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…
PEDIATRICS
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,…
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…
Managing Comorbidities in Children with Severe Neurologic Impairment
BACKGROUND Print Section Listen Children with severe neurologic impairment comprise a diverse group from an etiological perspective. Yet despite this diversity, there are predictable commonalities in many of the comorbidities…
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…
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…
Do-Not-Attempt-Resuscitation Orders
BACKGROUND Print Section Listen With medicine’s increasing capabilities, situations arise in which possible interventions will not serve the patient’s or the family’s goals of care. Under such circumstances, the decision…
Human and Animal Bites
BACKGROUND Print Section Listen In the United States, as many as 1% of all pediatric visits to emergency departments during the summer months are for the treatment of human or…
Infant Botulism
BACKGROUND Print Section Listen Infant botulism, the most common form of botulism encountered in the United States, has a unique pathogenesis. Unlike food-borne botulism, which results from the ingestion of…
