Listen to the Podcast

This episode covers ‘Paediatric Critical Care Pearls’ 51 – 60. This is the 6th episode of the multipart series. Click on the links below to view the first 50 Pearls.

Paediatric Critical Care Pearls – Part 1 

Paediatric Critical Care Pearls – Part 2

Paediatric Critical Care Pearls – Part 3

Paediatric Critical Care Pearls – Part 4

Paediatric Critical Care Pearls – Part 5

The Pearls

51. Cross match blood products early in the resuscitation of a child with meningococcal septicaemia

52. Remember with vasoactive drugs in most cases you are trying to return cardiac function and afterload to normal so don’t just keep turning the infusions up

53. Consider using vasopressin as the first line vasopressor in children with pulmonary hypertension or early when other agents that work on alpha receptors haven’t been effective and don’t forget about calcium infusion for shock resistant to all other vasopressors

54. If your septic patient isn’t responding to treatment consider whether you have the correct diagnosis or whether there is a problem with your treatment 

55. Don’t intubate an asthmatic unnecessarily, however don’t delay intubation for the patient in extremis

56. Outside the setting of the difficult airway using a gas induction in a critically ill child with difficult intravenous access is unlikely to be a good plan

57. Don’t forget about the Guedel airway once you leave the resuscitation course

58. Don’t forgot about laryngospasm and have a plan to deal with it 

59. Make sure you remove high flow prongs before starting face mark ventilation

60. Reposition nasogastric tube if abdominal distention during face mask ventilation isn’t improving with aspiration