Intraosseous Catheters

Jan 20, 2019 by in PEDIATRICS Comments Off on Intraosseous Catheters

BACKGROUND Print Section Listen Intraosseous (IO) cannulation is an effective and reliable means of rapidly accessing the central circulation for the administration of fluids, medications, and blood products. The non-collapsible…

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Bladder Catheterization

Jan 20, 2019 by in PEDIATRICS Comments Off on Bladder Catheterization

BACKGROUND Print Section Listen Urinary bladder catheterization in children can serve as both a diagnostic and a therapeutic intervention. Catheterization is a simple, sterile procedure that can be performed at…

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Arterial Blood Gas

Jan 20, 2019 by in PEDIATRICS Comments Off on Arterial Blood Gas

BACKGROUND Print Section Listen Arterial puncture or arterial blood gas sampling is a necessary procedure in the evaluation of any critically ill patient, especially those with significant respiratory distress or…

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Cerebrospinal Fluid Shunt Assessment

Jan 20, 2019 by in PEDIATRICS Comments Off on Cerebrospinal Fluid Shunt Assessment

BACKGROUND Print Section Listen Cerebrospinal fluid (CSF) shunt systems are used to treat hydrocephalus by draining excess CSF to an alternative location in the body. A shunt has three segments:…

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Lumbar Puncture

Jan 20, 2019 by in PEDIATRICS Comments Off on Lumbar Puncture

INTRODUCTION Print Section Listen Lumbar puncture (LP) is a frequently performed procedure by hospital-based physicians. Although its description may sound frightening to parents or other laypersons, in actuality, it is…

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Procedural Sedation

Jan 20, 2019 by in PEDIATRICS Comments Off on Procedural Sedation

SEDATION AND ANALGESIA Print Section Listen The goals of sedation and analgesia are to relieve pain and suffering and to allow diagnostic and therapeutic procedures to proceed with comfort, safety,…

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Technologic Devices in the Child with Medical Complexity

Jan 20, 2019 by in PEDIATRICS Comments Off on Technologic Devices in the Child with Medical Complexity

ENTEROSTOMY TUBE FEEDING Print Section Listen If the gastrointestinal tract is functioning adequately, enteral nutrition is preferable to parenteral nutrition in the child with medical complexity. When compared with parenteral…

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Acute Care of the Child with Medical Complexity

Jan 20, 2019 by in PEDIATRICS Comments Off on Acute Care of the Child with Medical Complexity

BACKGROUND Print Section Listen Children with medical complexity are growing in number in children’s hospitals. They are at the highest risk for medical errors1,2 and for readmission after discharge.3 A…

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Anticoagulants and Antithrombotics

Jan 20, 2019 by in PEDIATRICS Comments Off on Anticoagulants and Antithrombotics

BACKGROUND Print Section Listen Under normal homeostatic conditions, the human body is at a constant balance between clot formation and destruction. Physiologic hemostasis occurs as a result of a complex…

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