Journal of paediatrics and child health
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J Paediatr Child Health · Jun 2000
Case ReportsBromocriptine for the management of autonomic dysfunction after severe traumatic brain injury.
This case report describes a child with severe traumatic brain injury with clinical features of autonomic dysfunction in the immediate post-traumatic period. A history of severe asthma in this child contraindicated the use of beta-blockers, the first line approach, and she was managed with bromocriptine (0.05 mg/kg t.d.s) with good effect.
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J Paediatr Child Health · Jun 2000
A 7-year review of deaths on the general paediatric wards at John Hunter Children's Hospital, 1991-97.
To study the palliative management of children dying on the wards of a tertiary referral centre. In particular to identify areas of difficulty and discuss ways in which these can be improved. ⋯ The majority of terminally ill children were managed well with intravenous narcotics and adjuvant medications. There may be scope for such children to be managed successfully at home with appropriate support for the general practitioner by paediatric and palliative care specialists. Some cases in which palliation is difficult do remain in hospital and additional measures need to be employed to ensure a symptom free death for these children.