“Critical Care without Walls”- Impact of a “Pediatric Emergency Team” on Picu Admissions from the Wards and Overall Mortality
Journal Title: Journal Of Pediatric Critical Care - Year 2015, Vol 2, Issue 2
Abstract
A high index of suspicion is needed in pediatric patients with neurological symptoms being the sole presenting manifestation, to diagnose infection with the Human Immunodeficiency Virus (HIV). This is a write up of two such cases who were admitted to the pediatric intensive care unit with neurological manifestations. A 6 year old previously healthy child, who initially presented with intermittent drowsiness and fluctuation in blood pressure, later during hospital stay, developed progressive motor, cognitive, visual and language difficulties. Investigations revealed the child to be HIV positive and magnetic resonance imaging (MRI) findings were consistent with progressive multifocal leucoencephalopathy. A 12 yr old child had stroke initially (for which extensive work up had been done) and later, after 8 months presented with the same complaints along with severe pneumonia. He succumbed to severe opportunistic infections. That he was HIV positive, had not been detected during the first admission as left sided weakness was the only presenting manifestation.
Authors and Affiliations
Nitika Agrawal, Gnanam Ram, Shiv Kumar
Liver Transplantation in Children: Indian Scenario
.
Core to toe temperature gradient during early post cardiac surgery period does not correlate with cardiac output in pediatric population.
Hypothesis: Core to toe temperature gradient measured during early post-operative phase will not correlate with oxygen extraction ratio, a surrogate marker for Cardiac Output. Materials and Method: This is a prospect...
A Brief Review Of The Use Of Vasopressin In Critically Ill Children
Robust clinical evidence for the use of vasopressin in children is scant. Low dose vasopressin infusions may be tried in catecholamine resistant shock or refractory cardiac arrest. It signifi cantly improves hemodynamic...
Monitoring Tissue Perfusion in Shock From Physiology to the Bedside
.
Pulmonary Alveolar Proteinosis in Children: An Update on Pathogenesis, Clinical Features and Review of Literature
Pulmonary alveolar Proteinosis (PAP) is a rare disease whereby the alveolar sacs are filled with a lipoproteinaceous material. The accumulation of this material hinders gas exchange, resulting in a variety of presentatio...