Articles: critical-care.
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Pediatric pulmonology · Aug 1994
Comparative StudyImproved outcome for young children with AIDS, Pneumocystis carinii pneumonia, and acute respiratory failure.
To describe the clinical course of children with acquired immunodeficiency syndrome, requiring mechanical ventilation secondary to Pneumocystis carinii pneumonia, with respect to intensive care unit outcome, long-term survival after intensive care unit discharge, and possible predictors of outcome. ⋯ Young children with acquired immunodeficiency syndrome who develop acute respiratory failure secondary to P. carinii pneumonia and who require mechanical ventilation may have a better acute outcome and long-term survival than previously reported.
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Traumatic injuries are the primary cause of death in children. Nursing care that the critically injured child receives during the acute phases of resuscitation and stabilization and critical care have direct impact on potential for good long-term outcome. The nurse works in concert with other members of the trauma team to provide comprehensive assessment and interventions during both the primary and secondary surveys. Knowledge of mechanisms of injury in the pediatric population, patterns of injury unique to children, physiologic differences between adults and children and their impact on care, and developmental needs of children and families guide the trauma nurse in providing expert clinical care and caring psychosocial support to traumatized patients and families.