RHEUMATOLOGY

Multiple-organ dysfunction syndrome

May 20, 2021 by in RHEUMATOLOGY Comments Off on Multiple-organ dysfunction syndrome

• Pediatric multiple-organ dysfunction syndrome (MODS) represents the leading final pathway to death in children who suffer critical illness triggered by acute insults such as sepsis (leading cause of MODS),…

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Hepatic transplantation

May 20, 2021 by in RHEUMATOLOGY Comments Off on Hepatic transplantation

Pearls • Liver transplantation (LT) has become the standard of care for children with end-stage or metabolic liver disease, acute liver failure, and unresectable liver tumors, with most common indication…

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Drowning

May 20, 2021 by in RHEUMATOLOGY Comments Off on Drowning

• For drowning victims in cardiac arrest, it is important that cardiopulmonary resuscitation be performed in the traditional airway-breathing-circulation rather than circulation-airway-breathing sequence. • Drowning is a process causing respiratory…

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Gastrointestinal structure and function

May 20, 2021 by in RHEUMATOLOGY Comments Off on Gastrointestinal structure and function

Pearls • The alimentary tract is responsible for mechanical and enzymatic degradation of nutrients, absorption of biochemical substrates, hormone regulation of substrate flow, separation of the external from internal environments,…

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Bacterial and fungal infections

May 20, 2021 by in RHEUMATOLOGY Comments Off on Bacterial and fungal infections

• Emergence of resistant organisms is increasing in critically ill patients, requiring clinicians to use alternative drug and dosing strategies and to become familiar with institutional-specific resistance profiles. • Infectious…

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Hyperthermic injury

May 20, 2021 by in RHEUMATOLOGY Comments Off on Hyperthermic injury

• According to the Centers for Disease Control and Prevention, from 1999 to 2010, 7415 deaths were attributable to excessive heat exposure or hyperthermia in the United States. • With…

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Transfusion medicine

May 20, 2021 by in RHEUMATOLOGY Comments Off on Transfusion medicine

• The decision to prescribe the transfusion of any blood product must be based on individualized indications and must take into account specific health problems. • Acute severe anemia (hemoglobin…

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Healthcare-associated infections

May 20, 2021 by in RHEUMATOLOGY Comments Off on Healthcare-associated infections

• Hand hygiene is foundational to infection control in the pediatric intensive care unit (PICU), including the prevention of healthcare-associated infections (HAIs); units should be relentless in pursuing compliance with…

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