Resuscitation And Stabilization Of The Critically Ill Child

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.

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.

The management of critically ill or injured children has become increasingly specialised; nevertheless, the first point of contact for many sick children remains their nearest hospital. Here, the initial management will usually involve emergency department doctors, anaesthetists and paediatricians. Managing the Critically Ill Child is written by anaesthetists and emergency department physicians who currently have a significant paediatric practice. It provides a straightforward guide for non-paediatricians encountering acutely unwell or injured children. This book helps readers apply their knowledge from adult practice to children, and avoid pitfalls where the approaches in paediatrics differ. Written in a practical, concise format, Managing the Critically Ill Child guides physicians beyond the initial emergency algorithms and is essential reading for physicians and trainees in emergency medicine, anaesthesia and intensive care who may be asked to look after a child.

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.

A practical, user-friendly guide to the management of sick children, written by experienced paediatric emergency physicians and anaesthetists.

Care Planning in Children and Young People's Nursing addresses a selection of the most common concerns that arise when planning care for infants, children and young people within the hospital and community setting. Clear and detailed, this text reflects both the uniqueness and diversity of contemporary children's nursing and utilizes images and case studies to provide a holistic insight into the practice of care planning through the reporting of best available evidence and current research, policy and education. Divided into sections for ease of reference, Care Planning in Children and Young People’s Nursing explores both the theory and practice of care planning. Chapters on the principles of care planning include issues such as managing risk, safeguarding children, ethical and legal implications, integrated care pathways, interprofessional assessment, and invaluable parent perspectives. Additional chapters on the application of planning care examine the practical aspects of a wide range of specific conditions including cystic fibrosis, obesity, cardiac/renal failure and HIV/AIDS. Each chapter is interactive, with questions, learning activities and points for discussion creating an engaging and enquiry-based learning approach. Care Planning in Children and Young People’s Nursing is a definitive resource, reflecting innovative practice which is suitable for undergraduate and postgraduate nurse education.