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2 results

  • 9.5 - Paediatric Sepsis

  • from Section 9 - Paediatric Care
  • Edited by Ned Gilbert-Kawai, The Royal Liverpool Hospital, Debashish Dutta, Princess Alexandra Hospital NHS Trust, Harlow, Carl Waldmann, Royal Berkshire Hospital, Reading
  • Book:
    Intensive Care Medicine
    Published online:
    27 July 2023
    Print publication:
    01 December 2021, pp 703-707

  • Summary

    Key Learning Points

    1. 1. Sepsis remains a major cause of death in the paediatric population.

    2. 2. Mortality is higher in children with co-morbidities than in those without.

    3. 3. Volume resuscitation is still the mainstay of initial resuscitation.

    4. 4. Adrenaline is a rational choice as a first-line vasoactive agent.

    5. 5. Combining clinical examination with plasma lactate can be used to guide resuscitation.

  • 9.7 - The Collapsed Infant

  • from Section 9 - Paediatric Care
  • Edited by Ned Gilbert-Kawai, The Royal Liverpool Hospital, Debashish Dutta, Princess Alexandra Hospital NHS Trust, Harlow, Carl Waldmann, Royal Berkshire Hospital, Reading
  • Book:
    Intensive Care Medicine
    Published online:
    27 July 2023
    Print publication:
    01 December 2021, pp 711-713

  • Summary

    Key Learning Points

    1. 1. The differential for a collapsed infant is broad and encompasses congenital heart disease, sepsis, surgical presentations, inborn errors of metabolism and trauma.

    2. 2. Treat first – diagnose at leisure; early support of the neonate’s physiology is lifesaving.

    3. 3. Start prostaglandin if there is any suspicion of a duct-dependent cardiac lesion – it can always be stopped.

    4. 4. Start broad-spectrum empirical anti-bacterial drugs.

    5. 5. Sudden unexpected death in infancy describes all unexpected deaths in infancy. If, after thorough investigation, a cause cannot be found, the death is classified as having been caused by sudden infant death syndrome.