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Biomedical subjects

P Vernon-Levett

Publications and source records attributed to P Vernon-Levett.

5 recordsLinked to original sources

Posterior fossa tumors in children: a case study.

Brain tumors are the second most common malignancy to occur during childhood and the posterior fossa is the most common region of the brain affected. Diagnosis and treatment are complex and challenging. Once a child suffering from a posterior fossa tumor is identified, a multidisciplinary team must be assembled to provide comprehensive care through all phases of treatment. The nursing staff is vital to this team because they are often the individuals who coordinate services involved in the care of the child with a posterior fossa tumor. This case study illustrates the phases of diagnosis and treatment of a child with a medulloblastoma and highlights critical care nursing challenges. Following the case study presentation, a summary describes posterior fossa tumors including epidemiology, pathophysiology, clinical manifestations, and outcome. The case study is integrated throughout this review to highlight key issues for critical care nurses to explore.

Cerebellar Neoplasms↗

Pediatric emergencies.

The care of acutely ill children presents a unique challenge for health care professionals. Nurses often are required to make a quick assessment of the child's condition, even when the child is frightened or uncommunicative. This article addresses the most common of a multitude of illnesses seen in children and organizes them according to organ systems and common final pathways within a system.

Cardiovascular Diseases↗

Care of infants with hypoplastic left heart syndrome.

Hypoplastic left heart syndrome (HLHS) is a common congenital heart defect that is universally fatal without surgical intervention. Two distinctly different surgical options, heart transplantation and reconstruction surgery, have been successful in treating infants with HLHS. This article reviews the anatomy and pathophysiology of HLHS. Preoperative care of infants with HLHS is discussed. The care required by infants with HLHS after heart transplantation is the same as that required by other infants who need heart transplant and has been reported. The primary focus of this report is postoperative care after staged reconstructive surgery for infants with HLHS.

Blood Circulation↗

Head injuries in children.

Even though head injury in children is a major health problem facing our nation today, major advances have occurred in our understanding of the epidemiology, pathophysiology, symptomatology, and outcome of these patients. Basic scientists have also contributed to this body of knowledge by demonstrating some unique characteristics of the immature CNS and how it responds to injury. Recent evidence shows that overall mortality and morbidity associated with head injury is declining. Because most pediatric head injuries are nonoperable, it is believed that aggressive medical management to control ICP and prevent secondary injury is responsible for improved outcome. Public education, coupled with legislative support, should prove to be of further benefit.

Adolescent↗