Pediatric clinics of North America
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Gastric decontamination remains an important element in the therapy of pediatric poisoning; however, several issues remain unresolved. Additional studies, particularly in the clinical setting, are necessary to establish optimal therapeutic recommendations. Based on the data presented in this review, the following general recommendations can be made for gastric decontamination in children: If it is necessary to remove an ingested toxin, ipecac syrup is the preferred method if contraindications to its use are not present. ⋯ Patients with significant symptoms from ingestion requiring hospitalization should receive repeat doses of charcoal and cathartic until symptoms resolve. Activated charcoal should be given in conjunction with other appropriate therapies. Although the data to substantiate this recommendation are limited, particularly in pediatric patients, it is a benign therapy that holds promise of increasing drug elimination.
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A review is presented of those aspects of hemostatic mechanisms that differ between neonates and older children. Practical laboratory tests to evaluate bleeding disorders in the newborn infant are discussed, as are the most frequently encountered primary and secondary conditions that affect hemostasis, both in the otherwise healthy newborn and in the sick low birthweight infant. Pathophysiology and treatment approaches will be briefly reviewed.
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Bronchopulmonary dysplasia has become the most common pulmonary sequelae in neonates receiving mechanical ventilation. The pathogenesis of BPD is multifactorial, but prematurity, positive pressure ventilation, oxygen toxicity and pulmonary edema are some of the most important factors in its development. By minimizing these factors, it is possible to reduce the incidence and severity of BPD.
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This overview delineates the clinical and pathological features of various abdominal mass lesions found in neonates and in older infants and children. The application and limitations of imaging procedures currently available are reviewed with emphasis on the principles and advantages of advanced imaging techniques. Selected pediatric abdominal masses are discussed and their radiologic features illustrated. Integrated imaging strategies for abdominal masses in the newborn and in the older infant and child are proposed.
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Pediatr. Clin. North Am. · Oct 1985
Trauma in infancy and childhood: initial evaluation and management.
Successful management of the critically injured multiple trauma patient frequently depends on the expertise of the first physician contracted. Thus, this article outlines a systematic approach to the assessment and resuscitation of pediatric trauma victims.