Pediatric clinics of North America
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Drowning is the second most common cause of accidental death in children. Swimming pools and natural bodies of water close to home present the greatest risk to young children. ⋯ Ice-water submersion accidents are an important subgroup of near-drowning victims, who at times can defy predictions for outcome after profound anoxic-ischemic insults. Drowning accident prevention is an important public health measure.
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Infants and children with chronic respiratory failure are a byproduct of improvements in intensive care medicine. Home mechanical ventilation is an alternative to hospital care for the ventilator-assisted child. With proper preparation, safeguards, and support, these children are being successfully managed at home.
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Pediatr. Clin. North Am. · Feb 1987
ReviewCerebrospinal fluid shunts. Evaluation, complications, and crisis management.
This article describes commonly used shunt systems and the simple methods that can be used to identify them. Evaluation of shunt system function, definition of site of shunt dysfunction, and immediate intracranial decompression therapy are discussed. Other complications of CSF shunt therapy and their treatments are also presented.
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Although septic shock may be initiated by invading microbes, it is the metabolic and immunologic host responses that determine the true pathophysiology of this common critical care illness. Currently, septic shock therapeutics emphasize empiric and symptomatic treatment. Biochemical elucidation of the septic process will ultimately result in specific interventions for this ominous intensive care syndrome.