TAILIEUCHUNG - Ebook Pediatric critical care medicine (Volume 1: Care of the critically ill or injured child - 2nd edition): Part 2

(BQ) Part 2 book "Pediatric critical care medicine (Volume 2: Care of the critically ill or injured child)" includes: Resuscitation, stabilization and transport of the critically ill or injured child; monitoring the critically ill or injured child; special situations in pediatric critical care medicine. | Part III Resuscitation Stabilization and Transport of the Critically Ill or Injured Child Vinay Nadkarni Post-resuscitation Care 25 Monica E. Kleinman and Meredith G. van der Velden Abstract Pediatric cardiac arrest is an infrequent but potentially devastating event. While return of spontaneous circulation ROSC is the immediate objective the ultimate goal is survival with meaningful neurologic outcome. Once a perfusing rhythm is established the pediatric cardiac arrest victim requires expert critical care to optimize organ function prevent secondary injury and maximize the child s potential for recovery. Common post-resuscitation conditions include acute lung injury myocardial dysfunction hepatic and renal insufficiency and hypoxic-ischemic encephalopathy. This constellation is described by the term post-cardiac arrest syndrome and resembles the systemic inflammatory response seen in sepsis or major trauma. Children may have single organ failure or multi-organ dysfunction and the need for critical care therapies may delay accurate evaluation of neurologic status and limit prognostic ability. Pediatric post-resuscitation therapies are not typically evidencebased given the paucity of randomized trials and heterogeneous nature of the patient population. Goals of care include normalizing physiologic and metabolic status preventing secondary organ injury and diagnosing and treating the underlying cause of the arrest. Therapeutic hypothermia has been shown to mitigate the severity of brain injury for adults following sudden arrhythmia induced cardiac arrest and neonates following resuscitation from hypoxic-ischemic encephalopathy at birth but the role of targeted temperature control in pediatric post-arrest care is an area of active investigation. There is no single diagnostic test or set of criteria to accurately predict neurologic outcome providing a challenging situation for critical care specialists and families alike. Keywords Resuscitation Cardiac arrest Critical .

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• Pediatric critical care medicine
• Care of the critically ill or injured child
• Toxic ingestions
• Heat illness and hypothermia
• Pediatric drowning
• Pandemic influenza
• The practice of pediatric critical care medicine
• The science of pediatric critical care medicine
• Palliative care in the PICU
• Controversies and considerations
• Peri operative care
• Anesthesia in the critically ill child
• Pharmacology of inhalational
• Intravenous anesthetic agents
• Sedation and analgesia
• Pediatric lung transplantation
• The gastrointestinal system
• The endocrine system
• The renal system
• Critical illness
• Critical illness and injury
• The hematologic system
• Oncologic disorders
• The immune system
• Cardiac surgery
• The solid organ transplant patient
• General Post operative management
• BMC Pediatrics
• Fellow education
• Transport medicine
• Neonatal Perinatal medicine
• Pediatric emergency medicine
• Cardiac physiology
• Shock and shock syndromes
• Shock syndromes
• Defense mechanisms of the pulmonary tree
• Physiology and pathophysiology
• Endocrine disorders
• Disorders of host defense
• Hematologic and oncologic disorders
• Cardiac diseases
• Respiratory disorders
• Neurologic disorders
• Central nervous systems
• Applied respiratory physiology
• The upper respiratory tract
• Mechanical ventilation
• Status asthmaticus
• The cardiovascular system
• The central nervous system
• Movement disorders in the ICU
• Status epilepticus
• Toxic metabolic encephalopathy
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