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Pädiatrische Intensivmedizin

  • P.C. Rimensberger
Chapter
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Auszug

Dieses Kapitel soll einen verständlichen Überblick geben über Besonderheiten der intensivmedizinischen Betreuung des Kindes, insbesondere des Kleinkindes, im Vergleich zur Intensivmedizin beim Erwachsenen. Es werden deshalb nicht alle Aspekte der pädiatrischen Intensivmedizin im Sinne eines eigenständigen Lehrbuchs beleuchtet. In einem ersten Teil (·Kap. 84.2-84.4) werden allgemeine Themen und Aspekte inklusive die kardiopulmonale Reanimation behandelt, in einem zweiten Teil (·Kap. 84.5) werden spezifische pädiatrische Krankheitsbilder und ihre Therapie diskutiert.

Literatur

  1. 1.
    Bohn D (2000) Problems associated with intravenous fluid administration in children: do we have the right solutions? CurrOpin Pediatr 12:217–221Google Scholar
  2. 2.
    Bryan AC, Wohl MEB (1986) Respiratory mechanics in children. In: Fishman AP, Macklem PT, Mead J, Geiger SR (eds) Handbook of physiology, section 3: The respiratory system, volume III: Mechanics of breathing, part 1. American Physiological Society, Williams &Wilkins, BaltimoreGoogle Scholar
  3. 3.
    Cannon ML, Cornell J, Tripp-Hamel DS et al. (2000) Tidal volumes for ventilated infants should be determined with a pneumotachometer placed at the endotracheal tube. Am J Respir Crit Care Med 162:2109–2112PubMedCrossRefGoogle Scholar
  4. 4.
    Carcillo JA, Davis AL, Zaritsky A (1991) Role of early fluid resuscitation in paediatric septic shock. JAMA 266:1242–1245PubMedCrossRefGoogle Scholar
  5. 5.
    Castle RA, Dunne CJ, Mok Q, Wade AM, Stocks J (2002) Accuracy of displayed values of tidal volume in the pediatric intensive care unit. Crit Care Med 30:2566–2574PubMedCrossRefGoogle Scholar
  6. 6.
    Coss-Bu JA, Klish WJ, Walding Det al. (2001) Energy metabolism, nitrogen balance, and substrate utilization in critically ill children. Am J Clin Nutr 74:664–669PubMedGoogle Scholar
  7. 7.
    Deakers TW, Reynolds G, Stretton M, Newth CJ (1994) Cuffed endotracheal tubes in pediatric intensive care. J Pediatr 125:57–62PubMedCrossRefGoogle Scholar
  8. 8.
    Fung EB (2000) Estimating energy expenditure in critically ill adults and children. AACN Clin IssuesGoogle Scholar
  9. 9.
    Gerhardt T, Bancalari E (1980) Chest-wall compliance in full-term and premature infants. Acta Paediatr Scand 69:359–364PubMedCrossRefGoogle Scholar
  10. 10.
    Goksor E, Rosengren L, Wennergren G (2002) Bradycardic response during submersion in infant swimming. Acta Paediatr Scand 91:307–312CrossRefGoogle Scholar
  11. 11.
    Goldstein B, Nadel S, Peters M et al. (2006) ENHANCE: Results of a global open label trial of doctrecogin alfa (activated) in children with severe sepsis. Pediat Crit Care Med 7(3): 277–278CrossRefGoogle Scholar
  12. 12.
    Gore DC, Chinkes D, Sanford A et al. (2003) Influence of fever on the hypermetabolic response in burn-injured children. Arch Surg 138:169–174PubMedCrossRefGoogle Scholar
  13. 13.
    Hicks CL, von Baeyer CL, Spafford PA, van Korlaar I, Goodenough B (2001) The Faces Pain Scale-Revised: toward a common metric in pediatric pain measurement. Pain 93:173–183PubMedCrossRefGoogle Scholar
  14. 14.
    Ibsen LM, Koch T (2002) Submersion and asphyxial injury. Crit Care Med 30: S402–408PubMedCrossRefGoogle Scholar
  15. 15.
    Kanter RK, Watcho JF (1984) Pulmonary edema associated with upper airway obstruction. Am J Dis Child 138Google Scholar
  16. 16.
    Klerk GD, Hop WC, Hoog MD, Joosten KF (2002) Serial measurements of energy expenditure in critically ill children: useful in optimizing nutritional therapy? Intensive Care Med 28:1781–1785Google Scholar
  17. 17.
    Moritz ML, Ayus JC (2002) Disorders of water metabolism in children: hyponatremia and hypernatremia. Pediatr Rev 23:371–380PubMedGoogle Scholar
  18. 18.
    Moritz ML, Ayus JC (2003) Prevention of hospital-acquired hyponatremia: a case for using isotonic saline. Pediatrics 111:227–230PubMedCrossRefGoogle Scholar
  19. 19.
    Mosteller RD (1987) Simplified calculation of body surface area. N Engl J Med 22/317:1098 (letter)Google Scholar
  20. 20.
    Pollack MM, Koch MA, Bartel DA et al. (2000) A comparison of neonatal mortality risk prediction models in very low birth weight infants. Pediatrics 105:1051–1057PubMedCrossRefGoogle Scholar
  21. 21.
    Pollack MM, Patel KM, Ruttimann UE (1996) PRISM III: an updated Pediatric Risk of Mortality score. Crit Care Med 24:743–752PubMedCrossRefGoogle Scholar
  22. 22.
    Schindler MB, Bohn D, Cox PN et al. (1996) Outcome of out-of-hospital cardiac or respiratory arrest in children. N Engl J Med 335:1473–1479PubMedCrossRefGoogle Scholar
  23. 23.
    Shekerdemian L, Bush A, Redington A (1997) Cardiovascular effects of intravenous midazolam after open heart surgery. Arch Dis Child 76:57–61PubMedCentralPubMedCrossRefGoogle Scholar
  24. 24.
    Singh S, Bohn D, Carlotti AP et al. (2002) Cerebral salt wasting: truths, fallacies, theories, and challenges. Crit Care Med 30:2575–2579PubMedCrossRefGoogle Scholar
  25. 25.
    Slater A, Shann F, Pearson G (2003) PIM2: a revised version of the Paediatric Index of Mortality. Intensive Care Med 29:278–285PubMedGoogle Scholar
  26. 26.
    Trachtman H (1992) Cell volume regulation: a review of cerebral adaptive mechanisms and implications for clinical treatment of osmolal disturbances: II. Pediatr Nephrol 6:104–112PubMedCrossRefGoogle Scholar
  27. 27.
    Update on the 1987 Task Force Report on High Blood Pressure in Children and Adolescents (1996) A working group report from the National High Blood Pressure Education Program. National High Blood Pressure Education Program Working Group on Hypertension Control in Children and Adolescents. Pediatrics 98:649–658Google Scholar
  28. 28.
    Vernon DD, Witte MK (2000) Effect of neuromuscular blockade on oxygen consumption and energy expenditure in sedated, mechanically ventilated children. Crit Care Med 28:1569–1571PubMedCrossRefGoogle Scholar
  29. 29.
    Wilkinson JD, Pollack MM, Ruttimann UE (1986) Outcome of pediatric patients with multiple organ system failure. Crit Care Med 14:271PubMedCrossRefGoogle Scholar
  30. 30.
    Wooltorton E (2002) Propofol: contraindicated for sedation of pediatric intensive care patients. CMAJ 167:507PubMedCentralPubMedGoogle Scholar
  31. 31.
    Wu CH, Chou HC, Hsieh WS et al. (2003) Good estimation of arterial carbon dioxide by end-tidal carbon dioxide monitoring in the neonatal intensive care unit. Pediatr Pulmonol 35:292–295PubMedCrossRefGoogle Scholar
  32. 32.
    Baenziger O, Bär W, Berger T et al. (2006) Empfehlung zur Behandlung des akuten schweren Schädelhirntraumas bei Kindern und Jugendlichen. Schweiz Med Forum 6:393–397Google Scholar
  33. 33.
    Wood DW, Downes JJ, Lecks HJ (1972) A clinical scoring system for diagnosis of respiratory failure. Am J Dis Child 123:227–228PubMedCrossRefGoogle Scholar
  34. 34.
    Agostini E (1959) Volume-pressure relationship to the thorax and lung in the newborn. J. Appl Physiol 14:909–913Google Scholar

Copyright information

© Springer Medizin Verlag Heidelberg 2008

Authors and Affiliations

  • P.C. Rimensberger
    • 1
  1. 1.Soins intensifs pédiatriquesHopital des Enfants - HUGGenève

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