Vascular Access
INTRODUCTION Print Section Listen Although it is always best to utilize the least invasive access, central venous access is often required in the PICU. This chapter addresses central venous access…
PEDIATRICS
Endotracheal Intubation
INDICATIONS Print Section Listen Respiratory Apnea Hypoventilation Severe respiratory distress/respiratory muscle weakness Acute respiratory failure (PaO2 <50 mmHg in patient with FiO2 >0.5 and PaCO2 >55 mmHg acutely) Need to…
Cardiac Arrest
BACKGROUND Print Section Listen Cardiac arrest is defined by a triad of derangements: Pulselessness Apnea Unresponsiveness This state leads to progressive tissue ischemia and organ dysfunction, which, if not rapidly…
Anti-infective Agents
MICROBIOLOGY Print Section Listen GRAM STAIN EVALUATION Rapid preliminary identification by staining, microscopic evaluation (Table 16-1). Antibiotic therapy may be initiated or broadened based on Gram stain interpretation. Therapy should…
Sedation, Analgesia, Neuromuscular Blockade and Withdrawal
INTRODUCTION Print Section Listen Nonpharmacologic strategies should be used prior to any pharmacologic intervention to reduce pain and anxiety. Sample strategies include, but are not limited, to the following: Positioning…
Cardiovascular Drugs
INTRODUCTION Print Section Listen | Download (.pdf) | Print Antiarrhythmic Medications Class Dose Mechanism Procainamide Ia IV: Loading dose: 10–15 mg/kg over 30–60 min; in adults, maximum dose range: 1000–1500…
Pediatric Trauma
EPIDEMIOLOGY Print Section Listen Approximately 17,000 children and adolescents die from injuries, intentional and unintentional, each year.1 Injury is the leading cause of death and disability in children. EVALUATION AND…
Postoperative Monitoring
LINES, DRAINS, AND TUBES Print Section Listen NASOGASTRIC AND OROGASTRIC TUBES Indications: Management of bowel obstruction Symptom relief in patients with nausea and/or emesis (e.g., acute pancreatitis). Types of tubes:…
