Cardiac failure and ventricular assist devices

May 20, 2021 by in RHEUMATOLOGY Comments Off on Cardiac failure and ventricular assist devices

Pearls • Advances in medical management, surgical techniques, and mechanical circulatory support (MCS) for pediatric patients with congestive heart failure continue to improve patient outcomes. • Indications for the use…

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Endothelium and endotheliopathy

May 20, 2021 by in RHEUMATOLOGY Comments Off on Endothelium and endotheliopathy

• Because of their location, endothelial cells have the ability to interact with blood components, such as flow, soluble factors, and other cells. Endothelial cells integrate these signals into a…

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Assessment of cardiovascular function

May 20, 2021 by in RHEUMATOLOGY Comments Off on Assessment of cardiovascular function

Pearls • Cardiovascular assessment and monitoring in the pediatric intensive care unit require careful integration of physical findings, laboratory studies, and electronic data to make appropriate therapeutic decisions. • Noninvasive…

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Principles of invasive cardiovascular monitoring

May 20, 2021 by in RHEUMATOLOGY Comments Off on Principles of invasive cardiovascular monitoring

Pearls • Hemodynamic monitoring refers to measurement of the functional characteristics of the heart and circulatory system that affect the perfusion of tissues with oxygenated blood. • Hemodynamic monitoring can…

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Regional peripheral circulation

May 20, 2021 by in RHEUMATOLOGY Comments Off on Regional peripheral circulation

Pearls • When delivering critical care, one must understand the specific properties that characterize the various regional circulations because therapies that benefit one region may be detrimental to another. •…

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Structure and function of the heart

May 20, 2021 by in RHEUMATOLOGY Comments Off on Structure and function of the heart

Pearls • The basic form of the human heart and great vessels is complete 8 weeks after conception, after which the structures grow and mature. • Immediately after birth, there…

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Burnout and resiliency

May 20, 2021 by in RHEUMATOLOGY Comments Off on Burnout and resiliency

Pearls • Both individual and organizational measures can be used to mitigate burnout and build resilience. • Organizational strategies to promote a healthy work environment include team debriefings after critical…

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Long-term outcomes following critical illness in children

May 20, 2021 by in RHEUMATOLOGY Comments Off on Long-term outcomes following critical illness in children

Pearls • Development of specialized pediatric intensive care has contributed to substantially reduced mortality for critically ill children. • Research has identified physical, cognitive, health-related quality of life, and mental…

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Innate Immunity

May 20, 2021 by in RHEUMATOLOGY Comments Off on Innate Immunity

Key Points Innate immunity depends on recognition of conserved molecular patterns found in many microorganisms. Several families of pattern recognition receptors are responsible for triggering innate immune responses. Toll-like receptors…

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