Pediatric Critical Care

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Breath of life in all aspects

Timely diagnosis is critical to start therapy before damage by hypercytokinemia becomes irreversible. It is critical that the risks of treatment or non-treatment be weighed according to the clinical presentation of each patient. Hemophagocytic lymphohistiocytosis, macrophage activation syndrome, sepsis, multiple organ dysfunction syndrome, hyperferritinemia, hypercytokinemia. Joshua Hall, Mark W. Primary goals of sepsis therapy include early, appropriate antimicrobial therapy and prompt recognition and reversal of shock.

Despite these measures, however, sepsis remains an important source of pediatric morbidity and mortality. Here we review rationale and existing evidence in support of adjunctive sepsis therapies including extracorporeal support, immunomodulation, and mitochondria-targeted therapies. While each of these therapeutic modalities shows promise, additional studies are urgently needed to identify the right patients, the right timing, and the right context for these interventions.

Sepsis, extra corporeal membrane oxygenation, renal dialysis, immunomodulation, mitochondria. Chiotos, Kathleen Fisher, Brian T. Invasive candidiasis IC are the most common invasive fungal infections in pediatric intensive care unit patients due to commonly present risk factors including central venous catheters, antibiotic exposure, recent surgery, total parenteral nutrition, and prior colonization with Candida species.

As a result, investigators have attempted to identify cohorts of pediatric intensive care unit patients at highest risk of development of IC who may benefit from prophylactic, early empiric, or pre-emptive therapy. This review article will consider these prediction models and therapeutic approaches. Additionally, the … management of confirmed IC, including anti-fungal therapeutic options, evaluation for disseminated disease, and management of central venous catheters, will be reviewed.

Candida, candidiasis, anti-fungal agent, pediatrics, pediatric intensive care unit. Healthcare-associated infections cause significant morbidity and mortality in pediatric intensive care unit PICU patients. Critically ill children frequently require the placement of invasive devices, such as central venous catheters, urinary catheters, and endotracheal tubes. Each device increases a patient's risk of acquiring infection.

In this review, the diagnosis and management of common healthcare-associated infections in the PICU is discussed.

Pediatric Intensive Care | List of High Impact Articles | PPts | Journals | Videos

This review also examines several infection prevention strategies used in the PICU. Healthcare-associated infection, central line-associated bloodstream infection, ventilator-associated pneumonia, catheter-associated urinary tract infection, hospital-onset respiratory virus infection. While many parasites cause long-term low-level disease, some parasitic diseases can have severe manifestations necessitating intensive care unit admission.

In this review, we focus on severe malaria including cerebral malaria , neurocysticercosis, Strongyloides hyperinfection syndrome, American trypanosomiasis Chagas disease , baylisascariasis and amoebic meningoencephalitis.

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American trypanosomiasis, amoebic meningoencephalitis, baylisascariasis, Chagas disease, hyperinfection syndrome, neurocysticercosis, pediatric parasitic disease, parasitic disease, severe malaria, strongyloidiasis. Vella, Laura Fisher, Brian T. The diagnosis and management of infectious diseases in the immunocompromised patient can be challenging, especially when that patient is critically ill. In the diagnostic approach to the immunocompromised patient, clinicians will need to integrate the risks particular to the immunodeficiency with the risks associated with hospital-associated exposures.

Journal of Pediatric Intensive Care - Volume 3, issue 4

The potential infectious diagnoses are expanded in the immunocompromised patients, most notably to include diseases due to opportunistic infections, such as fungi, latent viruses, and opportunistic Gram-positive and Gram-negative bacteria. In addition, prior hospital and antibiotic exposure increases the likelihood that these patients will have infections due to resistant organisms. When an infection … is diagnosed, the approach to treatment in the immunocompromised patient is also dependent on the degree and type of immunodeficiency, and optimal treatment strategies are often not well studied.

This review focuses on general principles that can be used in the diagnosis and management of immunocompromised, critically ill patients with suspected or proven infection and highlights in detail the approach to infections of the blood stream and respiratory tract. Immunocompromised, infections, pediatric intensive care unit.

For editorial issues, like the status of your submitted paper or proposals, write to editorial iospress. For editorial issues, permissions, book requests, submissions and proceedings, contact the Amsterdam office info iospress. You are viewing a javascript disabled version of the site. Please enable Javascript for this site to function properly. Select this link to jump to content Menu. Purchase individual online access for 1 year to this journal. The Journal of Pediatric Intensive Care is an English multidisciplinary peer-reviewed international journal publishing articles in the field of pediatric intensive care.

Journal of Pediatric Intensive Care is written for the entire intensive care team: The Journal of Pediatric Intensive Care provides an in-depth update on new subjects, and current comprehensive coverage of the latest techniques in intensive care in childhood. Journal of Pediatric Intensive Care encourages submissions from all authors throughout the world. The following articles will be considered for publication: The aim of the journal is to share and disseminate knowledge between all disciplines that work in the field of pediatric intensive care.

Recommend this journal Editorial board Submissions. Mark all Add marked to cart Export marked citations. Select this result for bulk action Management of infections in pediatric critical care. Select this result for bulk action Management of severe viral infections in the pediatric intensive care unit.

Behind the Scenes in the Texas Children's Hospital Pediatric Intensive Care Unit (PICU)

Our education program includes a vibrant, ACGME-accredited PCCM fellowship program, as well as the training of pediatric, emergency medicine, surgery, anesthesiology, and other residents, surgical fellows and critical care nurse practitioners. Trainees in these programs are exposed to traditional bedside and didactic teaching, procedural skills using ultrasound- or video-guidance, hi-fidelity simulation programs, and web-based learning modules.

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  1. High Impact List of Articles.
  2. North America!
  3. Journal of Pediatric Intensive Care - Volume 3, issue 4 - Journals - IOS Press;
  4. Magellan: Der Mann und seine Tat (Fischer Klassik Plus 35) (German Edition).
  5. Neuropsychological Sequelae of Subarachnoid Hemorrhage and its Treatment!

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