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Results for “Pediatric Assistants”

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At least 19 recordsLinked to original sources
PubMed1985

[The role of pediatric assistants in health education].

France has a category of health workers called auxiliary paediatric nurse (APN) who takes care of children from zero to six years of age. APNs play a very important role in the child's development since they feed him, wash him, play with him and look after him while he sleeps. Most of the time, however, they are not aware of the important psychological role they play and consider themselves only responsible for good hygiene. The author suggests that APNs should be taught during their training to make a number of psychological observations relating to the child's development and emotional life. It is important that APNs be also trained as health educators, a task they have to perform every day.

Adult↗
PubMedDate not supplied

Pediatric assist with the Medos and Excor systems in small children.

Pediatric long-term ventricular support with paracorporeal assist devices is performed in only a few institutions. We report on our experience with two pediatric paracorporeal devices, which have been implanted in neonates, infants, and small children. Seven children with ages ranging from 2 weeks to 6 years and a body weight of 3 to 19 kg were provided with either a Medos or a BerlinHeart System. The underlying heart diseases included dilative cardiomyopathy (n = 3), endocardial fibroelastosis (n = 2), Ebstein anomaly, and status post redo aortic valve replacement (n = 1). All children were in New York Heart Association class IV and were inotrope dependent. Three children were provided with a Medos system and 4 children with a BerlinHeart Excor device. In 6 cases, left ventricular support, and in 1 case, right ventricular support was performed. All patients were stabilized with univentricular mechanical support. The perioperative course was uneventful, and end-organ function was well recovered. Reexploration for bleeding and evacuation of mediastinal blood clots was necessary in all three neonates but not in any of the older infants. Severe thromboembolic events were only noticed in the neonates. Successful bridge to transplantation was performed in 6 of the 7 patients (87.5%). Our late results have been quite encouraging, as they readily prove that pediatric long-term mechanical support is possible with a high quality of life and an acceptable low complication rate.

Cardiac Output, Low↗
PubMed1979

[The concept of social pediatric assistance in the development of handicapped children. Possibilities, problems and future measures].

Principles and possibilities of the social pediatric concept (Hellbrügge) in treatment and aids for handicapped children are demonstrated. Beside positive experiences there are still some unsolved problems: control of therapeutic efficiency, increasing amount of psychic and social handicaps, lack of psychotherapeutic possibilities, problems of the organization and the public rôle of social pediatric work.

Autistic Disorder↗
PubMed2005

Direct versus guidewire-assisted pediatric radial artery cannulation technique.

OBJECTIVE: Radial artery cannulation is a more difficult procedure in pediatric patients. Direct technique commonly fails in these patients, and several techniques have been developed for successful arterial cannulation. The purpose of this study was to compare direct radial artery cannulation with guidewire-assisted cannulation in children undergoing cardiac or aortic surgery. The hypothesis was that the guidewire-assisted technique would lead to fewer attempts and provide better long-term blood pressure monitoring and blood sampling. MATERIALS AND METHODS: One hundred pediatric patients with congenital heart defects undergoing major cardiovascular surgery, who required a radial artery catheter, were included in the study. Patients were divided into 2 groups: group 1 included 50 patients who had radial artery cannulation with the direct technique, and group 2 included 50 patients who had a guidewire-assisted radial artery cannulation. RESULTS: A radial artery was successfully cannulated in 48 patients in group 2 but only 38 patients in group 1. Mean elapsed time for radial artery cannulation was 22 +/- 4.6 minutes in group 1 and 7 +/- 4.2 minutes in group 2 (p = 0.001). The average number of attempts for cannulation was 4.5 in group 1 and 2.1 in group 2 (p = 0.022). The opposite radial or an alternative artery was used more commonly in the direct technique group. Satisfactory blood pressure monitoring and sampling of blood were obtained in 28 patients in group 1 and 46 patients in group 2 (p < 0.001). CONCLUSION: The authors recommend the use of a guidewire-assisted radial artery cannulation technique rather than a direct technique. The guidewire-assisted technique provided easy, safe, and quick cannulation and allowed for long-term satisfactory blood pressure monitoring and blood sampling because of the longer length of the Teflon catheter advanced into the artery over the guidewire, and a low rate of dissection of the radial artery.

Blood Pressure↗
PubMed2004

Robot-assisted pediatric surgery.

Computer-enhanced robotic surgical systems have been increasingly used to facilitate complex minimal access surgical procedures. In adult patients, such systems have been used to perform a wide variety of operations including coronary artery bypass grafting, mitral valve repair, Roux-en-Y gastric bypass, colon resection, nephrectomy, and radical prostatectomy. In the field of pediatric surgery, the experience with robotic surgical systems has been more limited. However, with improvements in robotic technology, interest and experience with robotic pediatric surgery have grown rapidly. The purpose of this article is to review the current experimental and clinical literature regarding the use of robotic surgical systems in the pediatric patient population.

Adult↗
PubMed1975

Computer-assisted pediatric diagnosis.

A system for computer aid to diagnosis was tested on 90 children hospitalized with systemic illness and discharged with a final diagnosis. A medical secretary and a pediatrician were equally successful (78% vs 77%) in having the system list the main final diagnosis when each independently supplied a list of details extracted only from the pediatric intern's admission notes. Even when the final diagnosis was not considered by the pediatric house staff and attending physicians caring for the patient until after the day of admission, the system was accurate in listing the diagnosis (or in raising the correct line of diagnostic inquiry) in at least 85% of the patients.

Adolescent↗