Extracorporeal life support

Jun 26, 2021 by in CRITICAL CARE Comments Off on Extracorporeal life support

Pearls • The miniaturization and increased efficacy of centrifugal pump systems and low-resistance membrane lungs have resulted in a transition from roller pump devices to centrifugal setups in many centers….

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Diseases of the pulmonary circulation

Jun 26, 2021 by in CRITICAL CARE Comments Off on Diseases of the pulmonary circulation

Pearls • Updated definitions and classification of pulmonary hypertension have helped to advance the understanding of pulmonary hypertensive diseases and facilitate drug trials. • Four classes of drugs have been…

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Pneumonitis and interstitial disease

Jun 26, 2021 by in CRITICAL CARE Comments Off on Pneumonitis and interstitial disease

Pearls • Most pediatric pulmonary parenchymal disease occurs as a result of an infectious agent. • Clinical evaluation for parenchymal lung disease in the pediatric patient should include a search…

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Asthma

Jun 26, 2021 by in CRITICAL CARE Comments Off on Asthma

Pearls • Patients with severe acute asthma exacerbations should be promptly and aggressively managed in the emergency department with inhaled β-agonist agents, inhaled ipratropium bromide, oxygen, and a systemic corticosteroid….

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Neonatal pulmonary disease

Jun 26, 2021 by in CRITICAL CARE Comments Off on Neonatal pulmonary disease

Pearls • Both pulmonary and nonpulmonary disorders must be considered as leading to neonatal respiratory distress. • It is important to distinguish respiratory disorders from the normal neonatal cardiorespiratory transition….

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Physiology of the respiratory system

Jun 26, 2021 by in CRITICAL CARE Comments Off on Physiology of the respiratory system

Pearls • Children younger than 5 years have nearly equal peripheral and central airway resistance. This makes them more susceptible to developing respiratory failure with illnesses that affect the lower…

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Acute viral bronchiolitis

Jun 26, 2021 by in CRITICAL CARE Comments Off on Acute viral bronchiolitis

Pearls • Bronchiolitis accounts for 5% to 10% of total pediatric intensive care unit admissions in the United States. • Treatment for critical bronchiolitis is predominantly supportive, particularly for hypoxia,…

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