HIV In Children
 
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Should all patients with viral respiratory infection be treated with oseltamivir in current epidemic of H1N1 influenza_?
Yes, it may be H1N1
No, only if test is positive for influenza
Only in sick patients admitted in ICU
VASCULAR ACCESS IN PEDIATRICS
Indications For Arterial Catheterization
Dr Sunita Goel
Lecturer in Anaesthesiology
BJ Wadia Childrens hospital


Indications for arterial catheterization :

  • Continuous monitoring of systemic blood pressure

  • Arterial blood sampling

  • Continuous arteriovenous hemofiltration (CAVH)

Placement of arterial catheter

Sites for arterial catheterization

  • Radial and ulnar

  • Posterior tibial

  • Dorsalis pedis

  • Femoral

  • Axillary

  • Brachial

  • Temporal
Contraindications of arterial catheterization

  • Likelihood of abnormal perfusion distal to the cannulation site (do Allen test)

  • Skin infection at the site of entrance

  • Thrombus formation

  • Ischemia distal to the insertion

  • Embolization

  • Loss of distal structures (fingers, toes, feet, hands, etc.)

  • Infection (very infrequent)

  • Arteriovenous fistulas

  • Exsanguinations


 
 
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