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Arrhythmias in Cardiac Critical Care

Smith, Andrew H. MD, MSCI, MMHC

Errata

In the article on page S146 in the August 2016 supplement, Table 2 contained errors with the up and down errors.

An updated version can be viewed here: Table 2, Supplemental Digital Content 1, http://links.lww.com/PCC/A340 .

Pediatric Critical Care Medicine. 17(11):1107, November 2016.

In the article on page S146 in the August 2016 supplement, Table 2 contained errors with regard to the direction of some of the up and down arrows.

An updated version can be viewed here: Table 2, Supplemental Digital Content 1, http://links.lww.com/PCC/A340 .

Pediatric Critical Care Medicine. 18(1):101, January 2017.

doi: 10.1097/PCC.0000000000000817
Organ Systems: Cardiopathophysiology and Disorders
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Errata

Objectives: Here, we characterize the frequency, mechanisms, clinical impact, and potential treatment options for several arrhythmias commonly encountered in pediatric cardiac critical care.

Data Source: MEDLINE and PubMed.

Conclusions: Arrhythmias among children in the cardiac critical care setting are common and clinically important, associated independently with prolonged mechanical ventilation, critical care unit stay, and an increase in mortality. The precise characterization of an arrhythmia may provide clues as to an underlying mechanism as well as serve to guide treatment. Arrhythmia therapy, pharmacologic or otherwise, is directed toward addressing the underlying mechanism, and as such may be applicable to the treatment of more than one specific rhythm disturbance. Decisions concerning therapy must call into consideration an arrhythmia’s underlying etiology, mechanism, and associated hemodynamic embarrassment, along with the potential for adverse effects of treatment.

1Department of Pediatrics, Section of Cardiology and Critical Care Medicine, Vanderbilt University School of Medicine, Cardiac Intensive Care Unit, Monroe Carell Jr Children’s Hospital at Vanderbilt, Nashville, TN.

Dr. Smith received funding from Huff, Powell & Bailey LLC.

For information regarding this article, E-mail: andrew.h.smith.1@vanderbilt.edu

©2016The Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies