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Author Stack, C. G
Title Essentials of Paediatric Intensive Care
Imprint Cambridge : Greenwich Medical Media, 2003
©2003
book jacket
Descript 1 online resource (251 pages)
text txt rdacontent
computer c rdamedia
online resource cr rdacarrier
Note COVER -- HALF-TITLE -- DEDICATION -- TITLE -- COPYRIGHT -- CONTENTS -- PREFACE -- Section 1 Basic Principles of PICU -- CHAPTER 1 DIFFERENCES BETWEEN THE CHILD, THE NEONATE AND THE ADULT -- Anatomy and physiology -- Airway -- Problems/relevance -- Breathing -- Problems/relevance -- Cardiovascular -- Problems/relevance -- CNS -- Problems/relevance -- Neuro-muscular junction -- Renal -- Temperature control -- Problems/relevance -- Blood -- Pharmacology -- Pharmacokinetics -- Absorption -- Distribution -- Protein binding -- Elimination -- Pharmacodynamics -- CHAPTER 2 NEONATAL PROBLEMS IN THE PICU -- Respiration -- Respiratory distress syndrome -- Cardiovascular -- Patent ductus arteriosus -- Persistent foetal circulation -- Environment -- Gastrointestinal -- Necrotising enterocolitis -- CNS -- Intra-ventricular haemorrhage -- Retinopathy of prematurity (retrolentral fibroplasia) -- CHAPTER 3 RESUSCITATION -- Infant -- Small child 8 years -- Advanced life support -- Epinephrine (adrenaline) -- Alkalising agents -- Intra-venous fluids -- Anti-arrhythmic drugs -- CHAPTER 4 THE STRUCTURED APPROACH TO THE SERIOUSLY INJURED CHILD -- Initial assessment - the primary survey -- Airway -- Cervical spine -- Breathing -- Circulation -- Treatment -- Disability -- Exposure -- X-rays -- Detailed assessment - the secondary survey -- Analgesia -- Notes -- CHAPTER 5 AIRWAY AND VENTILATION -- Endotracheal tube requirements -- Confirmation of successful intubation -- Complications of intubation -- Criteria for extubation -- Immediate complications of extubation -- Laryngospasm -- Post-extubation stridor -- Oral endotracheal tubes -- Advantages -- Disadvantages -- Nasal endotracheal tubes -- Advantages -- Disadvantages -- Contra-indications -- Tracheostomy -- Advantages -- Disadvantages -- Ventilation
Physiological effects of intermittent positive pressure ventilation (IPPV) -- Respiratory -- Cardiovascular -- Positive effects -- Goals of ventilation -- Aims of ventilation -- Ventilation strategy -- Volume controlled ventilation -- Advantages -- Disadvantages -- Pressure controlled ventilation -- Advantages -- Disadvantages -- Other strategies -- High frequency oscillation (HFO) (Table 5.5) -- Complications -- Advantages -- Practical considerations -- High frequency jet ventilation -- Surfactant -- Inhaled nitric oxide (iNO) -- Uses -- Practical problems -- Side effects -- Liquid ventilation -- Extracorporeal membrane oxygenation (ECMO) -- Indications -- Clinical -- Weaning from ventilation -- Background principles -- Weaning criteria -- Methods -- Problems with weaning -- Oxygen -- Effects of ventilation on the lung -- Non-invasive ventilation -- Indications -- Advantages -- Disadvantages -- CHAPTER 6 CIRCULATION AND RHYTHM DISTURBANCES -- Hypovolaemic shock -- Causes -- Distributive shock -- Causes -- Cardiogenic -- Obstructive -- Septic shock -- Dissociative -- Inotropic and vasoactive substances -- General comments on inotropes -- Mechanism of action -- Catecholamines -- Formulae for drug delivery -- Phosphodiesterase inhibitors -- Other agents with inotropic effects -- Digoxin -- Calcium -- Triiodothyronine (T3) -- CHAPTER 7 SEDATION AND ANALGESIA IN PICU -- Assessment -- Management -- Complications -- Anaesthesia -- Inhalational anaesthesia -- Intra-venous induction -- Sedatives and opiates -- Neuro-muscular blockade -- Regional anaesthetic techniques -- Epidurals -- Nerve blocks -- Simple analgesics -- CHAPTER 8 FLUID, ELECTROLYTES AND NUTRITION -- Assessment -- Sodium -- Hypernatraemia (greater than 150 mmol/l) Causes -- Presentation -- Treatment -- Hyponatraemia Causes -- Symptoms -- Therapy -- Potassium -- Hypokalaemia -- Hyperkalaemia
Signs and symptoms -- Treatment (see figure 8.1) -- Calcium -- Hypercalcaemia -- Hypocalcaemia -- Magnesium -- Hypermagnesaemia -- Hypomagnesaemia -- Effects -- Treatment -- Phosphate -- Hyperphosphataemia -- Hypophosphataemia -- Acid-base disorders -- Physiology -- Treatment -- Respiratory acidosis -- Respiratory alkalosis -- Metabolic acidosis -- Metabolic alkalosis -- Nutrition -- Nutritional requirements (Table 8.8) -- Enteral nutrition -- Complications -- Total parenteral nutrition -- CHAPTER 9 TRANSPORT OF THE CRITICALLY ILL CHILD -- Hazards of transfer -- Mode of transport -- Staffing -- Equipment -- Communication -- The ambulance journey -- CHAPTER 10 DEATH ON THE PICU -- Withdrawal of intensive care -- Practical cessation of treatment -- Brain stem death -- Post mortem examination -- Donation of organs for transplant -- Following death -- Information -- Section 2 Specific PICU Problems -- CHAPTER 11 RESPIRATORY DISEASE -- Respiratory -- Assessment of severity -- Respiratory rate -- Increased work of respiration -- Effectiveness of breathing -- Effect of respiration on other organs -- Upper airway obstruction -- Croup (laryngotracheobronchitis) -- Treatment -- Epiglottitis -- Management -- Lower airway illnesses Asthma -- Incidence -- Pathophysiology -- Differential diagnosis -- Assessment of severity -- Initial management -- Criteria for intubation -- Ventilation -- Complications of ventilation -- Bronchiolitis -- Aetiology -- Symptoms and signs -- Clinical course -- Management -- Pneumonia -- Diagnosis -- Treatment -- Bacterial -- Whooping cough -- CHAPTER 12 CARDIAC DISEASE ON THE PICU -- Congenital heart disease (CHD) - general points -- Simple pathophysiological classification of congenital heart disease -- Lesions causing primary left-right shunts -- Lesions causing primary right-left shunts -- Lesions obstructing ventricular function
Left heart -- Right heart -- Shunts -- Left to right shunts, general points -- Right to left shunts and cyanosis -- Specific lesions in CHD -- Patent ductus arteriosus (PDA) (Figure 12.3) -- Transposition of the great arteries (TGA) (Figure 12.4) -- Neonatal arterial 'switch' -- Atrial 'switch' -- Coarctation of the aorta (CoA) (Figure 12.5) -- Neonatal CoA -- Late presentation -- Tetralogy of Fallot (TOF) (Figure 12.6) -- The Fontan circulation -- Fontan - general points (Table 12.2) -- Post-operative cardiac management -- Specific problems following CPB -- Bleeding -- Tamponade -- Low cardiac output -- Pulmonary hypertensive crisis -- Renal dysfunction -- Neurological injury -- CHAPTER 13 DYSRHYTHMIAS AND MYOCARDIAL DISEASE -- Dysrhythmias -- Bradycardias -- Sinus bradycardia -- Conduction abnormalities -- Treatment -- Tachydysrhythmias -- Sinus tachycardia -- Supraventricular tachycardia -- Atrial fibrillation -- Atrial flutter -- Treatment -- Junctional ectopic tachycardia -- Treatment -- Ventricular dysrhythmias -- Premature ventricular contraction -- Ventricular tachycardia -- Treatment -- Cardioversion -- Complications -- Pacing (Table 13.4) -- Methods -- Modes -- Practical points -- Complications -- Myocardial disease -- Ischaemia (Table 13.5) -- Neonatal ischaemic disease -- Kawasaki Disease -- Infections -- Endocarditis -- Post-operative -- Catheter-associated infection -- Viral myocarditis -- Cardiomyopathy -- Hypertension (Table 13.6) -- Treatment -- CHAPTER 14 NEUROLOGICAL AND NEURO-MUSCULAR DISEASE -- Pathophysiology -- Consequences of brain insult -- Examination of the nervous system -- The unconscious child -- Status epilepticus -- Effects -- Management goals -- Investigations -- Supportive treatment -- Other problems -- CNS infections -- Meningitis -- Presentation -- Focal neurological signs -- Assessment
Prolonged or recurrent fever -- Treatment -- Neonatal meningitis -- Viral encephalitis -- Investigations -- Complications (see also Table 14.13) -- Herpes simplex encephalitis -- Neonates -- Infants and children -- Lumbar puncture -- Reye's syndrome -- Presentation -- Treatment -- Pituitary disorders -- Diabetes insipidus -- Neuro-muscular disease causing respiratory failure -- Tetanus -- Poliomyelitis -- Spinal muscular atrophy -- Guillain-Barre syndrome -- Phrenic nerve injury -- Myasthenia gravis -- Muscular dystrophy -- Critical illness neuropathy -- CHAPTER 15 GASTROINTESTINAL AND HEPATIC DISORDERS -- Bleeding -- Treatment -- Ileus -- Diagnosis -- Treatment -- Diarrhoea -- Treatment -- Malnutrition -- Treatment -- Specific GI problems -- Necrotising enterocolitis -- Treatment -- Gastro-oesophageal reflux -- Treatment -- Intussusception -- Treatment -- Hepatic failure -- Liver function tests -- Hepatic encephalopathy -- Treatment -- Cerebral oedema -- Gastrointestinal bleeding -- Ascites -- Hepatorenal syndrome -- Infections -- Pancreatitis -- Causes -- Clinical features -- Investigations -- Treatment -- CHAPTER 16 RENAL DISEASE -- Acute renal failure (Table 16.1) -- Physiology -- Prevention -- Management -- Fluids -- Electrolytes -- Renal replacement therapy (Table 16.2) -- Peritoneal dialysis -- Advantages -- Complications -- Disadvantages -- Haemodialysis -- Complications -- Plasmafiltration -- Haemofiltration -- CVVH -- Complications -- CAVH -- CVVHD/CAVHD -- Haemolytic-uraemic syndrome -- Complications -- Treatment -- Nephrotic syndrome -- Haemoglobinaemia -- Myoglobinaemia -- CHAPTER 17 HAEMATOLOGY AND ONCOLOGY -- Sickle cell disease -- Leukaemias/tumours -- Tumour lysis syndrome -- Signs -- DIC -- Signs and symptoms -- Treatment -- Bone marrow transplantation -- Pancytopenia -- Infection -- Chemotherapy induced toxicity
Graft versus host disease (GVHD)
This is an essential handbook for all those involved in the care of critically ill children
Description based on publisher supplied metadata and other sources
Electronic reproduction. Ann Arbor, Michigan : ProQuest Ebook Central, 2020. Available via World Wide Web. Access may be limited to ProQuest Ebook Central affiliated libraries
Link Print version: Stack, C. G. Essentials of Paediatric Intensive Care Cambridge : Greenwich Medical Media,c2003 9781841100531
Subject Pediatric intensive care.;Critical care medicine
Electronic books
Alt Author Dobbs, P
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