Case Report: Tachycardia, Hypoxemia and Shock in a Severely Burned Pediatric Patient.

Background: Severely burned children are at high risk of secondary intraabdominal hypertension and abdominal compartment syndrome (ACS). ACS is a life-threatening condition with high mortality and requires an effective, minimally invasive treatment to improve the prognosis when the condition is refractory to conventional therapy. Case presentation: A 4.5-year-old girl was admitted to our hospital 30 h after a severe burn injury. Her symptoms of burn shock were relieved after fluid resuscitation. However, her bloating was aggravated, and ACS developed on Day 5, manifesting as tachycardia, hypoxemia, shock, and oliguria. Invasive mechanical ventilation, vasopressors, and percutaneous catheter drainage were applied in addition to medical treatments (such as gastrointestinal decompression, diuresis, sedation, and neuromuscular blockade). These treatments did not improve the patient's condition until she received continuous renal replacement therapy. Subsequently, her vital signs and laboratory data improved, which were accompanied by decreased intra-abdominal pressure, and she was discharged after nutrition support, antibiotic therapy, and skin grafting. Conclusion: ACS can occur in severely burned children, leading to rapid deterioration of cardiopulmonary function. Patients who fail to respond to conventional medical management should be considered for continuous renal replacement therapy.

Efficiency enhancement of quantum dot-phosphor hybrid white-light-emitting diodes using a centrifugation-based quasi-horizontal separation structure.

In this paper, a centrifugation-based quasi-horizontal separation (c-HS) structure is proposed to enhance the QD light extraction of QD-phosphor hybrid white LEDs (WLEDs), effectively suppressing the backscattered loss from phosphor at the top region of the QD layer. Results indicate that a large centrifugation speed and dispensing mass of the QD layer is more beneficial to reducing the local density of phosphor at the top region, realizing quasi-horizontal separation between phosphor and QDs. Moreover, WLEDs with c-HS structure and conventional vertically layered packaging reference structure were compared at different correlated color temperatures (CCT). The radiant power and luminous flux achieved by the c-HS structure were 13.6% and 10.8%, respectively, higher than the reference structure at a typical warm white color of ∼4000 K. Consequently, this study can provide a new perspective on designing the separation structure for QD-phosphor hybrid WLEDs considering the backscattering loss of QD light.