Marc Anders is a paediatric intensivist.

  • facebook

Inotropes and vasodilators

Cite this article as: Anders, M. Inotropes and vasodilators, Don't Forget the Bubbles, 2013. Available at: http://doi.org/10.31440/DFTB.3934Vasodilators: Decreasing the pressures against which the heart works (systemic and pulmonary afterload); decreasing the work of the heart hence myocardial O2 demand. Usual indications for vasodilator therapy are: systemic vasodilation (LV afterload reduction), pulmonary vasodilatation (RV afterload reduction),…

Haemofiltration and dialysis

Cite this article as: Anders, M. Haemofiltration and dialysis, Don't Forget the Bubbles, 2013. Available at: http://doi.org/10.31440/DFTB.3735Indications: Correction of water overload To remove larger quantities of water from the body than the kidney is able to achieve in order to enable the administration of therapeutic fluids such as parenteral nutrition To remove excess electrolytes Correction…

Renal Failure

Cite this article as: Anders, M. Renal Failure, Don't Forget the Bubbles, 2013. Available at: http://doi.org/10.31440/DFTB.3719Definition: acute kidney injury (AKI) is failure of the kidneys to regulate electrolyte, acid-base and fluid homeostasis adequately with concomitant reduction in glomerular filtration rate (GFR). pRIFLE (paediatric Risk, Injury, Failure, Loss, End-Stage Criteria). Chronic renal failure: hyperfiltration, estimated creatinine clearance <75 ml/min/1.73m2 , hypertension,…

Prolonged QT syndrome

Cite this article as: Anders, M. Prolonged QT syndrome, Don't Forget the Bubbles, 2013. Available at: http://doi.org/10.31440/DFTB.3681Definition: prolonged QTc interval, calculated by Bazett’s formula: QTc = QT : sqr (previous RR interval). normal <440 ms (460 ms in women and children).

Open chest

Cite this article as: Anders, M. Open chest, Don't Forget the Bubbles, 2013. Available at: http://doi.org/10.31440/DFTB.3705Negative impact on haemodynamics and respiratory parameters after median sternotomy was first described in 1975, with emphasis on “compression of the heart and producing a cardiac tamponade”. Indications for delayed sterna closure and open chest: ‘Large’ heart syndrome Haemodynamic instability…

Nutrition

Cite this article as: Anders, M. Nutrition, Don't Forget the Bubbles, 2013. Available at: http://doi.org/10.31440/DFTB.3905Facts: 1. Nutritional support for children in PICU is important to prevent deficiency and remain in a positive or neutral neutrogen balance 2. Overfeeding is associated with adverse effects 3. There is no clear evidence supporting PN over TPN 4. If…