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…
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…
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….
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…
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…
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…
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,…
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…
Phlebotomy
BACKGROUND Print Section Listen Phlebotomy is the removal of blood through the puncture of a vein. The history of phlebotomy has its roots in bloodletting to cure multiple ailments. Today,…
Emergent Airway Management
BACKGROUND Print Section Listen There is no more important skill for a pediatric hospitalist than the ability to adequately manage an airway. Whether that is the placement of an emergent…
