CRITICAL CARE

Board review questions

Jun 26, 2021 by in CRITICAL CARE Comments Off on Board review questions

Chapter 1 : History of pediatric critical care medicine 1. Treatment for which of the following disease entities was not an important trigger in the early development of distinct, full-time,…

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Molecular mechanisms of drug actions

Jun 26, 2021 by in CRITICAL CARE Comments Off on Molecular mechanisms of drug actions

Pearls • Receptors play a central role in determining the nature of the pharmacologic effects produced by a drug. • Most drugs and endogenous compounds (e.g., hormones, neurotransmitters) exert their…

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Airway management

Jun 26, 2021 by in CRITICAL CARE Comments Off on Airway management

Pearls • Safe management of the critically ill child’s airway requires a comprehensive understanding of the anatomic and physiologic changes that occur from birth through adolescence, advance recognition of congenital…

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Anesthesia effects on organ systems

Jun 26, 2021 by in CRITICAL CARE Comments Off on Anesthesia effects on organ systems

Pearls • The anesthetic care of ICU patients is an extension of medical and anesthetic management principles employed in the operating room. • Anesthesiologists caring for critically ill children must…

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Traumatic brain injury

Jun 26, 2021 by in CRITICAL CARE Comments Off on Traumatic brain injury

Pearls • Complete and rapid physiologic resuscitation is essential to the initial treatment of infants and children with severe traumatic brain injury (TBI). • There are many age- and injury…

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Pediatric abdominal trauma

Jun 26, 2021 by in CRITICAL CARE Comments Off on Pediatric abdominal trauma

Pearls • In pediatric trauma, as with all trauma patients, the first priority remains the ABCs: airway, breathing, circulation. • Intubation in children can be challenging and is best done…

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Child abuse

Jun 26, 2021 by in CRITICAL CARE Comments Off on Child abuse

Pearls • Infants and children with inflicted head or other traumatic injuries often appear in emergency departments with signs and symptoms of trauma or conditions suspicious of being of medical…

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Principles of drug disposition

Jun 26, 2021 by in CRITICAL CARE Comments Off on Principles of drug disposition

Pearls • Studies of drug disposition in critically ill children are limited. • Effective pharmacologic therapeutic interventions should focus on choosing the right drug, right time, right dose, right duration,…

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Sedation and analgesia

Jun 26, 2021 by in CRITICAL CARE Comments Off on Sedation and analgesia

Pearls • A wide selection of sedation and analgesia options is available in the pediatric intensive care unit. • No ideal sedative agent exists for all patients. • Most children…

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Pediatric delirium

Jun 26, 2021 by in CRITICAL CARE Comments Off on Pediatric delirium

Pearls • Delirium is a frequent complication of pediatric critical illness and is associated with substantial morbidity. • Refractory agitation in the pediatric intensive care unit is often a manifestation…

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