Pediatric clinics of North America
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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.
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An accurate diagnosis is essential in managing musculoskeletal problems in children. Active treatment is only occasionally necessary and should meet the criteria of being essential, effective, and prudent.
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Hand injuries in children are seen frequently in the office and the emergency room. Basic principles determine which fractures, tendon injuries, dislocations, nerve injuries, fingertip injuries, infections, and amputations can be treated by the primary physician and which should be referred to a specialist.