Journal of Pediatric Critical Care最新文献_第5页

Massive upper gastrointestinal bleed masquerading as portal hypertension due to foreign body ingestion in an infant: A case report 婴儿误食异物导致大量上消化道出血，伪装成门静脉高压症:1例报告

Journal of Pediatric Critical Care Pub Date : 2023-05-01 DOI: 10.4103/jpcc.jpcc_16_23

Shaifalika Thakur, S. Kishore, Rakesh Kumar

引用次数: 0

Updates on pediatric respiratory critical care: Part I 儿科呼吸重症监护的最新进展:第一部分

Journal of Pediatric Critical Care Pub Date : 2023-05-01 DOI: 10.4103/jpcc.jpcc_36_23

F. Shaikh

引用次数: 0

Acute necrotizing encephalopathy of childhood as a complication of dengue infection: A case report 急性坏死性脑病的儿童作为登革热感染的并发症:一个病例报告

Journal of Pediatric Critical Care Pub Date : 2023-05-01 DOI: 10.4103/jpcc.jpcc_10_23

M. Dar, Vidushi Bhat, Surbhi Bhardwaj

引用次数: 0

How to choose between high-flow nasal cannula, continuous positive airway pressure, and bilevel positive airway pressure in children with acute respiratory illness 急性呼吸道疾病患儿高流量鼻插管、持续气道正压、双水平气道正压如何选择

Journal of Pediatric Critical Care Pub Date : 2023-05-01 DOI: 10.4103/jpcc.jpcc_33_23

R. Narayanan, R. Ashwath Ram, M. Sundaram

引用次数: 0

Ventilator-induced lung injury in children 儿童呼吸机所致肺损伤

Journal of Pediatric Critical Care Pub Date : 2023-05-01 DOI: 10.4103/jpcc.jpcc_27_23

S. Angurana, K. Sudeep, Shankar Prasad

{"title":"Ventilator-induced lung injury in children","authors":"S. Angurana, K. Sudeep, Shankar Prasad","doi":"10.4103/jpcc.jpcc_27_23","DOIUrl":"https://doi.org/10.4103/jpcc.jpcc_27_23","url":null,"abstract":"Mechanical ventilation is one of the common lifesaving interventions used in the care of critically ill children admitted to the pediatric intensive care unit. However, it may induce lung inflammation that can cause or aggravates lung injury. Ventilator-induced lung injury (VILI) is defined as acute lung injury inflicted or aggravated by mechanical ventilation. In the presence of preexisting lung disease (pneumonia and acute respiratory distress syndrome), the immune system hyper-reactivity may lead to cascading lung injury due to mechanical ventilation. The possible mechanisms postulated are too high tidal volume (volutrauma), excessive pressure (barotrauma), repetitive opening and closure of alveoli (atelectotrauma), inflammation (biotrauma), oxygen toxicity, adverse heart–lung interactions, deflation-related injuries, effort-related injuries, and genetic variation in expression of inflammatory mediators. Prevention is the most important strategy for VILI by using lung-protective mechanical ventilation strategies to prevent volutrauma, barotrauma, and atelectotrauma. Low tidal volume ventilation, optimal positive end-expiratory pressure and FiO2, limiting plateau pressure, neuromuscular blockers, and prone positioning are some of the important strategies to prevent and treat VILI. VILI has the potential to cause significant morbidity, mortality, and long-term pulmonary sequelae. The clinical relevance of VILI is poorly understood in critically ill children due to lack of pediatric literature, and most of the information are derived from the adult literature. In this review, we will elucidate the epidemiology, etiopathogenesis, clinical evaluation, management, and measures to attenuate or prevent VILI.","PeriodicalId":34184,"journal":{"name":"Journal of Pediatric Critical Care","volume":"10 1","pages":"107 - 114"},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47956992","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Differences and similarities in severe bronchiolitis and status asthmaticus 重度细支气管炎与哮喘状态的异同

Journal of Pediatric Critical Care Pub Date : 2023-05-01 DOI: 10.4103/jpcc.jpcc_24_23

Alicia R. Williams, Archana V Dhar

引用次数: 0

Cytokine storm in HSCT for severe combined immunodeficiency infant with SARS-COV-2: PICU challenges - A case report 重症合并免疫缺陷婴儿合并SARS-COV-2的造血干细胞移植中的细胞因子风暴:PICU挑战-一例报告

Journal of Pediatric Critical Care Pub Date : 2023-03-01 DOI: 10.4103/jpcc.jpcc_90_22

B. Kirthiga, I. Jayakumar, R. Uppuluri, Revathi Raj

{"title":"Cytokine storm in HSCT for severe combined immunodeficiency infant with SARS-COV-2: PICU challenges - A case report","authors":"B. Kirthiga, I. Jayakumar, R. Uppuluri, Revathi Raj","doi":"10.4103/jpcc.jpcc_90_22","DOIUrl":"https://doi.org/10.4103/jpcc.jpcc_90_22","url":null,"abstract":"Hematopoietic stem cell transplant (HSCT) is the only potentially curative option for severe combined immunodeficiency (SCID) as they are extremely vulnerable to infections. Immunocompromised children are at a higher risk of SARS-CoV-2 infection with prolonged virus shedding, but have a milder disease unlike adults. However, mortality risk increases with neutropenia and in the early transplant period. For these reasons, HSCT is generally deferred when a patient is infected with SARS-COV-2. This decision has to be individualized taking into account the risk of disease progression with delay in transplant. We describe a case of a SCID infant, who had multiple, life-threatening infections (methicillin-resistant Staphylococcus aureus liver abscess, Escherichia coli sepsis, and disseminated Bacillus Calmette-Guerinosis) referred for HSCT. He unfortunately developed SARS-COV-2 infection after the conditioning was commenced for haploidentical stem cell transplant. Foreseeing many challenges with COVID, the transplant was undertaken in the pediatric intensive care unit (PICU) setting. Anticipation, recognition, and timely intervention in the PICU of exaggerated posttransplant cytokine release syndrome and pancreatitis enabled a successful outcome. To the best of our knowledge, this is the youngest pediatric HSCT performed to date with active SARS-COV-2 and first in India.","PeriodicalId":34184,"journal":{"name":"Journal of Pediatric Critical Care","volume":"10 1","pages":"76 - 79"},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42575355","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Practical guideline for setting up a comprehensive pediatric care unit for critical care delivery at district hospitals and medical colleges under ECRP-II 根据ECRP-II在地区医院和医学院设立儿科重症监护综合病房的实用指南

Journal of Pediatric Critical Care Pub Date : 2023-03-01 DOI: 10.4103/jpcc.jpcc_12_23

L. Tiwari, M. Jayashree, A. Jindal, D. Khera, Amrita Banerjee, G. Bhatt, Shalu Gupta, N. Jerath, Meenu Singh, P. Singh

{"title":"Practical guideline for setting up a comprehensive pediatric care unit for critical care delivery at district hospitals and medical colleges under ECRP-II","authors":"L. Tiwari, M. Jayashree, A. Jindal, D. Khera, Amrita Banerjee, G. Bhatt, Shalu Gupta, N. Jerath, Meenu Singh, P. Singh","doi":"10.4103/jpcc.jpcc_12_23","DOIUrl":"https://doi.org/10.4103/jpcc.jpcc_12_23","url":null,"abstract":"Pediatric critical care is highly sophisticated and precise and is possible only in specialized areas such as pediatric intensive care units (PICUs) or high dependency units equipped with round-the-clock monitoring facilities, skilled and trained staff, and treatment equipment. The need for critical care beds was sharply felt during the COVID-19 pandemic and the Government of India launched the COVID-19 emergency response and health system preparedness package: phase II (ECRP-II) with a hub and spoke model to strengthen pediatric critical care delivery at district level under the skilled supervision of state-level PICUs of the identified center of excellence (CoE). The CoEs will have well-equipped PICUs providing tele-ICU service, mentoring, and technical hand-holding to the district pediatric unit. This model was envisioned to be extended to critically ill children with nonCOVID illnesses after the pandemic abates. For achieving the proposed objectives under the ECRP-II scheme, this guideline aims to provide a practical framework for setting up comprehensive pediatric care units at district hospitals and medical colleges (spoke) well connected with a CoE (hub) for teleconsultation, knowledge exchange, referral, and back referral between hub and spokes.","PeriodicalId":34184,"journal":{"name":"Journal of Pediatric Critical Care","volume":"10 1","pages":"63 - 71"},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49251723","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Necrotizing pneumonia in pediatric intensive care unit: A case series 儿科重症监护室坏死性肺炎病例系列

Journal of Pediatric Critical Care Pub Date : 2023-03-01 DOI: 10.4103/jpcc.jpcc_92_22

Shreeshail V. Benakanal, G. Manoj, K. Vikas, B. Manjula

引用次数: 0

Fluid prescription: It is time to act 液体处方：是时候采取行动了

Journal of Pediatric Critical Care Pub Date : 2023-03-01 DOI: 10.4103/jpcc.jpcc_1_23

Mullai Baalaaji

引用次数: 0