keyword
MENU ▼
Read by QxMD icon Read
search

pediatric hypernatremia

keyword
https://www.readbyqxmd.com/read/27806793/-extracorporeal-membrane-oxygenation-for-rescuing-12-children-with-acute-fulminant-myocarditis
#1
L F Ye, Y Fan, C M Zhang, Q Shu, L Z Du, R Lin
Objective: To summarize clinical experience of using extracorporeal membrane oxygenation (ECMO) in rescuing children with acute fulminant myocarditis (AFM). Method: Data of 12 children with acute fulminate myocarditis (6 boys and 6 girls, median age 8.3 (0.6, 13.0) years, median weight 33.1 (6, 61) kg) who were rescued with ECMO in Children's Hospital, Zhejiang University from September 2009 to August 2015 were analyzed retrospectively. The analysis focused on the intervene timing of ECMO for the cardiogenic shock and hypoperfusion caused by heart failure and(or) lethal arrhythmia and the essentials of ECMO cardiopulmonary resuscitation(ECPR) for cardiac arrest in pediatric AFM were summarized...
November 2, 2016: Zhonghua Er Ke za Zhi. Chinese Journal of Pediatrics
https://www.readbyqxmd.com/read/27610358/use-of-hypotonic-maintenance-intravenous-fluids-and-hospital-acquired-hyponatremia-remain-common-in-children-admitted-to-a-general-pediatric-ward
#2
Shikha Shukla, Srikanta Basu, Michael L Moritz
AIM: To evaluate maintenance intravenous fluid-prescribing practices and the incidence of hospital-acquired hyponatremia in children admitted to a general pediatric ward. METHODS: This is a prospective observational study conducted over a 2-month period in children ages 2 months to 5 years who were admitted to a general pediatric ward and who were receiving maintenance intravenous fluids. The composition, rate, and duration of intravenous fluids were chosen at the discretion of the treating physician...
2016: Frontiers in Pediatrics
https://www.readbyqxmd.com/read/27603309/sodium-disturbances-in-children-admitted-to-a-kenyan-hospital-magnitude-outcome-and-associated-factors
#3
Fredrick Ibinda, Hans-Christoph Zarnack, Charles R Newton
BACKGROUND: Perturbations of blood sodium are the most frequently encountered electrolyte disorder in sick children, and may influence fluid therapy. We examined the frequency of blood sodium perturbations, and factors and outcomes associated with hyponatremia in children admitted to a rural Kenyan hospital and investigated the risk factors associated with deaths in hyponatremic children. METHODS: Plasma sodium levels and other laboratory parameters were measured in children admitted to a rural Kenyan hospital...
2016: PloS One
https://www.readbyqxmd.com/read/27555161/severe-hypernatremia-associated-catheter-malposition-in-an-intensive-care-patient
#4
Musa Silahli, Mahmut Gökdemir, Enes Duman, Zeynel Gökmen
We present a catheter related severe hypernatremia in a 2-month-old baby who was admitted to the pediatric intensive care. Imbalance of plasma sodium is commonly seen in pediatric intensive care patients. The water and sodium balance is a complex process. Especially, brain and kidneys are the most important organs that affect the water and sodium balance. Other mechanisms of the cellular structure include osmoreceptors, Na-K ATPase systems, and vasopressin. Hypernatremia is usually an iatrogenic condition in hospitalized patients due to mismanagement of water electrolyte imbalance...
September 2016: Journal of Clinical Anesthesia
https://www.readbyqxmd.com/read/27471737/suitable-intravenous-fluid-for-preventing-dysnatremia-in-children-with-gastroenteritis-a-randomized-clinical-trial
#5
Kioomars Golshekan, Hamidreza Badeli, Mahboube Miri, Maryam Mirzaie, Afagh Hassanzadeh Rad, Fatemeh Salamat, Sepideh Abdi Tazeabadi, Nahid Bidar, Kobra Blouki-Moghaddam, Houman Hashemian
INTRODUCTION: Gastroenteritis (GE) is one of the most common pediatric diseases. Hyponatremia commonly occurs by administering hypotonic fluids to GE and hospitalized children. Yet, there is no consensus on the ideal method of treatment. OBJECTIVES: we aimed to assess suitable intravenous (IV) fluid for preventing dysnatremia in children with GE. PATIENTS AND METHODS: This is a double blind randomized clinical trial, which was conducted on infants of 6 months up to 14 years children with GE...
2016: Journal of Renal Injury Prevention
https://www.readbyqxmd.com/read/27463219/extrapontine-myelinolysis-associated-with-severe-hypernatremia-in-infancy
#6
Ryoji Aoki, Tetsuji Morimoto, Yuno Takahashi, Hiroshi Saito, Tatsuo Fuchigami, Shori Takahashi
Extrapontine myelinolysis (EPM) is an uncommon disorder in children, with few pediatric cases reported to date. We report the first case of an infant with EPM without central pontine myelinolysis (CPM) presenting with severe hypernatremia. On admission, the infant had impaired consciousness, mild dehydration, and severe hypernatremia (190 mmol/L). The following day, the patient developed abnormal involuntary movements. Brain magnetic resonance imaging (MRI) confirmed EPM without CPM. He recovered without sequelae, and clinical examinations were within normal limits approximately 6 months after discharge...
September 2016: Pediatrics International: Official Journal of the Japan Pediatric Society
https://www.readbyqxmd.com/read/26946709/-news-in-paediatrics
#7
Sarah Depallens, Nicolas Lutz, Raffaella Carlomagno, Blaise Meyrat, Mirjam Schuler Barazzoni, Yves Yamgoue Tchameni, Andres Pascual, François Scerba, Andrea Superti-Furga
Every pediatrician will be confronted with newborns oryoung infants with skin lesions in proximity of the vertebral column. It is important not to miss a spinal dysraphism because of the risk of meningeal infection or of the possible presence of a tethered cord. A practical algorithm is presented. Non-accidental injury in young infants and toddlers is not rare but difficult to detect. Bruises and fractures are highly suspicious for non-accidental injury and should trigger specific investigations. Emergency departments and hospitals are switching from hypotonic to isotonic solutions as maintenance infusions of children...
January 13, 2016: Revue Médicale Suisse
https://www.readbyqxmd.com/read/26596579/dexmedetomidine-related-polyuria-in-a-pediatric-patient
#8
Phillip S Adams, Antonio Cassara
Polyuria related to pharmacologic α2-adrenoreceptor agonism has been well described in vitro and in animal models and is thought to be the result of functional antagonism of arginine vasopressin. Despite its widespread use as a sedative and anesthetic adjunct, very few reports of dexmedetomidine-related polyuria in humans exist in the literature. We present the first description of a pediatric patient manifesting polyuria and hypernatremia in association with dexmedetomidine infusion for posterior spinal fusion...
April 2016: Journal of Anesthesia
https://www.readbyqxmd.com/read/26543775/acute-serum-sodium-concentration-changes-in-pediatric-patients-undergoing-cardiopulmonary-bypass-and-the-association-with-postoperative-outcomes
#9
Jeong Jin Lee, Young-Soon Kim, Hae Hyuk Jung
The objective of this study is to investigate the degree of serum sodium changes and its association with patient outcomes in pediatrics undergoing heart surgery with cardiopulmonary bypass (CPB). We reviewed the medical records of 275 pediatric patients who underwent heart surgery with CPB. Prior to CPB, hyponatremia (≤135 mmol/L) was observed in 21 of 275 patients. After initiation of CPB, serum sodium decreased significantly and severe hyponatermia (≤130 mmol/L) subsequently developed in 32 patients...
2015: SpringerPlus
https://www.readbyqxmd.com/read/26186358/episodic-ventriculomegaly-due-to-hypernatremia-mimicking-shunt-malfunction-case-report
#10
Sarah C Jernigan, Scellig S D Stone, Joshua P Aronson, Melissa Putman, Mark R Proctor
Patients with shunted hydrocephalus presenting with altered mental status and ventriculomegaly are generally considered to be in shunt failure requiring surgical treatment. The authors describe a case of shunted hydrocephalus secondary to a disseminated neuroectodermal tumor in a pediatric patient in whom rapid fluctuations in sodium levels due to diabetes insipidus repeatedly led to significant changes in ventricle size, with invasively confirmed normal shunt function and low intracranial pressure. This clinical picture exactly mimics shunt malfunction, requires urgent nonsurgical therapy, and underscores the importance of considering serum osmolar abnormalities in the differential diagnosis for ventriculomegaly...
October 2015: Journal of Neurosurgery. Pediatrics
https://www.readbyqxmd.com/read/26168670/-a-comparison-of-high-versus-standard-volume-hemofiltration-in-critically-ill-children-with-severe-sepsis
#11
COMPARATIVE STUDY
Yun Cui, Yucai Zhang, Qunfang Rong, Liang Xu, Yan Zhu, Yuqian Ren
OBJECTIVE: High-volume hemofiltration (HVHF) is an potential therapy for the treatment of sverve sepsis in intensive care unit, but little information is avialible in children. The aim of our study was to evaluate the effects of HVHF compared with standard-volume continuous veno-venous hemofiltration (CVVH) for critically ill children with severe sepsis, and to evaluate the feasibility and tolerance. METHODS: A single-center prospective trial was performed on the data of critically ill children with sverve sepsis, who were treated with 48hours HVHF (effluent rate 50 - 70 ml ...
February 3, 2015: Zhonghua Yi Xue za Zhi [Chinese medical journal]
https://www.readbyqxmd.com/read/25913046/comparison-of-two-maintenance-electrolyte-solutions-in-children-in-the-postoperative-appendectomy-period-a-randomized-controlled-trial
#12
RANDOMIZED CONTROLLED TRIAL
Maria Clara da Silva Valadão, Jefferson Pedro Piva, João Carlos Batista Santana, Pedro Celiny Ramos Garcia
OBJECTIVE: To compare two electrolyte maintenance solutions in the postoperative period in children undergoing appendectomy, in relation to the occurrence of hyponatremia and water retention. METHODS: A randomized clinical study involving 50 pediatric patients undergoing appendectomy, who were randomized to receive 2,000mL/m(2)/day of isotonic (Na 150 mEq/L or 0.9% NaCl) or hypotonic (Na 30 mEq/L NaCl or 0.18%) solution. Electrolytes, glucose, urea, and creatinine were measured at baseline, 24h, and 48h after surgery...
September 2015: Jornal de Pediatria
https://www.readbyqxmd.com/read/25902852/donor-hypernatremia-before-procurement-and-early-outcomes-following-pediatric-liver-transplantation
#13
Neema Kaseje, Valerie McLin, Christian Toso, Antoine Poncet, Barbara E Wildhaber
The demand for transplantable organs far outweighs the supply. Recently, efforts have been made to increase the donor pool by adopting extended criteria for livers, including those from hypernatremic donors. Currently, there is no clear evidence that the use of organs from hypernatremic donors has detrimental effects on pediatric liver transplantation (LT) recipients. Our aim was to use the Scientific Registry of Transplant Recipients database to evaluate the effects of donor hypernatremia on 30-day outcomes in pediatric LT recipients...
August 2015: Liver Transplantation
https://www.readbyqxmd.com/read/25875261/case-records-of-the-massachusetts-general-hospital-case-12-2015-a-newborn-boy-with-respiratory-distress-lethargy-and-hypernatremia
#14
Ting-Yi Lin, David H Ebb, Paul A Boepple, Elizabeth A Thiele, Sandra P Rincon, Daniel A Mordes
Presentation of Case. Dr. Adam W. DeTora (Pediatrics): A newborn boy was admitted to this hospital because of respiratory distress and hypotension. The patient was born at another hospital to a 25-year-old mother by normal spontaneous vaginal delivery after a full-term uncomplicated gestation...
April 16, 2015: New England Journal of Medicine
https://www.readbyqxmd.com/read/25751673/comparison-of-isotonic-and-hypotonic-intravenous-maintenance-fluids-a-randomized-clinical-trial
#15
RANDOMIZED CONTROLLED TRIAL
Jeremy N Friedman, Carolyn E Beck, Julie DeGroot, Denis F Geary, Daniel J Sklansky, Stephen B Freedman
IMPORTANCE: Use of hypotonic intravenous fluids for maintenance requirements is associated with increased risk of hyponatremia that results in morbidity and mortality in children. Clinical trial data comparing isotonic and hypotonic maintenance fluids in nonsurgical hospitalized pediatric patients outside intensive care units are lacking. OBJECTIVE: To compare isotonic (sodium chloride, 0.9%, and dextrose, 5%) with hypotonic (sodium chloride, 0.45%, and dextrose, 5%) intravenous maintenance fluids in a hospitalized general pediatric population...
May 2015: JAMA Pediatrics
https://www.readbyqxmd.com/read/25654679/the-efficacy-of-isotonic-and-hypotonic-intravenous-maintenance-fluid-for-pediatric-patients-a-meta-analysis-of-randomized-controlled-trials
#16
Gang Yang, Wenjun Jiang, Xuejun Wang, Wenying Liu
AIM: This study aimed to analyze the effect of isotonic versus hypotonic solution as intravenous maintenance fluid on level of plasma sodium in hospitalized children. METHODS: A fully recursive literature search in May 2013 was conducted in PubMed and EMBASE to identify potentially relevant randomized controlled trials. Jadad score and allocation concealment were adopted to evaluate the methodological quality of each trial. RevMan5.2 was used for statistical analysis...
February 2015: Pediatric Emergency Care
https://www.readbyqxmd.com/read/25576065/isotonic-versus-hypotonic-saline-solution-for-maintenance-intravenous-fluid-therapy-in-children-a-systematic-review
#17
REVIEW
April P Padua, Josep Ryan G Macaraya, Leonila F Dans, Francisco E Anacleto
BACKGROUND: The administration of hypotonic saline solution for maintenance intravenous fluid (IVF) therapy has been the standard of care, but recent evidence has shown this treatment to be associated with hyponatremia-related complications. The aim of this systematic review was to determine which IVF, i.e., a hypotonic or an isotonic saline solution, poses less risk for the development of hyponatremia among hospitalized children who require maintenance IVF therapy. METHODS: Medline, Cochrane Library, LILACS, Current Controlled Trials, reference lists, and abstract proceedings were searched for randomized controlled trials (RCTs) comparing hypotonic and isotonic saline solutions for maintenance IVF therapy in hospitalized children...
July 2015: Pediatric Nephrology: Journal of the International Pediatric Nephrology Association
https://www.readbyqxmd.com/read/25547874/pediatric-anterior-visual-pathway-gliomas-trends-in-fluid-and-electrolyte-dynamics-and-their-management-nuances
#18
Devesh K Singh, Sanjay Behari, Awadhesh K Jaiswal, Rabi N Sahu, Arun K Srivastava, Anant Mehrotra, Preeti Dabadgaon
PURPOSE: Trends in pre- and postoperative fluid, electrolyte and osmolarity changes, and incidence of diabetes insipidus (DI) were assessed in pediatric patients with anterior visual pathway gliomas (AVPGs). METHODS: Thirty-three patients with AVPGs (age < 16 years) were divided into two groups: (1) no hypothalamic involvement [NHI; n = 17 (51.5 %) including optic (5, 15.2 %); chiasmal (5, 15.2 %); and optico-chiasmal (7, 21.2 %)] and (2) hypothalamic involvement [HI; n = 16 (48...
March 2015: Child's Nervous System: ChNS: Official Journal of the International Society for Pediatric Neurosurgery
https://www.readbyqxmd.com/read/25541898/rohhad-syndrome-reasons-for-diagnostic-difficulties-in-obesity
#19
Pınar Kocaay, Zeynep Şıklar, Emine Çamtosun, Tanıl Kendirli, Merih Berberoğlu
A very rare syndrome of rapid-onset obesity with hypoventilation, hypothalamic dysfunction and autonomic dysregulation (ROHHAD) has been recently described as causing morbidity due to hypothalamic dysfunction and respiratory arrest. Its prognosis is poor and often cardiac arrest occurs due to alveolar hypoventilation. This disorder can mimic genetic obesity syndromes and several endocrine disorders. We present a 13-year-old female patient who was reported to be healthy until the age of 3 years. She was admitted to our emergency department, presenting with respiratory distress...
December 2014: Journal of Clinical Research in Pediatric Endocrinology
https://www.readbyqxmd.com/read/24718705/the-response-and-survival-of-children-with-recurrent-diffuse-intrinsic-pontine-glioma-based-on-phase-ii-study-of-antineoplastons-a10-and-as2-1-in-patients-with-brainstem-glioma
#20
Stanislaw R Burzynski, Tomasz J Janicki, Gregory S Burzynski, Ania Marszalek
BACKGROUND: Brainstem gliomas (BSG) are relatively rare tumors of which recurrent pediatric diffuse intrinsic pontine gliomas (RPDIPG) comprise a distinct group. Numerous trials have been conducted on RPDIPG, none of which have resulted in identifying any proven pharmacological treatment benefit. This study included 40 patients diagnosed with different types of BSG, but it was decided to describe first the encouraging results in the most challenging group of RPDIPG. MATERIALS AND METHODS: This single-arm phase II study evaluated the efficacy and safety of the combination of antineoplastons A10 and AS2-1 (ANP) in patients with RPDIPG...
December 2014: Child's Nervous System: ChNS: Official Journal of the International Society for Pediatric Neurosurgery
keyword
keyword
55139
1
2
Fetch more papers »
Fetching more papers... Fetching...
Read by QxMD. Sign in or create an account to discover new knowledge that matter to you.
Remove bar
Read by QxMD icon Read
×

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"