Shock

Jul 24, 2016 by in ORTHOPEDIC Comments Off on Shock

Shock M. Michele Mariscalco PATHOPHYSIOLOGY Shock is a clinical syndrome that has been characterized in cardiovascular terms. Shock states reflect a disruption in and eventual loss of normal metabolic function…

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Continuous Drip Feeding

Jul 24, 2016 by in ORTHOPEDIC Comments Off on Continuous Drip Feeding

Continuous Drip Feeding Fernando Stein Continuous drip feeding is used in those patients who cannot tolerate boluses of food or in those patients in whom the presence of a large…

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Continuous Renal Replacement Therapy

Jul 24, 2016 by in ORTHOPEDIC Comments Off on Continuous Renal Replacement Therapy

Continuous Renal Replacement Therapy Stuart L. Goldstein When acute renal failure occurs in critically ill patients, severe cardiovascular, respiratory, and metabolic instability may contraindicate standard intermittent dialysis techniques. In such…

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Acute Hemodialysis

Jul 24, 2016 by in ORTHOPEDIC Comments Off on Acute Hemodialysis

Acute Hemodialysis Stuart L. Goldstein Hemodialysis is a treatment used to augment or replace renal excretory function. Most water-soluble substances that are not protein- or tissue-bound in the extracellular fluid…

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Acute Peritoneal Dialysis

Jul 24, 2016 by in ORTHOPEDIC Comments Off on Acute Peritoneal Dialysis

Acute Peritoneal Dialysis Eileen D. Brewer Arundhati S. Kale Peritoneal dialysis (PD) therapy has been used for decades to treat acute and chronic renal failure in children because it is…

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Abdominal Paracentesis

Jul 24, 2016 by in ORTHOPEDIC Comments Off on Abdominal Paracentesis

Abdominal Paracentesis Eileen D. Brewer Abdominal paracentesis is a useful procedure to obtain diagnostic information for evaluation of ascites, peritonitis, and intraperitoneal hemorrhage or to initiate therapeutic interventions, such as…

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Tracheostomy

Jul 24, 2016 by in ORTHOPEDIC Comments Off on Tracheostomy

Tracheostomy Fernando Stein Jorge M. Karam Nadeem I. Shafi A tracheostomy is an opening created surgically through the neck and into the trachea (windpipe). A tracheostomy tube usually is placed…

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Extubation

Jul 24, 2016 by in ORTHOPEDIC Comments Off on Extubation

Extubation Fernando Stein Jorge M. Karam When the indications that prompted endotracheal intubation no longer exist, extubation should be executed carefully. Three major concerns in the removal of a tube…

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Intubation

Jul 24, 2016 by in ORTHOPEDIC Comments Off on Intubation

Intubation Fernando Stein Jorge M. Karam Because most instances of cardiac arrest in children are caused by respiratory failure, the ability to intubate the trachea is a skill every pediatrician…

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Intracranial Pressure Measurements

Jul 24, 2016 by in ORTHOPEDIC Comments Off on Intracranial Pressure Measurements

Intracranial Pressure Measurements Fernando Stein An elevation of intracranial pressure (ICP) is a common complication in patients with head injury, neoplasia, cerebral vascular accidents, infections, or metabolic disorders. ICP is…

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