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Related Concept Videos

Acute Respiratory Failure-V01:29

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The treatment for acute respiratory failure varies based on factors like the underlying cause, overall health, and severity. A collaborative healthcare team is essential for early detection, often through arterial blood gas analysis. Identifying the cause is the primary goal, with treatment strategies adjusted for ventilation/perfusion (V/Q) mismatch, shunting, or diffusion impairment.
Ensure that patients are monitored continuously for their response to therapy, including changes in...
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Plasma Ascorbic Acid Levels in Critically Ill Pediatric Patients.

Daniel Horim Choi1, Sonali Basu1, Mark Levine2

  • 1Department of Pediatrics, Division of Critical Care Medicine, Children's National Hospital, George Washington School of Medicine and Health Sciences, Washington, District of Columbia, United Sates.

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|June 26, 2024
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Summary
This summary is machine-generated.

Critically ill children with septic shock or respiratory failure often have low ascorbic acid (vitamin C) levels. Half of the patients studied had deficient levels, highlighting a potential area for nutritional intervention.

Keywords:
PICUascorbic acidenteral nutrition

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Area of Science:

  • Pediatric Intensive Care
  • Nutritional Biochemistry
  • Critical Care Medicine

Background:

  • Ascorbic acid (vitamin C) is a vital antioxidant.
  • Deficiency is noted in critically ill adults with sepsis and ARDS.
  • Supplementation in adults may reduce vasopressor and ventilation needs.

Purpose of the Study:

  • To determine the prevalence of ascorbic acid deficiency in critically ill pediatric patients.
  • To analyze plasma ascorbic acid levels in children with septic shock and/or respiratory failure.

Main Methods:

  • Prospective, single-centered study of 34 pediatric patients (1 month-18 years).
  • Patients had septic shock and/or respiratory failure requiring mechanical ventilation.
  • Plasma ascorbic acid measured via HPLC within 24 hours of eligibility.

Main Results:

  • Median ascorbic acid level was 23.34 µM; 50% had deficient levels.
  • Repeat samples 3-5 days later showed higher median levels (42.41 µM).
  • Enterally fed patients had significantly higher levels than non-fed patients (p=0.03).

Conclusions:

  • Ascorbic acid levels vary widely in critically ill children.
  • Half of the studied pediatric patients exhibited deficient levels, similar to scurvy.
  • Further research is needed on the clinical significance of low levels and benefits of normalization.