Seminars in Pediatric Neurology最新文献_第6页

Ophthalmologic findings in abusive head trauma 虐待性头部创伤的眼科检查结果

IF 2.4 4区医学

Seminars in Pediatric Neurology Pub Date : 2024-07-01 DOI: 10.1016/j.spen.2024.101141

Disha Jain , Lien Le , Natalie Kissoon

引用次数: 0

Trauma-informed care 创伤知情护理

IF 2.4 4区医学

Seminars in Pediatric Neurology Pub Date : 2024-07-01 DOI: 10.1016/j.spen.2024.101139

Heather N. Williams , Brenna Farley

引用次数: 0

Child maltreatment in children with medical complexity and disability 医疗复杂和残疾儿童中的虐待儿童问题

IF 2.4 4区医学

Seminars in Pediatric Neurology Pub Date : 2024-07-01 DOI: 10.1016/j.spen.2024.101134

Clair Park, Samantha Alley, Whitney Reinke, Shravya Yarlagadda, Jennifer Hansen

引用次数: 0

Neurorehabilitation across the Continuum: From the Neurocritical care unit to home 神经康复的连续性：从神经重症监护病房到家庭

IF 2.7 4区医学

Seminars in Pediatric Neurology Pub Date : 2024-04-01 DOI: 10.1016/j.spen.2024.101121

Alexander Ankar , Emily Hermes , Catherine Wheless , Gabrielle Nguyen , Taryn Townsend , Sarah Risen

{"title":"Neurorehabilitation across the Continuum: From the Neurocritical care unit to home","authors":"Alexander Ankar , Emily Hermes , Catherine Wheless , Gabrielle Nguyen , Taryn Townsend , Sarah Risen","doi":"10.1016/j.spen.2024.101121","DOIUrl":"10.1016/j.spen.2024.101121","url":null,"abstract":"<div><p>Children admitted to neurocritical care units often experience new neurodevelopmental disabilities due to both their acquired neurologic injuries and deconditioning from prolonged hospitalizations. Rehabilitation for critically ill children is multifactorial and begins in the intensive care unit itself. The goals of rehabilitation include prevention of complications associated with immobilization and evolving tone, comprehensive evaluation and treatment of functional deficits, and implementation of adaptive strategies with the goal of maximizing recovery. As a child progresses along the medical continuum from the neurocritical care unit to acute care to post-hospitalization settings, their rehabilitative needs and interventions should also evolve.</p><p>A child in the neurocritical care unit is likely to have sustained an acquired brain injury. Whether resulting from traumatic or non-traumatic causes, all etiologies of pediatric acquired brain injury can result in significant challenges for the child and their family. Post-intensive care syndrome-pediatrics is a clinical construct that that systematically organizes the range of physical, cognitive, psychological, and social symptoms that emerge in both a child and their family members following a critical illness. Ideally, outpatient care for this population evaluates and supports all areas of post-intensive care syndrome-pediatrics through an interdisciplinary clinical care model. Proactive and comprehensive rehabilitation across the continuum provides the opportunity to support the child and their family in all areas affected, thereby minimizing distress, maximizing function, and optimizing outcomes.</p></div>","PeriodicalId":49284,"journal":{"name":"Seminars in Pediatric Neurology","volume":"49 ","pages":"Article 101121"},"PeriodicalIF":2.7,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140283426","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Neuromuscular problems of the critically Ill neonate and child 重症新生儿和儿童的神经肌肉问题

IF 2.7 4区医学

Seminars in Pediatric Neurology Pub Date : 2024-04-01 DOI: 10.1016/j.spen.2024.101123

Leslie H. Hayes, Basil T. Darras

引用次数: 0

Neurocritical care and neuromonitoring considerations in acute pediatric spinal cord injury 急性小儿脊髓损伤的神经重症监护和神经监测注意事项

IF 2.7 4区医学

Seminars in Pediatric Neurology Pub Date : 2024-04-01 DOI: 10.1016/j.spen.2024.101122

Ajay X. Thomas , Jennifer C. Erklauer

{"title":"Neurocritical care and neuromonitoring considerations in acute pediatric spinal cord injury","authors":"Ajay X. Thomas , Jennifer C. Erklauer","doi":"10.1016/j.spen.2024.101122","DOIUrl":"10.1016/j.spen.2024.101122","url":null,"abstract":"<div><p>Management of pediatric spinal cord injury (SCI) is an essential skill for all pediatric neurocritical care physicians. In this review, we focus on the evaluation and management of pediatric SCI, highlight a novel framework for the monitoring of such patients in the intensive care unit (ICU), and introduce advancements in critical care techniques in monitoring and management. The initial evaluation and characterization of SCI is crucial for improving outcomes as well as prognostication. While physical examination and imaging are the main stays of the work-up, we propose the use of somatosensory evoked potentials (SSEPs) and transcranial magnetic stimulation (TMS) for challenging clinical scenarios. SSEPs allow for functional evaluation of the dorsal columns consisting of tracts associated with hand function, ambulation, and bladder function. Meanwhile, TMS has the potential for informing prognostication as well as response to rehabilitation. Spine stabilization, and in some cases surgical decompression, along with respiratory and hemodynamic management are essential. Emerging research suggests that targeted spinal cerebral perfusion pressure may provide potential benefits. This review aims to increase the pediatric neurocritical care physician's comfort with SCI while providing a novel algorithm for monitoring spinal cord function in the ICU.</p></div>","PeriodicalId":49284,"journal":{"name":"Seminars in Pediatric Neurology","volume":"49 ","pages":"Article 101122"},"PeriodicalIF":2.7,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1071909124000081/pdfft?md5=19803b6d1fcccd824a12651fc0e9dbf9&pid=1-s2.0-S1071909124000081-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140199254","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Introduction to Pediatric Neurocritical Care, 2024 儿科神经重症监护入门，2024 年

IF 2.7 4区医学

Seminars in Pediatric Neurology Pub Date : 2024-04-01 DOI: 10.1016/j.spen.2024.101130

James J. Riviello Jr. , Yi-Chen Lai , Jennifer C. Erklauer

引用次数: 0

Supporting parents while their child is receiving neurocritical care 在孩子接受神经重症护理期间为家长提供支持

IF 2.7 4区医学

Seminars in Pediatric Neurology Pub Date : 2024-04-01 DOI: 10.1016/j.spen.2024.101116

Raquel Farias-Moeller , Nora Wong

引用次数: 0

Building a pediatric neurocritical care program: The role of the clinical pharmacist practitioner on clinical practice and education. A curriculum for neuropharmacology training 建立儿科神经重症监护计划：临床药剂师在临床实践和教育中的作用。神经药理学培训课程

IF 2.7 4区医学

Seminars in Pediatric Neurology Pub Date : 2024-04-01 DOI: 10.1016/j.spen.2024.101119

Jon A. Cokley , Steven M. Lazar

{"title":"Building a pediatric neurocritical care program: The role of the clinical pharmacist practitioner on clinical practice and education. A curriculum for neuropharmacology training","authors":"Jon A. Cokley , Steven M. Lazar","doi":"10.1016/j.spen.2024.101119","DOIUrl":"10.1016/j.spen.2024.101119","url":null,"abstract":"<div><p>Clinical pharmacists are a part of the integrated health care team and provide valuable input on medication management for patients with acute and chronic disease states. Using epilepsy as a model, pharmacist involvement in patient care has been associated with significant reductions in monthly seizure frequency. Given differences in etiology, pediatric patients with epilepsy are likely to have higher number of treatments, with additional pharmacodynamic and pharmacokinetic differences, adding to the importance of utilizing a pediatric clinical pharmacist practitioner with neuropharmacology expertise. There is an increasing exposure to critically ill patients with epilepsy and other neurological disorders in the pediatric intensive care unit (PICU). These patients are more medically complex, increasing the risk for medication errors and increased health care costs.</p><p>Emphasis on neurocritical care education is a vital component to improving patient outcomes. Inclusion of a clinical pharmacist practitioner in these settings yields a positive impact on major health outcomes. In 2018, the Neurocritical Care Society developed consensus recommendations on the standards for the development of adult neurocritical care units. A pharmacist-delivered pediatric critical care neuropharmacology rotation represents a novel approach to expanding physician education to improve patient outcomes.</p><p>While there are sparse publications highlighting the importance of adult critical care and NCC pharmacists, no such literature exists describing the benefits of pediatric neurocritical care (PNCC) pharmacists. To the best of our knowledge, this is the first manuscript describing the role of clinical pharmacist practitioners in the development of PNCC program and the benefits they provide to patient care and education.</p></div>","PeriodicalId":49284,"journal":{"name":"Seminars in Pediatric Neurology","volume":"49 ","pages":"Article 101119"},"PeriodicalIF":2.7,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139813870","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Pediatric neuroinflammatory diseases in the intensive care unit 重症监护室中的儿科神经炎疾病

IF 2.7 4区医学

Seminars in Pediatric Neurology Pub Date : 2024-04-01 DOI: 10.1016/j.spen.2024.101118

Kristen S. Fisher , Anna Illner , Varun Kannan

引用次数: 0