By Peter J. Murphy, Stephen C. Marriage, Peter J. Davis
Case experiences in Pediatric severe Care provides a spectrum of genuine and fascinating case reviews in terms of significantly in poor health teenagers. every one case learn comprises info of the providing background and symptomatology, result of investigations and the following severe care administration of the sufferer. circumstances were selected to demonstrate the more and more different variety of difficulties which may be encountered by means of pediatric serious care physicians during the international. along every one case is a entire dialogue of many of the remedy innovations to be had, and a quick record of necessary studying issues summarize the major take-home messages of every case. Concise, sensible and proper, and written by means of professional pediatric intensivists, Case experiences in Pediatric severe Care is a useful source for somebody all in favour of the care of significantly sick young ones.
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Such volumes can only be given safely with invasive monitoring of central venous and arterial pressure, continuous measurement of urine output and continuous clinical and laboratory assessment. This is best undertaken by a PICU team familiar with the interpretation of hemodynamic monitoring. The treatment of shock includes replacement of circulating volume. 9% saline may be used as a bolus of 10–20 ml kg−1, given over 5–10 minutes; in septic shock, colloid solutions may be more effective than crystalloid solutions as they may remain intravascular longer, and be more effective at restoring circulating volume.
Arch Dis Child 2001; 85: 386–90. 3. Thorburn K, Baines P, Thomson A, Hart CA. Mortality in severe meningococcal disease. Arch Dis Child 2001; 85: 382–5. 4. Nadel S, Levin M, Habibi P. Treatment of meningococcal disease in child hood. In Cartwright K, ed. Meningococcal Disease. Chichester, Wiley, 1995; 207–43. 5. Pathan N, Faust S, Levin M. Pathophysiology of meningococcal meningitis and septicaemia. Arch Dis Child 2003; 88: 601–7. 6. Steven N, Wood M. The clinical spectrum of meningococcal disease.
11. Carcillo JA, Fields AI, Task Force Committee Members. Clinical practice parameters for hemodynamic support of pediatric and neonatal patients in septic shock. Crit Care Med 2002; 30: 1365–78. 12. Finfer S, Bellomo R, Boyce N et al. A comparison of albumin and saline for fluid resuscitation in the intensive care unit. N Engl J Med 2004; 350(22): 2247–56. 13. Pathan N, Hemingway CA, Alizadeh AA et al. Role of interleukin 6 in myocardial 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. dysfunction of meningococcal septic shock.