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ویرایش: نویسندگان: Tina M. Slusher, Ashley R. Bjorklund, Stephanie M. Lauden سری: ISBN (شابک) : 3030999548, 9783030999544 ناشر: Springer سال نشر: 2022 تعداد صفحات: 320 [321] زبان: English فرمت فایل : PDF (درصورت درخواست کاربر به PDF، EPUB یا AZW3 تبدیل می شود) حجم فایل: 14 Mb
در صورت تبدیل فایل کتاب Pediatric Procedural Adaptations for Low-Resource Settings: A Case-Based Guide به فرمت های PDF، EPUB، AZW3، MOBI و یا DJVU می توانید به پشتیبان اطلاع دهید تا فایل مورد نظر را تبدیل نمایند.
توجه داشته باشید کتاب انطباقهای رویهای کودکان برای تنظیمات کممنبع: راهنمای موردی نسخه زبان اصلی می باشد و کتاب ترجمه شده به فارسی نمی باشد. وبسایت اینترنشنال لایبرری ارائه دهنده کتاب های زبان اصلی می باشد و هیچ گونه کتاب ترجمه شده یا نوشته شده به فارسی را ارائه نمی دهد.
علیرغم پیشرفتهای جهانی در پزشکی کودکان، فناوریهایی که در محیطهای با منابع بالا به استاندارد مراقبت تبدیل شدهاند، به دلیل هزینه، در دسترس بودن یا چالشهای نگهداری تجهیزات، در کشورهای با درآمد کم و متوسط در دسترس نیستند. این کتاب انطباقهای رویهای بالینی مبتنی بر شواهد و متخصص را در یک راهنمای گامبهگام، مبتنی بر مورد، با هدف ارائه پشتیبانی آموزشی برای ارائهدهندگان مراقبتهای بهداشتی که در محیطهای محدود به منابع تمرین میکنند، گردآوری میکند. این هم به تقاضای زیاد برای این محتوا و هم به اهمیت جمع آوری کارشناسان در سراسر قاره ها و رشته های اطفال پاسخ می دهد.
هر فصل هم یک چارچوب نظری و هم بحث عملی در مورد انطباقهای رویهای با بازده بالا ارائه میکند. محققان بین المللی پیشرو و پزشکان کارکشته با تخصص در استفاده از این سازگاری ها توسط ویراستاران به عنوان نویسندگان انتخاب شدند. فصلها شامل یک مورد مثال با استفاده از سازگاری و دستورالعملهای دقیق از جمله لوازم، نشانهها، خطرات و منافع است. محتوا مبتنی بر توصیههای بهترین عملکرد فعلی و تحقیقات مبتنی بر شواهد است.
که توسط همهگیری COVID-19 برجسته شده است، درک کامل پاتوفیزیولوژی و طراحی/ایمنی دستگاه هنگام ارائه مراقبت در محیطهای با منابع کم یا در مواقع بحرانی لازم است. آموزش حضوری همیشه امکان پذیر نیست. پلتفرمهای مکتوب و مجازی در انتشار محتوای عملی و پربازده بسیار حیاتی هستند. این کتاب جایگزینی برای آموزش رویه ای مناسب نیست، اگرچه به راحتی برای پاسخگویی به نیازهای آموزشی گروه های مختلف یادگیرنده اصلاح می شود. این یک منبع ارزشمند برای تمرینکنندگان آموزش دیده مناسب است که مطابق با دستورالعملهای محلی تمرین میکنند.
دانش و تسلط به سازگاریهای رویهای کودکان در تلاشها برای کاهش نابرابریهای جهانی و مرگومیر کودکان در محیطهای کممنبع حیاتی است.Despite global advancements in pediatric medicine, technologies which have become standard-of-care in high-resource settings are unavailable in low-and middle-income countries due to cost, availability, or challenges maintaining equipment. This book compiles evidence-based and expert clinical procedural adaptations in an approachable, case-based, step-by-step guide, aimed to provide educational support for healthcare providers practicing in resource-limited settings. This responds to both the high demand for this content and the importance of gathering experts across continents and pediatric disciplines.
Each chapter provides both a theoretical framework and practical discussion of high-yield procedural adaptations. Leading international researchers and seasoned clinicians with expertise using these adaptations were selected by the editors as authors. Chapters include an example case with adaptation use and detailed instructions including supplies, indications, risks, and benefits. Content is grounded in current best practice recommendations and evidence-based research.
Highlighted by the COVID-19 pandemic, a mature understanding of pathophysiology and device design/safety is required when providing care in low-resource settings or in crisis times. In-person instruction is not always feasible. Written and virtual platforms remain critical in disseminating high-yield, practical content. This book is not a substitute for appropriate procedural training, though is easily modified to meet the educational needs of diverse learner groups. It is a valuable resource for appropriately trained practitioners practicing in accordance with local guidelines.
Knowledge and fluency with pediatric procedural adaptations is critical in efforts to reduce global inequities and pediatric morbidity/mortality in low-resource settings.Foreword Acknowledgments Contents Editors and Contributors About the Editors Contributors Background References Procedural Adaptation and Device Modification Concepts in a Low-Resource Setting 1 Background 2 Ethical Framework 3 Using This Book References Basics of Pediatric Intensive Care, Neonatal Intensive Care, and Pediatric Emergency Medicine in a Low-Resource Setting 1 Background 1.1 Administration 1.2 Levels of Care 1.3 Personnel 2 Physical Resources and Spaces 3 Essential Durable Medical Equipment and Disposable Medical Supplies 4 Essential Drugs 5 Essential Laboratory Tests 6 Clinical Care Protocols: Policies 7 Infection Control 8 Record Keeping 9 Evaluating Clinical Care 10 Training/Education 11 Challenges References Further Reading Neonatal Resuscitation in Resource-Constrained Settings: Sustaining Helping Babies Breathe and Beyond in a Low-Resource Setting 1 Case Example 2 Introduction 3 The Helping Babies Breathe Program 4 The Helping Babies Breathe Action Plan (Second Edition) 5 Expanding Care Beyond HBB 5.1 Advanced Respiratory Monitoring and Support 5.2 Chest Compressions 5.3 Medications and Access 6 Equipment: Purchasing, Maintenance, and Reprocessing 6.1 Purchasing 6.2 Reprocessing 7 Conclusion 8 Case Resolution References Further Reading Phototherapy in a Low-Resource Setting 1 Case Example 2 Introduction 3 Science of Phototherapy 3.1 Suggested Resources for Facilities Using Phototherapy 4 Indications 4.1 Contraindications 4.2 Technique 5 Light-Emitting Diodes 5.1 Equipment/Supply List for LED 6 Fluorescent Tube Units 6.1 Equipment/Supply List for Fluorescent Units 7 Filtered Sunlight Phototherapy (FSPT) 7.1 Equipment/Supply List for FSPT 7.2 Instructions for Use 7.2.1 Measuring Phototherapy 7.2.2 General Principle of Optimizing Phototherapy 7.2.3 Treatable Percentage of Body Surface Area (BSA) 7.2.4 Minimizing Distance Between Device and the Patient 7.2.5 Use of Reflectors 7.2.6 Surface Area of the Skin Exposed to Phototherapy 7.2.7 Duration of Treatment 7.3 Complications of Phototherapy 8 Case Resolution References Additional Resource Umbilical Venous Catheter Placement in a Low-Resource Setting 1 Case Example 1 2 Case Example 2 3 Introduction 4 Challenges to Umbilical Catheterization in LMICs 5 UVC Indications/Uses/Benefits 6 UVC Contraindications 6.1 UVC Equipment/Supplies (Fig. 1) 7 UVC Procedural Technique 7.1 Initial Preparation 7.2 Sterile Preparation 7.3 Catheter Placement 7.4 Securing Catheter 7.5 Instructions for Use 7.5.1 Care of the UVC 7.5.2 Indications for UVC Removal 7.5.3 Procedure for Catheter Removal 7.6 Complications 8 Case Resolution 1 9 Case Resolution 2 References Exchange Blood Transfusions for Severe Hyperbilirubinemia in Resource-Limited Settings 1 Case 2 Introduction 3 Indications for Exchange Blood Transfusion 4 Contraindications 5 Benefits 6 Steps to Set up 6.1 Procedure Supplies 6.2 Pre-procedure Preparations 6.3 Patient Preparation 6.4 Procedural Steps 6.5 Procedure 6.5.1 Determinants of EBT Effectiveness 6.5.2 Post-EBT Care 6.6 Follow-Up 7 Risks and Potential Complications 7.1 Additional Pearls 8 Case Summary 9 For Further Reading References Breastfeeding Support Devices in Low-Resource Settings 1 Case I Example 2 Introduction 3 Breastfeeding Basics 3.1 Procedure for Feeding the Well Newborn 3.1.1 Positioning 3.1.2 Methods for Latching 3.1.3 Assessing and Teaching Milk Transfer 3.1.4 Feeding Frequency and Cues 3.2 Common Breastfeeding Problems 3.2.1 Breastfeeding Tips and Pearls 3.3 Case I Resolution 3.4 Case Example 2 3.5 Building and Maintaining Milk Supply 3.5.1 Use of Galactogogues 4 Case 2 Resolution 5 Case 3 5.1 Creamatocrit 5.2 Measuring a Creamatocrit 5.3 Estimating Calories Based on Creamatocrit 5.4 Breast Milk Storage 6 Case 3 Resolution 6.1 Complications 6.2 Conclusion References Kangaroo Mother Care in a Low-Resource Setting 1 Case 2 Introduction 3 Indications 3.1 Contraindications and Relative Contradictions 4 Equipment/Supplies 5 Technique 5.1 Instructions for Support Device/Carrier [8] 5.1.1 Complications 5.1.2 Case Resolution References Safe Options for Obtaining Blood and Vascular Access in Neonates and Children in a Low-Resource Setting 1 Case Example 2 Introduction 3 Indications 4 Contraindications 5 Venipuncture 5.1 Equipment/Supplies 6 Technique 6.1 Emotional Support 6.2 Preparation for Venipuncture 6.3 Procedure for Venipuncture 7 Heel Puncture/“Heel Stick” Procedure for Neonates and Infants 7.1 Equipment/Supplies (Fig. 4a–c) 7.2 Technique 7.2.1 Preparation for Heel Prick 7.2.2 Heel Prick Procedure 7.3 Complications 7.3.1 Venipuncture 7.3.2 Heel Prick 7.4 Case Resolution References Pediatric Resuscitation Guidelines for Limited-Resource Settings 1 Case 2 Introduction 3 Case Continuation in Healthcare Settings with No Availability of Intensive Care 4 Case Management Discussion 4.1 Non-ICU Setting 4.2 Referral and Transport Considerations 4.3 Transport 5 Case Continuation in Healthcare Settings with Availability of Intensive Care 6 Case Discussion 6.1 ICU Setting 6.2 Medication Preparation/Dosing Chart 7 Summary 8 Case Resolution 9 For Further Reading References Oral Rehydration Therapy in a Low-Resource Setting 1 Case Example 1 2 Introduction 2.1 Oral Rehydration Salt Solution 2.2 ReSoMal 2.3 Ongoing Refinement of ORS 2.4 Cost of Not Using ORS 3 Indications 4 Contraindications 5 Equipment/Supplies 5.1 Homemade Salt-Sugar Solution 6 Technique 6.1 Homemade Recipe 7 Instructions for Use 7.1 Determine Level of Dehydration 7.2 Treatment Plan A and B 8 Case 1 Resolution 9 Case Example 2 9.1 Treatment Plan C 10 Complications 11 Conclusion 12 Case 2 Resolution 13 For Further Reading References Malnutrition: Practical Approaches to Feeding a Severely Malnourished Child in a Low-Resource Setting 1 Case Example 2 Introduction 2.1 Indications for Inpatient Re-feeding 3 Contraindications 4 Equipment 4.1 Stabilization Phase: Therapeutic Milk: F75/F100 4.2 Rehabilitation Phase 4.2.1 Complimentary and Transition Foods 4.2.2 Other Situations: Children Younger Than 6 Months 5 Technique/Goals 6 Instructions for Use 6.1 Discharge from an Inpatient Facility 7 Complications/Troubleshooting 8 Case Resolution References Intraosseous Line Placement for Medical Therapy in a Low-Resource Setting 1 Case Example 2 Introduction 3 Indications 4 Contraindications 5 Equipment/Supplies 6 Technique and Instructions for Use 6.1 Preparation 6.2 Placement of IO 7 Complications 8 Case Resolution References Intravenous Fluid Administration Without Programmable Infusion Pumps in a Low-Resource Setting 1 Case Example 2 Introduction 3 Indications 3.1 Supplies Needed for Manual Delivery of Intravenous Fluid (Figures under Section Discussed) 4 Types of Intravenous Fluid Administration Sets 5 Standard IV Fluid Administration Set 6 Microdrip Infusion Set with Volume Control Chamber 6.1 Blood Transfusion Set 7 Instructions for Calculating the Drip Rate for a Giving Set 7.1 How to Calculate Drip Rate for any Fluid Administration Set 7.2 Patient Safety Measures 8 Complications 9 Case Resolution (with Calculation) 10 Case Resolution References Mixing Intravenous Fluids in a Low-Resource Setting 1 Case Scenario 1 2 Introduction 3 Indications 4 Equipment/Supplies 5 Technique 5.1 Potassium 5.2 Other Electrolytes 6 Complications/Risks 7 Case Resolution References Further Reading Respiratory Equipment Adaptations in a Low-Resource Setting 1 Spacer for a Metered Dose Inhaler 1.1 Case Example 1.2 Introduction 1.2.1 Indications 1.2.2 Equipment (Fig. 1) 1.2.3 Technique 1.2.4 Instructions for Use 1.2.5 Complications 1.3 Case Resolution 2 Nasopharyngeal Airway 2.1 Case Example 2.2 Introduction 2.2.1 Indications 2.2.2 Contraindications 2.2.3 Equipment 2.2.4 Technique Fashioning an NPA from a Flexible Tube 2.2.5 Instructions for Use 2.2.6 Complications 2.3 Case Resolution References Bubble CPAP in a Low-Resource Setting 1 Case Example 2 Introduction 2.1 The Evidence 3 Indications 4 Contraindications 5 Equipment/Supplies 6 Technique/Instructions for Use 7 Instructions for Use 8 Complications/Monitoring/Troubleshooting 9 Case Resolution References Further Reading Modified Chest Drainage System for Use in a Low-Resource Settings 1 Case Presentation 2 Introduction 3 Indications 3.1 Pleural Effusion 3.2 Hemothorax 3.3 Pneumothorax 4 Contraindications 5 Equipment 6 Technique 6.1 Heimlich Valve 6.2 Procedure Preparation 6.3 Monitoring 6.4 Procedural Sedation and Pain Management 7 Troubleshooting 8 Complications 8.1 Procedural Complications 9 Pearls 10 Case Resolution References Further Reading Performing Lumbar Puncture in a Low-Resource Setting 1 Case Example 2 Introduction 3 Indications 4 Contraindications 5 Equipment/Supplies 5.1 Technique/Instructions for Use 5.1.1 Procedure with Adaptations 5.2 Complications 6 Case Resolution References Peritoneal Dialysis in a Low-Resource Setting 1 Case Example 2 Introduction 3 Indications 4 Contraindications 5 Supplies/Equipment 5.1 PD Catheter Options 5.1.1 Supplies Required for PD Catheter Placement (Fig. 2) 5.2 Technique 5.2.1 How to Make or Obtain PD Fluid and PD Fluid Sustainability 6 Instructions for Use 6.1 Basics on How to Do PD 6.2 PD Cycling 7 Complications/Troubleshooting 8 Case Resolution References Wound Vacuum-Assisted Closure Therapy in a Low-Resource Setting 1 Case Example 2 Introduction 3 Indications 3.1 Open Wound Categories 3.2 Contraindications 3.3 Relative Contraindication: Elevated Bleeding Risk 4 Equipment/Supplies 4.1 NPWT Component Options 4.1.1 Wound-Dressing Interface 4.2 Dressing Sealant 4.2.1 Adhesive Drapes 4.2.2 Suction Tubing 4.2.3 Suction Device 5 Technique/Instructions for Use 5.1 Wound-Dressing Interface 5.2 Suction 5.3 Monitoring Suction and Seal 5.4 NPWT Dressing Change Intervals 6 NPWT Endpoints 7 Complications 8 Case Resolution References Further Reading Burn Care in a Low-Resource Setting 1 Case Example 2 Introduction 3 Classification of Burns 3.1 Burn Depth Determination 3.2 Body Surface Area Determination 4 Case Example Continuation 5 Burn Management: Initial Care and Evaluation 5.1 Pre-healthcare Facility 5.2 Medical Facility/Hospital Management 6 Burn Management: Fluid Resuscitation 7 Case Continuation 8 Burn Management: Wound Care 8.1 Burn Wound Care Steps 9 Burn Management: Pain Control and Nutrition 9.1 Pain Control and Sedation 9.2 Nutrition 10 Complications 11 Case Resolution References Unique Considerations for Simulation Use in a Low-Resource Setting 1 Introduction 2 Simulation for Preparing to Work in Resource-Limited Settings 2.1 SUGARPREP Curriculum 3 Simulation Training in Resource-Limited Settings 4 Case Example 5 Simulation Partnerships 6 Location, Technology, and Equipment 7 Case Design 8 Case Facilitation 8.1 Pre-brief 8.2 Case Facilitation 8.3 Debriefing 9 Virtual Simulation Adaptations 10 Conclusion References Practice and Implementation of Procedural Adaptations in a Low-Resource Setting 1 Self-Study and Available Resources 2 Importance of Hands-On Training and Supervision 3 Low-Cost Model Examples 4 Implementation in the Clinical Setting 5 Concluding Thoughts Reference Index