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Full-Text Articles in Pediatrics
Birth Brachial Plexus Injury (Bbpi): Management Of Shoulder Subluxation/Dislocation, Children's Mercy Kansas City
Birth Brachial Plexus Injury (Bbpi): Management Of Shoulder Subluxation/Dislocation, Children's Mercy Kansas City
Clinical Pathways
BBPI most often, but not always, occurs during the delivery process as the infant descends through the birth canal and the shoulder becomes lodged on the mother’s pelvic bone. As contraction begins, the infant’s neck and shoulder are stretched which can cause tears or ruptures of the nerves within the brachial plexus thus impacting the sensation and movement of the affected upper extremity. Incidence of brachial plexus injuries in the United States is 0.4 to 4 in 1,000 live births (Abzug, et al., 2018; Foad et al., 2008; Hoeksma et al., 2004; Waters, 1997). Although many of these infants will …
Hyperleukocytosis/Leukapheresis, Children's Mercy Kansas City
Hyperleukocytosis/Leukapheresis, Children's Mercy Kansas City
Clinical Pathways
Hyperleukocytosis is a life-threatening oncology emergency, defined as a white blood cell (WBC) count ≥ 100,000/µL and can occur in up to 20% of patients with acute myeloid or lymphoid leukemias (Abla et al., 2016). Hyperleukocytosis may lead to leukostasis and subsequent end organ damage, commonly affecting the central nervous system, respiratory and renal systems, and can also cause tumor lysis syndrome (TLS), another oncology emergency, and lead to metabolic derangements and further renal dysfunction (Porcu et al., 2000). Treatment of hyperleukocytosis includes supportive care, early initiation of chemotherapy and/or leukapheresis (Zhang et al., 2021). There are no definitive guidelines …
Sickle Cell Disease: Management Of Acute Pain, Children's Mercy Kansas City
Sickle Cell Disease: Management Of Acute Pain, Children's Mercy Kansas City
Clinical Pathways
No abstract provided.
Low-Risk Fever And Neutropenia, Children's Mercy Kansas City
Low-Risk Fever And Neutropenia, Children's Mercy Kansas City
Clinical Pathways
No abstract provided.
Hyperbilirubinemia, Children's Mercy Kansas City
Hyperbilirubinemia, Children's Mercy Kansas City
Clinical Pathways
No abstract provided.