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The care of the critically ill or injured child begins with timely, prompt, and aggressive res- citation and stabilization. Ideally, stabilization should occur before the onset of organ failure in order to achieve the best possible outcomes. In the following pages, an international panel of experts provides an in-depth discussion of the early recognition, resuscitation, and stabilization of the critically ill or injured child. Once again, we would like to dedicate this textbook to our families and to the physicians and nurses who provide steadfast care every day in pediatric intensive care units across the globe. Derek S. Wheeler Hector R. Wong Thomas P. Shanley V Preface to Pediatric Critical Care Medicine: Basic Science and Clinical Evidence The ? eld of critical care medicine is growing at a tremendous pace, and tremendous advances in the understanding of critical illness have been realized in the last decade. My family has directly bene? ted from some of the technological and scienti? c advances made in the care of critically ill children. My son Ryan was born during my third year of medical school. By some peculiar happenstance, I was nearing completion of a 4-week rotation in the newborn intensive care unit (NICU). The head of the pediatrics clerkship was kind enough to let me have a few days off around the time of the delivery—my wife, Cathy, was 2 weeks past her due date and had been scheduled for elective induction.
The care of the critically ill or injured child begins with timely, prompt, and aggressive res- citation and stabilization. Ideally, stabilization should occur before the onset of organ failure in order to achieve the best possible outcomes. In the following pages, an international panel of experts provides an in-depth discussion of the early recognition, resuscitation, and stabilization of the critically ill or injured child. Once again, we would like to dedicate this textbook to our families and to the physicians and nurses who provide steadfast care every day in pediatric intensive care units across the globe. Derek S. Wheeler Hector R. Wong Thomas P. Shanley V Preface to Pediatric Critical Care Medicine: Basic Science and Clinical Evidence The ? eld of critical care medicine is growing at a tremendous pace, and tremendous advances in the understanding of critical illness have been realized in the last decade. My family has directly bene? ted from some of the technological and scienti? c advances made in the care of critically ill children. My son Ryan was born during my third year of medical school. By some peculiar happenstance, I was nearing completion of a 4-week rotation in the newborn intensive care unit (NICU). The head of the pediatrics clerkship was kind enough to let me have a few days off around the time of the delivery—my wife, Cathy, was 2 weeks past her due date and had been scheduled for elective induction.
A practical, user-friendly guide to the management of sick children, written by experienced paediatric emergency physicians and anaesthetists.
Dr. Wheeler is providing a much needed update on the topic of critical care medicine for the pediatrician. He organized the issue to give a full overview on those topics that most pertinent to practicing clinicians. His authors are top experts in their fields, and they are writing clinical reviews devoted to The Evolving Model of Pediatric Critical Care, The High Reliability Pediatric Intensive Care Unit, Telemedicine and the Pediatric Intensive Care Unit, Resuscitation and Stabilization of the Critically Ill Child, Monitoring and Management of Acute Respiratory Failure, Monitoring and Management of Shock, Cardiac Intensive Care, Monitoring and Management of Acute Kidney Injury, Critical Care of the Bone Marrow Transplant Patient, Neurocritical Care, Ethics and End-of-Life Care, Delirium in the Pediatric Intensive Care Unit, and Family-centered Care in the Pediatric Intensive Care Unit.
Dr. Wheeler is providing a much needed update on the topic of critical care medicine for the pediatrician. He organized the issue to give a full overview on those topics that most pertinent to practicing clinicians. His authors are top experts in their fields, and they are writing clinical reviews devoted to The Evolving Model of Pediatric Critical Care, The High Reliability Pediatric Intensive Care Unit, Telemedicine and the Pediatric Intensive Care Unit, Resuscitation and Stabilization of the Critically Ill Child, Monitoring and Management of Acute Respiratory Failure, Monitoring and Management of Shock, Cardiac Intensive Care, Monitoring and Management of Acute Kidney Injury, Critical Care of the Bone Marrow Transplant Patient, Neurocritical Care, Ethics and End-of-Life Care, Delirium in the Pediatric Intensive Care Unit, and Family-centered Care in the Pediatric Intensive Care Unit.
Pediatric intensive care provides clinicians and trainees with concise, evidence-based, bedside guidance on the acute management of critically ill children. Chapters address critical conditions of anatomic systems: cardiovascular, respiratory, nervous system, renal, as well as specific problems such as resuscitation and stabilization, shock, fluid and electrolyte imbalances, metabolic, crises, toxicology, burns and trauma, sedation and analgesia, and transport of the critically ill child. Basic principles of monitoring and pharmacology are reviewed as are common pediatric intensive care unit procedures. The volume concludes with a chapter on the end of life and symptom management.
Sick babies and children are moved between hospitals for many reasons, often to receive specialist care and treatment not available locally. For the transfer to be safe and effective it is necessary to plan carefully for these occasions, and for the doctors and nurses attending the transport to be able to provide intensive care on the move. The book provides guidance in both of these major areas. The first section - 'Planning for Safe and Effective Transport' - details issues to be considered by senior staff in setting-up or modernising a transport programme. General principles and relevant physiology are outlined, and vehicles and equipment are discussed in depth. The second section - 'Practical Transport Management' - is concerned with different patient groups and key clinical issues. These include the distinctive features of neonatal and paediatric patients, and management of airway, breathing and circulation. Other chapters discuss airborne transport, pharmacology, trauma, and special interventions for transport such as extracorporeal membrane oxygenation and inhaled nitric oxide.
The S.T.A.B.L.E. Program is a neonatal education program that focuses on the post-resuscitation/pre-transport stabilization care of sick newborns. S.T.A.B.L.E. stands for the 6 assessment parameters covered in the program: Sugar, Temperature, Airway, Blood pressure, Lab work, and Emotional support for the family. The S.T.A.B.L.E. Program is designed to provide important information about neonatal stabilization for maternal/infant healthcare providers in all settings - from community hospitals and birth centers, to emergency rooms and hospital environments.
Neurologic emergencies are a common reason for admission to the pediatric intensive care unit (PICU). A thorough understanding of the diseases and disorders affecting the pediatric central nervous system is vital for any physician or healthcare provider working in the PICU. In the following pages, an international panel of experts provides an in-depth discussion on the res- citation, stabilization, and ongoing care of the critically ill or injured child with central nervous system dysfunction. Once again, we would like to dedicate this textbook to our families and to the physicians and nurses who provide steadfast care every day in pediatric intensive care units across the globe. Derek S. Wheeler Hector R. Wong Thomas P. Shanley v Preface to Pediatric Critical Care Medicine: Basic Science and Clinical Evidence The ? eld of critical care medicine is growing at a tremendous pace, and tremendous advances in the understanding of critical illness have been realized in the last decade. My family has directly bene? ted from some of the technological and scienti? c advances made in the care of critically ill children. My son Ryan was born during my third year of medical school. By some peculiar happenstance, I was nearing completion of a 4-week rotation in the newborn intensive care unit (NICU).