Comment on original article by A.J. Braga and A.E.R. Young (April 2011 issue). Preventing venous thrombosis in critically ill children: what is the right approach?

2011 ◽  
Vol 21 (8) ◽  
pp. 912-913
Author(s):  
Vimmi Oshan
Save My Kid ◽  
2020 ◽  
pp. 173-192
Author(s):  
Amanda M. Gengler

Chapter 8 grapples with the implications of the author’s findings from her case studies. It highlights how the quest for hope can save lives when it brings families of critically ill children to the “right” treatment; how it can garner families and their children “microadvantages” throughout the treatment process; how it can help everyone involved express the depth of their care; how it can change how families engage with the social world around them; and how it can sometimes breed additional pain, suffering, turmoil, and regret.


2017 ◽  
Vol 44 (01) ◽  
pp. 052-056 ◽  
Author(s):  
Edward Faustino

AbstractThe presence of a central venous catheter and admission to the intensive care unit are the most important risk factors for deep venous thrombosis (DVT) in children. At least 18% of critically ill children with a catheter develop radiologically confirmed catheter-associated thrombosis. Clinically apparent thrombosis occurs in 3% of critically ill children with a catheter and is associated with 8 additional days of mechanical ventilation. Even when the thrombus is initially asymptomatic, 8 to 18% of critically ill children with catheter-associated thrombosis develop postthrombotic syndrome. Thrombosis is uncommon within 24 hours after insertion of a nontunneled catheter in critically ill children, but nearly all thrombi have developed by 4 days after insertion. Hypercoagulability during or immediately after insertion of the catheter plays an essential role in the development of thrombosis. Pharmacologic prophylaxis, including local anticoagulation with heparin-bonded catheter, has not been shown to reduce the risk of catheter-related thrombosis in children. Systemic anticoagulation in critically ill children started soon after the insertion of the catheter, however, may be beneficial. A multicenter clinical trial that is testing this hypothesis is currently underway.


1994 ◽  
Vol 22 (1) ◽  
pp. A160
Author(s):  
Brian Krafte-Jacobs ◽  
Carlos Sivit ◽  
Rodrigo Mejia ◽  
Murray Pollack

2013 ◽  
Vol 162 (2) ◽  
pp. 387-391 ◽  
Author(s):  
Edward Vincent S. Faustino ◽  
Philip C. Spinella ◽  
Simon Li ◽  
Matthew G. Pinto ◽  
Petronella Stoltz ◽  
...  

2008 ◽  
Author(s):  
Christine Rini ◽  
Sharon Manne ◽  
Katherine Duhamel ◽  
Jane Austin ◽  
Jamie Ostroff ◽  
...  

2013 ◽  
Vol 38 (03) ◽  
Author(s):  
C Jotterand ◽  
J Depeyre ◽  
C Moullet ◽  
MH Perez ◽  
J Cotting

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