A website focusing on the management of the critically ill child
This step-by-step guide to the procedure of central venous line insertion in children is primarily aimed at those new to the procedure, however clinicians familiar with the procedure in adults will still find some key pearls on how to modify their standard technique to achieve a high success rate in small infants.
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Grab yourself a Christmas present from Paediatric Emergencies. I’m giving away 10 copies of the Paediatric Emergencies app on both iOS and Android.
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A look of some of the currently available video laryngoscopes suitable for use in children.
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This episode covers ‘Paediatric Critical Care Pearls’ 31 – 40. This is the fourth episode of the multipart series.
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What you need to know about how to modify the standard intubation technique as well as key learning points to remember when intubating children in special circumstances.
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Step by step guide to using Compressed Spectral Array (CSA) in Intensive Care.
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A step by step approach of how to succeed with direct laryngoscopy in children.
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What you need to know about the medications used for intubation of the critically ill child (induction agents, muscle relaxants, rescue medications and post intubation drugs).
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This episode provides an introduction to mechanical ventilation of the critically ill child and covers the basics of setting up the ventilator.
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This episode covers ‘Paediatric Critical Care Pearls’ 21 – 30. This is the third episode of the multipart series.
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In this section I compare a number of leading video laryngoscopes for oral and nasal intubation in adults and children.
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This episode covers the steps required when preparing to intubate a critically ill child and introduces the Paediatric Emergencies Pre-intubation Checklist.
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This episode covers ‘Paediatric Critical Care Pearls’ 11 – 20. This is the second episode of the multipart series.
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Paediatric Critical Care Pearls are key points that should be remembered when treating the critical ill child, each summarised into a sentence.
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The Paediatric Emergencies App has just received a major update with new algorithms and drug doses updated. To celebrate it’s release I’m giving away 10 copies of the app on both iOS and Android.
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This article provides advice on how to use ‘Push Dose Adrenaline’ and ‘Peripheral Adrenaline Infusions’ in critically ill children.
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In this episode the quantitative approach to acid-base interpretation is explained with examples of how to perform the calculations at the bedside.
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I have recently started an educational project of producing clinical videos demonstrating a range of paediatric practical procedures. It is hoped these videos will help others learning to do these procedures.
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Like any sick child the initial management of the ‘Collapsed Neonate’ involves an ABCDE approach. While there are many possible causes, four major diagnoses must be considered…
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Over the last few years cuffed endotracheal tubes are being used more frequently in critically ill children. This episode looks at the possible reasons for this and reviews the evidence of whether this practise is safe…
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Bronchiolitis is a viral infection of the lower airways, most often in infants but can affect children up to two years of age. It is commonly caused by respiratory syncytial virus (RSV), although it can be caused by numerous other viruses and it has a peak incidence in the autumn/winter…
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Airway opening manoeuvres (avoid head-tilt and chin-lift in trauma, use jaw thrust) as required with high flow oxygen (10-15 litre/minute via face-mask with reservoir bag) and suction airway as needed. Immobilise cervical spine in trauma patient…
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Urgent semi-elective intubation and ventilation should be undertaken if there is ongoing signs of shock unresponsive to 40 ml/kg of fluid resuscitation or if there is airway obstruction/loss of protective airway reflexes at any stage (cardiovascular resuscitation should occur before induction of anaesthesia)…
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Airway opening manoeuvres with high flow oxygen (10-15 litre/minute via face-mask with reservoir bag) and suction secretions as needed. Consider nasopharyngeal airway if difficultly maintaining airway (insertion of oropharyngeal airway normally not possible due to clenched teeth)…
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Intubate if there are life threatening features that are refractory to standard treatment i.e. silent chest, oxygen saturations <92%, cyanosis, poor respiratory effort, hypotension, altered consciousness or exhaustion...
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Dr Christopher Flannigan
Consultant Paediatric Intensivist - Royal Belfast Hospital for Sick Children
I’m a Paediatric Intensivist from Northern Ireland and my goal is to improve the care delivered to critically ill and injured children. I have a particular interest in the initial resuscitation and stabilisation and in the use of information technology in the clinical environment. I have designed a number of medical applications which have been shown to improve emergency prescribing.
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