TAILIEUCHUNG - Management of Sickle Cell Disease in Children

Guided by the belief that all lives have equal value, the Bill & Melinda Gates Foundation works to help all people lead healthy, productive lives. our Global health Program supports this mission by harnessing advances in science and technology to save lives in poor countries. We focus on problems that have a major impact on people in the developing world but get too little attention and funding. Where proven tools exist, we support sustainable ways to improve their delivery. Where they don’t, we invest in research and development of new interventions, such as vaccines, drugs, and diagnostics. our financial resources,. | CREDIT-VALLEY THE CREDIT VALLEY HOSPITAL CLINICAL PRACTICE GUIDELINE PROFESSIONAL PRACTICE TITLE Management of Sickle Cell Disease in Children DATE OF ISSUE 2004 06 PAGE 1 OF 15 NUMBER CPG 21-1 SUPERCEDES ISSUED BY TITLE Chief of Medical Staff ISSUED BY TITLE President Purpose To provide direction for the management of children with sickle cell disease who present to the emergency department with complications of their condition. These guidelines are directed at management of these complications and are not intended to replace long-term management by a Paediatric Haematologist. Inclusion Criteria Paediatric patient with sickle cell disease presenting to the emergency department with A. Acute Painful Episodes Vaso Occlusive Crisis B. Fever Rule Out Infection C. Acute Chest Syndrome or Pneumonia All physicians may initiate this guideline by completing the preprinted physician order sheet titled Physician s Orders Paediatric Sickle Cell Disease 70009. ị 1. General Recommendations for the Management of Paediatric Sickle Cell Disease Emergency Management Sickle Cell Disease Children presenting at the Emergency Department should be classified at a minimum Level 2 P-CTAS and should be assessed by a physician within 15 minutes of arrival. A paediatric consultation is encouraged following assessment by the Emergency Physician. Patient-specific clinical information should be dictated whenever possible to allow staff timely access to relevant history and treatment data. Consent to participate in sharing information through HiNet is recommended. Hospital Admission Children requiring inpatient care should be admitted to a Regional Children s Health Centre. CREDIT-VALLEY THE CREDIT VALLEY HOSPITAL CPG 21-1 Management of Sickle Cell Disease in Children. Page 2 of 15 Surgery For any child with Sickle Cell Disease all Elective surgical procedures should be performed at a Tertiary Care Centre. Emergency surgery or procedural sedation and analgesia requires anaesthesia consultation.

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