort level of children whose parents remained continuously the other group (7.6 and 13.4, p 0.0423. There was no significant difference between the cortisol levels of children who have stayed with parents and children without parents (25.5 and 16.2 42.8 52.2, p remained 0.07. There was no significant difference between glucose measured in both groups (99.3 to 20.7 and 111.1 �� 34, p 0.21. The average length of stay in PICU was significantly different (7 days in the remaining group of parents over 11 days in the other group. conclusion. Patients in both groups showed signs of distress.
comparison between groups suggests that parents st flush with their child in PICU can be held to reduce their level of need and can k their stay shortened. IMPACT 0553 nonpulmonary organ failure ABOUT THE OUTCOME OF CHILDREN WITH HIGH FREQUENCY OSCILLATING FAN Khaldi A., A. Bouziri, K. Kazdaghli, A. Hamdi, S. Belhadj, K. Menif, N. Ben Jaballah TREATED p pediatric intensive care unit, children, the H Pital, Tunis, Tunisia INTRODUCTION. high-frequency oscillatory ventilation (HFOV were h used frequently in patients with pediatric and neonatal acute respiratory failure hypox mixer (FADH from lung cancer to damage and to limit associated to the oxygenation and CO2 cleaning. mortality t with p improve pediatric AHRF is also dependent ngig of other organ failure pleased that t of pulmonary dysfunction. The aim of this study.
to quantify the contribution of failure nonpulmonary organ with a poor prognosis of p pediatric patients with AHRF managed with HFOV Methods Forty-two consecutive p pediatric patients (mean age: 4 months, IQR. 2 10 with the RAHC (pneumonia 35, sepsis, ARDS: 3, Other : 4, arterial, in the absence of a conventional mechanical ventilation (alveolar re oxygen saturation difference (P (A AO2 of 580 torr (453,645, oxygenation (OI were 30 (22.5 37 with HFOV A record ventilated Prospective and repeated parameters and the oxygen supply. ventilator settings were made. evaluation of the h hemodynamic, renal, hepatic, neurologic, and h was dermatological function of the institution with regular for take-times performed. RESULTS.
Vierunddrei ig patients (81% survived at the exit of h capital without the dependency dependence of oxygen (Group 1 Eight patients died (group 2 nine patients (21% had isolated respiratory failure and their mortality tsrate was 0%. The proportion of patients with 2 or 3 or more organ failures 31%, 48% and the mortality rate significantly h ago was 7.6%, or 35%. patients with isolated respiratory failure showed a significant rapid and sustained improvement in oxygenation, then the group 2 patients. severe shock require adrenaline or norepinephrine was associated with death (RR-money ratio 8.5, CI [3.2 15, 5]. patients with three or more organ failures had a gr ere L length of stay in the h Pital than other patients (13 vs. 7 days, p = 0.03 CONCLUSION patients treated with HFOV for AHRF and nonpulmonary organ failure were significantly less likely to improve oxygenation and HFOV had a significantly .
. h here stay and mortality t in patients with respiratory insufficiency isolated children with such conditions should initially for other therapeutic considerations leukapheresis FOR 0554 identified severe pertussis: a rescue therapy .. Mr. Grzeszczak, FE Barr P diatrische intensive care, children who are seriously at Vanderbilt Pital H, Nashville, USA INTRODUCTION This rate. infections of pertussis has increased in recent decades. It affects mainly young children with severe F cases and one hour higher mortality at S uglingen occurring less than 6 months old severe pertussis infection k can enter respiratory failure and dinner kardiovaskul re Mortality t with an extremely high (over 70%. h most frequent cause of death for whooping cough is refractory severe rer severe hypertension (PAH PHT can. very quickly and in general, progress is not on any treatment, confinement respond Lich extracorporeal support. The exact mechanism of PHT in pertussis is not YOUR BIDDING known, but with leukocytosis and leukostasis