Essentials of Paediatric Intensive Care

251 Pages·2011·1.4 MB·English

by  Stack, C G

Essentials of
Paediatric Intensive Care
Essentials of
Paediatric Intensive Care
C G Stack,FRCA
Director of Intensive Care
Sheffield Children’s Hospital
P Dobbs,FRCA
Consultant Anaesthetist
Royal Hallamshire Hospital,Sheffield
cambridge university press
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© Greenwich Medical Media Limited 2003
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without the written permission of Cambridge University Press.
First published in print format 2004
isbn-13 978-0-511-16583-2 eBook (NetLibrary)
isbn-10 0-511-16583-8
eBook (NetLibrary)
isbn-13 978-1-841-10053-1 paperback
isbn-10 1-841-10053-6 paperback
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CONTENTS
Preface vii
Section 1 Basic Principles of PICU 1
Chapter 1 Differences between the child,the neonate 3
and the adult
Chapter 2 Neonatal problems in the PICU 10
Chapter 3 Resuscitation 14
Chapter 4 The structured approach to the seriously 20
injured child
Chapter 5 Airway and ventilation 24
Chapter 6 Circulation and rhythm disturbances 37
Chapter 7 Sedation and analgesia in PICU 43
Chapter 8 Fluid,electrolytes and nutrition 50
Chapter 9 Transport of the critically ill child 61
Chapter 10 Death on the PICU 65
Section 2 Specific PICU Problems 69
Chapter 11 Respiratory disease 71
Chapter 12 Cardiac disease on the PICU 83
Monica Stokes – Birmingham Children’s Hospital
Chapter 13 Dysrhythmias and myocardial disease 95
Chapter 14 Neurological and neuro-muscular disease 106
Chapter 15 Gastrointestinal and hepatic disorders 122
Chapter 16 Renal disease 129
Chapter 17 Haematology and oncology 134
Chapter 18 Endocrine disorders 138
Chapter 19 Inborn errors of metabolism 143
Chapter 20 Infection and related illness 146
Chapter 21 Trauma 155
Chapter 22 Poisoning 171
Chapter 23 Neonatal and other surgical patients in PICU 176
Section 3 Drugs Used in Paediatric Intensive Care 179
Bibliography 222
Index 223

PREFACE
The aim of this book is to be a practical handbook providing easily
accessible information for medical and nursing staff who are involved
in looking after sick children.It is aimed at those who work for a short
time in paediatric intensive care or look after sick children for short
periods prior to retrieval to a paediatric intensive care unit.It is not
intended to be a complete guide but rather a synopsis of the most
salient points.With this in mind,we hope to have written it in an
easily readable form.
The book is in three sections.The first is about basic principles of
intensive care. The second section deals with specific conditions
through different systems.The final section is a section on drugs which
are commonly used in the critically ill child.We apologise for any
omissions.
We would like to thank Dr Monica Stokes from Birmingham
Children’s Hospital for the chapter on Cardiac Problems on the
PICU.We would also like to thank the editorial staff at GMM for their P
infinite patience and persistence.Finally we would like to thank Judy R
E
Needham for her secretarial assistance. F
A
C
E
C G Stack
P Dobbs
October 2003
vii

Section 1
Basic Principles
of PICU