ECMO-/ECLS
requirements. Generally an intravenous bolus is given with a subsequent continuous infusion that ranges from 0.1-0.4 μg/kg/minut ...
Intensive Care Med. 2008 Jun;34(6):1065-75. doi: 10.1007/s00134- 008 - 1085 - Epub 2008 Mar 28. hemodynamic support of pediatri ...
Chapter 8 SEPSIS Ana Ruzic, MD Samir Gadepalli, MD Ronald Hirschl, MD (^) I. Introduction and Basic Considerations Sepsis remain ...
appropriate source has been identified. Therapy should be initiated early and continued throughout the diagnostic work-up. [ 7 - ...
At last two of the following criteria, one being abnormal temperature or leukocyte count. Hyper or hypothermia, defined as cor ...
Laboratory reference values, in particular, may vary from one institution to another. However, the following may be a helpful gu ...
Sepsis is defined as SIRS secondary to suspected or proven infection. Diagnosis of infection itself is driven by clinical circu ...
Table 2: Definition of Organ dysfunction Organ System Definition of Organ Dysfunction Cardiovascular (dysfunction despite volume ...
days, if already chronically low Renal Acute Kidney Injury (AKI): Creatinine ≥ 2 times normal for age OR Doubling of the baselin ...
overriding principles of sepsis therapy, however, remain constant regardless of age and focus on simultaneously restoring normal ...
Intubation and mechanical ventilation, although potentially necessary during the course of treatment, may initially impair venou ...
develops, profound instability and cardiovascular collapse may soon ensue. 15 - 45 minutes: Assess for response to therapy and e ...
Cold shock: Start with Dopamine up to 10 mcg/kg/min or Epinephrine 0.05 to 0.3 mcg/kg/min Warm shock: Norepinephrine 0.05 to 0.3 ...
treatment should not be withheld if steroids are felt necessary to improve reversal of shock. Assure that hypovolemia has been ...
bladder pressures can be helpful in early recognition of intra- abdominal hypertension, allowing for potential prevention of ACS ...
Keep in mind that vasodilation may cause hypotension, and needs to be added in conjunction with volume loading and continued mon ...
(^) (^) Other principles of sepsis therapy and therapeutic adjuncts: As previously discussed, successful management of sepsis in ...
commonly used drug combination. Recent CCM literature suggests that this combination, however, may result in higher incidence of ...
colectomy or a diverting ileostomy for refractory cases of C-difficile colitis, and a number of other operations depending on th ...
therapeutic drug levels and minimize periods of agitation. Propofol is discouraged for children <3 years of age and when used ...
«
2
3
4
5
6
7
8
9
10
11
»
Free download pdf