pediatric vs adult trauma centers

... of IgE anti-Influenza virus antibodies in serum of IgE positive and negative vaccinated pediatric and adult subjects, approaching two years post vaccination The exact role of IgE in Influenza ... Patient specimen description Peripheral blood (3 ml total) was obtained from both pediatric (N=3) (m/f, 14-16 yrs old) and adult (N=3) (m/f, 41-49 yrs old) Caucasian subjects from the SUNY Downstate ... shedding has been noted in most recipients [21] In the present study, vaccinated adult (live attenuated vaccine) and pediatric (nasal vaccine) patients (2-20 months post vaccination), with both normal...

Ngày tải lên: 25/10/2012, 11:10

... Catheterization in Congenital Heart Disease: Pediatric and Adult Cardiac Catheterization in Congenital Heart Disease: Pediatric and Adult Charles E Mullins, MD Professor of Pediatrics Baylor College of Medicine ... Cataloging-in-Publication Data Mullins, Charles E Cardiac catheterization in congenital heart disease : pediatric and adult / Charles E Mullins p ; cm Includes bibliographical references and index ISBN–13: 978–1–4051–2200–9 ... actual catheterization room For a laboratory performing therapeutic catheterizations on pediatric and adult congenital heart patients, this requires a huge amount and variety of consumable equipment...

Ngày tải lên: 13/08/2014, 12:20

... the pediatric/ congenital catheterization laboratory Like the other materials used in pediatric/ congenital catheterizations, very few of these catheters were designed or intended for use in pediatric/ congenital ... decisions about the particular pediatric/ congenital lesion or patients Cardiac catheterization equipment The same situation occurs with the study of the coronary arteries in the pediatric cardiac transplant ... modern pediatric/ congenital cardiac catheterization laboratory is obligated to carry a very large inventory of a huge variety of consumable items The size of this inventory is magnified in the pediatric/ congenital...

Ngày tải lên: 13/08/2014, 12:20

... needle, with the pediatric needle decreasing from a 19-gauge shaft to a 21-gauge tip and the adult needle decreasing from an 18-gauge shaft to a 20gauge tip The larger gauge of the adult needles ... occasionally too long for the needle The pediatric and adult transseptal sheath/dilator sets and the longer sets are available in many different French sizes In the pediatric transseptal length, Mullins™ ... possible The length of the sheath/dilator used corresponds to the length of the needleae.g adult vs pediatric lengths The one exception to using the same length needle with the sheath/dilator...

Ngày tải lên: 13/08/2014, 12:20

... measured accurately using the lateral X-ray system in the straight lateral view In the biplane pediatric catheterization laboratory, any significant discrepancy in these vertical distances becomes ... ventricle This, alone, suggests a 25 mm gradient between the two ventricles and, in turn, a restrictive VSD! In actuality, the femoral systemic pressure now is 105/60 with all of the intravascular/intracardiac ... The “normal” atrial pressures in childhood are slightly lower than those observed in the older or adult patient These higher pressures in older patients may well represent a slight deterioration...

Ngày tải lên: 13/08/2014, 12:20

... suitable for smaller pediatric and congenital patients8 However, the drive unit, in addition to being fairly complex, is expensive and is usually not available in a purely pediatric/ congenital ... valvuloplasty and/or angioplasty procedures for acquired diseases in adults As a consequence, the equipment used for balloon dilations in pediatric and congenital patients frequently is not ideally suited ... for use in pediatric and congenital heart patients In spite of this, most of the developments in the 410 techniques for the dilation of valvular and large vessel lesions have come from pediatric...

Ngày tải lên: 13/08/2014, 12:20

... defect (VSD) and transposition of the great arteries A VSD provides access to the aorta from the right heart and in turn from the venous access Although access to the coarctation through the VSD ... pediatric and congenital lesions apply even more stringently to their use in coarctations In particular, no stent should be implanted in the aorta if it cannot be dilated up to the ultimate adult ... have made dilation of native and re/residual coarctation the procedure of choice in most centers Most centers stipulate that all patients who have dilation of any type of coarctation of the aorta...

Ngày tải lên: 13/08/2014, 12:20

... desired and eventual adult size of the vessel and the location of the lesion in the vessel For all vessels, a stent always is used which eventually can be dilated to the eventual adult diameter of ... or been modified for the pediatric and congenital arena Of the hundreds of new stent designs and stent materials that have been introduced in the past decade for use in adult vascular diseases, ... the larger pre-mounted stents are for pediatric/ congenital heart lesions As such and in the environment of the US FDA, which does not recognize any stent for pediatric or congenital heart use,...

Ngày tải lên: 13/08/2014, 12:20

... hemodynamic status The abnormal vascular communications which are encountered in pediatric and congenital heart patients include traumatic fistulae, systemic to pulmonary artery collaterals, systemic arteriovenous ... vessels and abnormal vascular channels Amplatzer™ PDA & VSD devices for the occlusion of abnormal vascular channels The Amplatzer™ PDA and VSD occlusion devices (AGA Corp., Golden Valley, MN) are ... laboratory were designed, developed and clinically validated in the US Unfortunately for the pediatric and adult patients with congenital heart lesions in the US, the FDA has been ultra conservative...

Ngày tải lên: 13/08/2014, 12:20

... ever approved by the FDA for elective clinical use specifically in a congenital heart lesion and in pediatric patients 750 Although the Amplatzer™ ASD device has no legs that can spring open into ... large central opening Passing the snare catheter through the dilator serves two functions First it centers the snare catheter within the lumen of the large sheath and allows the offset of the snared ... not available in the United States It was used in one controlled, clinical trial for postinfarct VSD occlusions but apparently this has been abandoned Both the CardioSEAL™ and the STARFlex™ devices...

Ngày tải lên: 13/08/2014, 12:20

... frameless VSD device, which is mounted on the latex balloon, is delivered through a long sheath introduced from the femoral vein and pre-positioned across the VSD In the report on the VSD patches, ... seldom is used in pediatric patients and, as a consequence, is technically very challenging for the majority of physicians who perform therapeutic interventions primarily on pediatric and/or congenital ... approach to ASD closure Frameless VSD patch The same “frameless” patch concept has been reported for the closure of perimembranous ventricular septal defects (VSD) The patch is similar (identical?)...

Ngày tải lên: 13/08/2014, 12:20

... Current Concepts in Pediatric and Adult Congenital Cardiac Critical Care Introduction This one-day educational symposium will focus on the innovations in the care of pediatric and adult congenital ... in the care of pediatric and adult congenital cardiac patients Learning Objectives • Gain an understanding of the latest developments and techniques in neonatal, pediatric, and adult congenital ... attendee participation Target Audience This activity is designed for adult cardiologists, pediatricians, neonatologists, pediatric cardiologists, cardiac surgeons, intensivists, CCU nurses, cardiac...

Ngày tải lên: 14/12/2015, 20:33

... adolescents, and young adults The pediatric nurse practitioner is a specialist in the care of children from birth through young adult with an in-depth knowledge and experience in pediatric primary ... 15 ADULT NURSE PRACTITIONER COMPETENCIES These are entry level competencies for adult nurse practitioners that supplement the core competencies for all nurse practitioners The population in adult ... ill-defined symptoms in adolescents and adults 14 Assesses for psychological manifestations of health problems in adolescents and adults B Diagnosis of Health Status The adult nurse practitioner is engaged...

Ngày tải lên: 05/03/2014, 13:20

... early stance but they did not show any change in sagittal plane knee moment [4] As far as obese adult patients are concerned, obese males display a gait pattern similar to healthy subjects but ... and scoliosis Hypotonia is nearly uniformly present and gradually improves with age Nevertheless, adults remain mildly hypotonic with decreased fat free mass [10] Growth failure is a recognized ... for males [10] Dysmorphic features include small narrow hands and/or short feet, with an average adult foot length of 20.3 cm for females and 22.3 cm for males [14] Scoliosis generally becomes...

Ngày tải lên: 19/06/2014, 10:20

... gian kéo dài từ lúc bị chấn thương đến lúc thăm khám điều trị  bệnh sử đa chấn thương (multiple traumatic injuries) điều trị nhiều phong cấp cứu khác  câu trả lời không thích đáng không tuân...

Ngày tải lên: 26/07/2014, 17:21

... Community for Pediatric Trauma 17 pediatric trauma centers versus adult trauma centers with added pediatric qualifications and large adult trauma centers, but not versus small adult trauma centers to ... trauma centers versus adult trauma centers with added pediatric qualifications and large adult trauma centers, but, once again, not versus small adult trauma centers to which pediatric patients were ... in pediatric trauma centers for blunt injuries They also found a lower incidence of surgical intervention for liver and spleen injuries in pediatric trauma centers compared to adult trauma centers...

Ngày tải lên: 10/08/2014, 18:21

... treated at pediatric trauma centers J Trauma 2001; 51:824–834 46 Osler TM, Vane DW, Tepas JJ, et al Do pediatric trauma centers have better survival rates than adult trauma centers? An examination ... in pediatric trauma, regardless of whether it is managed in an adult or pediatric trauma center (2) In fact, with a relatively limited number of pediatric trauma centers, most improvements in pediatric ... al A pediatric trauma center without a pediatric surgeon: a four-year outcome analysis J Trauma 1992; 33:130–139 50 Rhodes M, Smith S, Boorse D Pediatric trauma patients in an ‘ adult ’ trauma...

Ngày tải lên: 10/08/2014, 18:21

... Changes in red cell transfusion practice among adult trauma victims J Trauma 1998; 44(4):583–587 26 Lynch JM, Gardner MJ, Gains B Hemodynamic significance of pediatric femur fractures J Pediatr Surg ... Those with multi-system trauma or hemodynamic instability will benefit from intensive care Others with a Pediatric Trauma Score of seven or less; isolated but significant head trauma and an altered ... it a critical Pediatric ICU Management 125 component of PICU monitoring in the pediatric trauma patient It provides a continuous reflection of hemoglobin saturation and provides the trauma surgeon...

Ngày tải lên: 10/08/2014, 18:21

... fact that traumatic brain injuries are more common in pediatric trauma than in adult trauma, no specific recommendations were made in the adult guidelines regarding the treatment of traumatic ... pediatric trauma center is available (option) Although the literature provides strong evidence to support a role for trauma systems and pediatric trauma centers in the increased survival of pediatric ... treated in a pediatric trauma center if available (guideline) or to an adult trauma center staffed with qualified, pediatric- trained caregivers and equipment necessary for treating pediatric patients...

Ngày tải lên: 10/08/2014, 18:21

... exceed 90% in most pediatric trauma centers and adult trauma centers with strong pediatric commitment (6–9) A recent study of over 100 patients from the National Pediatric Trauma Registry (NPTR) ... Boorse D Pediatric trauma patients in an ‘ adult ’ trauma center J Trauma 1993; 35:384–393 14 Keller MS, Vane DW Management of pediatric blunt splenic injury: comparison of pediatric and adult trauma ... injured children are treated in adult trauma centers While several adult services have reported survival statistics for pediatric trauma patients that are similar to their adult patients, analysis of...

Ngày tải lên: 10/08/2014, 18:21