Introduction and Historical Aspects

Jan 30, 2019 by in PEDIATRICS Comments Off on Introduction and Historical Aspects

The past several decades have witnessed a significant reduction in neonatal mortality and morbidity in the industrialized world. A variety of societal changes, improvements in obstetric care, and advances in…

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Radiology for the Pediatric Hospitalist

Jan 20, 2019 by in PEDIATRICS Comments Off on Radiology for the Pediatric Hospitalist

BACKGROUND Print Section Listen The purpose of this chapter is to familiarize hospitalists with common pediatric imaging examinations so that they can order the most appropriate test for the patient…

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Ultrasonography for the Pediatric Hospitalist

Jan 20, 2019 by in PEDIATRICS Comments Off on Ultrasonography for the Pediatric Hospitalist

INTRODUCTION Print Section Listen Point-of-care ultrasound (POCUS) refers to non-radiologist clinicians who perform an ultrasound during a clinical encounter with their patient. Rather than performing a comprehensive exam of an…

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Noninvasive Positive-Pressure Ventilation

Jan 20, 2019 by in PEDIATRICS Comments Off on Noninvasive Positive-Pressure Ventilation

BACKGROUND Print Section Listen Noninvasive ventilation techniques augment alveolar ventilation without an indwelling artificial airway. This is accomplished with either negative (subatmospheric) or positive pressure administered via an external interface….

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Umbilical Artery and Vein Catheterization

Jan 20, 2019 by in PEDIATRICS Comments Off on Umbilical Artery and Vein Catheterization

BACKGROUND Print Section Listen Unique to the neonate, lifesaving central access can be achieved through catheterization of the umbilical vessels. Umbilical artery catheterization can routinely be performed in newborns up…

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Thoracentesis

Jan 20, 2019 by in PEDIATRICS Comments Off on Thoracentesis

BACKGROUND Print Section Listen Thoracentesis is the evacuation of fluid or air from the pleural space. This discussion is limited to the evacuation of fluid (effusion) from the pleural space…

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Replacing a Tracheostomy Tube

Jan 20, 2019 by in PEDIATRICS Comments Off on Replacing a Tracheostomy Tube

BACKGROUND Print Section Listen Tracheostomy tubes are used in pediatric patients primarily for mechanical ventilation in chronically ill patients and to overcome obstruction. Replacing an established tracheostomy is part of…

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Arthrocentesis

Jan 20, 2019 by in PEDIATRICS Comments Off on Arthrocentesis

INTRODUCTION Print Section Listen Patients presenting with joint pain or swelling should receive a thorough examination to rule out the presence of joint disease. Periarticular diseases such as tendinitis, bursitis,…

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Vascular Access

Jan 20, 2019 by in PEDIATRICS Comments Off on Vascular Access

BACKGROUND Print Section Listen Many pediatric patients will need some form of vascular access during their initial evaluation or hospitalization. The child’s severity of illness or injury, type of infusion…

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