TY  - CHAP
M1  - Book, Section
TI  - PEDIATRIC CRITICAL CARE: THE USE OF BEDSIDE ULTRASONOGRAPHY
A1  - Tsai, William
A1  - Amara, Shilpa
A1  - Slonim, Anthony D.
A2  - Levitov, Alexander B.
A2  - Mayo, Paul H.
A2  - Slonim, Anthony D.
PY  - 2015
T2  - Critical Care Ultrasonography, 2e
AB  - The  pediatric  intensive  care  unit  (PICU),  like  other  intensive  care  units  (ICU),  is  a  dynamic  place  that  provides  multidisciplinary  care  with  the  integration  of  numerous  medical  and  surgical  subspecialists  who  come  together  with  a  common  goal—the  care  of  a  critically  ill  child.  Predictably,  the  diseases  span  the  spectrum  of  adult  ICU  care  and  range  from  acute  illnesses  such  as  septic  shock  and  sepsis-related  cardiomyopathy  to  hemorrhagic  shock  with  traumatic  visceral  rupture.  While  the  problems  are  similar  to  those  encountered  in  adult  ICUs,  three  additional  layers  of  complexity  are  important  to  understand  when  caring  for  a  critically  ill  child,  namely  age,  size,  and  developmental  status;  all  of  these  have  relevance  for  critical  care  ultrasonography.  First,  many  differential  diagnoses  encountered  in  the  PICU  are  age  dependent,  which  is  important  for  the  ultrasonographer  to  remember  when  performing  ultrasound  for  diagnostic  purposes  on  a  child.  Second,  a  child’s  size  may  range  from  200  kg,  which  has  important  implications  for  the  technical  aspects  of  ultrasound  procedures.  Finally,  children  may  not  be  able  to  cooperate  with  an  examination  or  procedure  like  adults  can,  making  the  use  of  ultrasonography,  a  pain-free  and  noninvasive  tool,  an  ideal  method  for  extending  one’s  physical  examination.  Bedside  ultrasound  is  an  important  and  evolving  tool  for  pediatric  intensivists  and  can  be  used  to  evaluate  many  disease  processes,  assist  in  procedural  interventions,  and  assess  for  complications  related  to  those  procedures.  While  ultrasound  technology  has  long  been  available,  recent  advancements  have  improved  image  quality  and  capabilities  and  have  reduced  equipment  bulk,  making  point-of-care  use  in  critical  care  areas  considerably  more  feasible.1  This  chapter  aims  to  provide  a  practical  discussion  on  the  use  of  bedside  ultrasonography  in  the  PICU.  
SN  - 
PB  - McGraw-Hill Education
CY  - New York, NY
Y2  - 2024/04/19
UR  - accessanesthesiology.mhmedical.com/content.aspx?aid=1125015374
ER  -