Hepatic sinusoidal obstruction syndrome/veno-occlusive disease (SOS/VOD) is a life-threatening complication of hematopoietic cell transplantation (HCT) that belongs to a group of diseases increasingly identified as transplant-related, systemic endothelial diseases. In most cases, SOS/VOD resolves within weeks; however, severe SOS/VOD results in multi-organ dysfunction/failure with a mortality rate >80%. Continue reading
This guideline provides global, evidence-informed recommendations on a number of specific issues related to the management of severe acute malnutrition in infants and children, Continue reading
The Ross Heart Failure Classification was developed to provide a global assessment of heart failure severity in infants, and has subsequently been modified to apply to all pediatric ages. The modified Ross Classification incorporates feeding difficulties, growth problems, and symptoms of exercise intolerance into a numeric score comparable with the NYHA classification for adults.
The World Health Organization (WHO) defines malnutrition as the cellular imbalance between the supply of nutrients and energy and the body’s demand for them to ensure growth, maintenance, and specific functions.
Malnutrition generally implies undernutrition and refers to all deviations from adequate and optimal nutritional status in infants, children and in adults. In children, undernutrition manifests as underweight and stunting (short stature), while severely undernourished children present with the symptoms and signs that characterize conditions known as kwashiorkor, marasmus or marasmic-kwashiorkor.
Obstructive sleep apnea syndrome (OSAS) is defined as repeated episodes of obstructive apneas and hypopneas during sleep, frequently followed by transient hemoglobin desaturation (hypoxemia) and unconscious (EEG) arousals.
Clinical Criteria for Brain Death in Adults and Children
- Absence of motor responses
- Absence of pupillary responses to light and pupils at midposition with respect to dilatation (4–6 mm)
- Absence of corneal reflexes
- Absence of caloric responses
- Absence of gag reflex
- Absence of coughing in response to tracheal suctioning
- Absence of sucking and rooting reflexes
- Absence of respiratory drive at a PaCO2 that is 60 mm Hg or 20 mm Hg above normal base-line values*
- Interval between two evaluations, according to patient’s age Continue reading
Criteria for Chronic Respiratory Failure due to Cardiopulmonary Disorders in Infants and Children
Decreased inspiratory breath sounds
Increased retractions, use of accessory muscles
Cyanosis breathing room air
Decreased level of normal activity/function
Poor weight gain (mass) (IMPORTANT)
The diagnosis of a Childhood Functional Gastrointestinal Disorder always presumes the absence of a structural or biochemical explanation for the symptoms.
G1a. Infant Regurgitation Continue reading
Under 1 month old
- Group B streptococcus
- Escherichia coli (and other enteric Gram negative bacilli)
- Listeria monocytogenes
- Streptococcus pneumoniae
- Haemophilus influenzae
- Staphylococcus aureus
- Neisseria meningitides
- Salmonella spp Continue reading