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Pediatric Vital Signs: Hits and Misses

Selected References

Respiratory Rate

Ramgopal S et al. Differences in Prehospital Patient Assessments for Pediatric Versus Adult Patients. J Pediatr. 2018 Aug;199:200-205.e6.

Sepanski RJ et al. Pediatric Vital Sign Distribution Derived From a Multi-Centered Emergency Department Database. Front Pediatr. 2018 Mar 23;6:66.

Heart Rate

Bonafide CP et al. Development of heart and respiratory rate percentile curves for hospitalized children. Pediatrics. 2013 Apr;131(4):e1150-7.

van de Maat J et al. Measuring vital signs in children with fever at the emergency department: an observational study on adherence to the NICE recommendations in Europe. Eur J Pediatr. 2020 Jul;179(7):1097-1106. 

Temperature

Bae W et al. Distribution of Pediatric Vital Signs in the Emergency Department: A Nationwide Study. Children (Basel). 2020 Aug 5;7(8):89.

Nijman RG et al. Management of Children With Fever at Risk for Pediatric Sepsis: A Prospective Study in Pediatric Emergency Care. Front Pediatr. 2020 Sep 17;8:548154.

Hypertension

Brady TM et al. Management of high blood pressure in children: similarities and differences between US and European guidelines. Pediatr Nephrol. 2019 Mar;34(3):405-412.

Flynn JT et al. SUBCOMMITTEE ON SCREENING AND MANAGEMENT OF HIGH BLOOD PRESSURE IN CHILDREN. Clinical Practice Guideline for Screening and Management of High Blood Pressure in Children and Adolescents. Pediatrics. 2017 Sep;140(3):e20171904

Pulse Pressure

DeRoss AL, Vane DW. Early evaluation and resuscitation of the pediatric trauma patient. Semin Pediatr Surg 2004; 13: 74–79

Duke T. New WHO guidelines on emergency triage assessment and treatment. Lancet 2016; 387: 721–24.

Goldstein B et al. International Consensus Conference on Pediatric Sepsis. International pediatric sepsis consensus conference: definitions for sepsis and organ dysfunction in pediatrics. Pediatr Crit Care Med. 2005 Jan;6(1):2-8.

Pulse Oximetry

Cunningham S et al. Bronchiolitis of Infancy Discharge Study (BIDS) group. Oxygen saturation targets in infants with bronchiolitis (BIDS): a double-blind, randomised, equivalence trial. Lancet. 2015 Sep 12;386(9998):1041-8.

G Krishnan S et al. Oximetry-detected pulsus paradoxus predicts for severity in paediatric asthma. Arch Dis Child. 2020 Jun;105(6):533-538

Schondelmeyer AC et al. Cardiorespiratory and Pulse Oximetry Monitoring in Hospitalized Children: A Delphi Process. Pediatrics. 2020 Aug;146(2):e20193336.

Capnography

Flores S, Loomba RS, Bronicki RA. Capnography as a Hemodynamic Indicator: Another Heart Lung Interaction. Pediatr Crit Care Med. 2020 Apr;21(4):403-404.

Langhan ML et al. The impact of capnography monitoring among children and adolescents in the postanesthesia care unit: a randomized controlled trial. Paediatr Anaesth. 2017 Apr;27(4):385-393.

Saunders R et al. Patient safety during procedural sedation using capnography monitoring: a systematic review and meta-analysis. BMJ Open. 2017 Jun 30;7(6):e013402.

Selby ST et al. An Update on End-Tidal CO2 Monitoring. Pediatr Emerg Care. 2018.