What’s the Right Pediatric ETT Size?

What’s the Right Pediatric ETT Size?

The pediatric trachea is elliptical at the infraglottic level, with the transverse diameter being narrowest. The endotracheal tube size formula, (age/4) + 3.5, with a cuffed tube makes more sense anatomically.

Coding Bias for "Sinusitis" to Justify Antibiotic Prescribing

Coding Bias for "Sinusitis" to Justify Antibiotic Prescribing

Physicians who wrote for the most antibiotics were also the ones who diagnosed sinusitis most often.  To justify writing for an antibiotic, there was a coding bias to call it “sinusitis” when in fact, it probably was just a cold.

Predictors for Acute Appendicitis in Children

Predictors for Acute Appendicitis in Children

When faced with an equivocal appendix on ultrasound (US), use of secondary findings such as appendix diameter ≥ 7mm, presence of appendicolith, associated inflammatory changes, and WBC count greater than 10,000/mL can increase diagnostic certainty.

Fluoroquinolones and Sudden Death

Fluoroquinolones and Sudden Death

Fluoroquinolone (FQ) antibiotics were associated with an increased odds of serious arrhythmic event (SAE) from 7 up to 90 days after taking them.

Do All Children Admitted with CAP Need a Blood Culture?

Do All Children Admitted with CAP Need a Blood Culture?

Overall yield of blood culture for pediatric community acquired pneumonia (CAP) was low; 91 blood cultures were needed to get one positive result. But in children admitted to the ICU, one child had bacteremia for every 24 cultures obtained; one for every 12 in children with parapneumonic effusion.

EcLiPSE - Should Levetiracetam Replace Phenytoin for Pediatric Status Epilepticus?

EcLiPSE - Should Levetiracetam Replace Phenytoin for Pediatric Status Epilepticus?

There was no difference in levetiracetam vs phenytoin as second-line agents after benzodiazepines for pediatric status epilepticus in median time to seizure cessation. Levetiracetam may have other advantages, as it is able to be given over 5 minutes (vs 20 minutes for phenytoin) and causes fewer adverse effects.

Door-to-Antibiotic And Mortality in Sepsis

Door-to-Antibiotic And Mortality in Sepsis

Mortality was higher when door-to-antibiotic time was > 3 h. However, there was no difference when comparing mortality in those given antibiotics within the first hour to those after the first hour.

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