Paediatric Intensive Care Nursing

Doreen Crawford is Senior Lecturer Nursing and Midwifery at De Montfort University. She is the Chair of the Children and Young Peoples Acute Care Forum, and has sat on the RCN, National Forum for Neonatal and Paediatric Intensive Care since 2005, which has led to work representing them with NPSA, BAPM, RCPCH and NICE.

Acknowledgements xiii

Section 1: Introduction to Paediatric Intensive Care Nursing 1

1 Introduction to Children's Intensive Care 3
Dave Clarke

2 Assessment and Management of the Critically Ill Child/Resuscitation 11
Mark Fores and Doreen Crawford

3 Physiological Monitoring of Infants and Children in the Intensive Care Unit 22
Michaela Dixon and Debra Teasdale

Section 2: Systems Approach 33

4 Care of an Infant or Child with a Respiratory Illness and/or the Need for Respiratory Support 35
Michaela Dixon

5 Care of an Infant or Child with a Cardiac Condition or Disease 102
Sandra Batcheler and Michaela Dixon

6 Care of the Infant or Child in Renal Failure 169
Ben Harvey and Doreen Crawford

7 Care of the Infant or Child with Acute Neurological Dysfunction 188
Michaela Dixon

8 Care of an Infant or Child with Gastrointestinal or Endocrine Dysfunction 215
Doreen Crawford and Michaela Dixon

9 Care of a Child with Musculoskeletal Injury 250
Mark Fores and Doreen Crawford

10 Care of the Infant or Child with Thermal Injury 273
Jane Leaver and Clare Thomas

11 Care of the Child with Cancer 284
Karen Selwood, Caroline Langford and Michelle Wright

Section 3: Essential Care 301

12 Nutrition and Fluid Management 303
Doreen Crawford

13 Management of Pain and Sedation in Intensive Care 318
Doreen Crawford and Michaela Dixon

14 Managing Skin Integrity, Wound Healing and Care 338
Doreen Crawford

15 Transportation of the Critically Ill Infant or Child 349
Alison Oliver and Michaela Dixon

Section 4: Holistic Care 359

16 Care of the Family 361
Doreen Crawford and Peter McNee

17 Spiritual Care and Bereavement in Paediatric Intensive Care 370
Peter McNee

18 Safeguarding Children in the Intensive Care Unit 381
Gillian Earl

Conclusion 392

References 392

Further reading 393

Resources 393

Index 395

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