Paediatrics - Bankstown Hospital - Grand Rounds - Further Reading - LibGuides at South Western Sydney Local Health District

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Welcome

Welcome to the Grand Rounds Further Reading List, Paediatrics edition, brought to you by the Clinical Library, on Level 4, next to the Auditorium.

This library guide is to help support you in your professional development. Please give us feedback so we can improve this list in the future.

Some sections are under construction and will be ready later in the year. If you are presenting at a later Grand Rounds, please contact lynne.roberts3@health.nsw.gov.au and tell us about the content of your paper so we can add appropriate resources to the list for when you present your paper.

If you have any questions, please contact the Clinical Library on 9722 8250 or email SWSLHD-BankstownLibrary@health.nsw.gov.au or visit us Monday to Fridays, 8.30am - 5.00pm.

Journal Articles

Ekberg, S., et al. (2022). "Enhancing paediatric palliative care: A rapid review to inform continued development of care for children with life-limiting conditions." Journal of Paediatrics and Child Health 58(2): 232-237 https://onlinelibrary.wiley.com/doi/abs/10.1111/jpc.15851

Aim Following the establishment of paediatric palliative care services over recent decades, this study sought to identify information to inform future policy and practice. Methods A rapid review using thematic synthesis was conducted to synthesise existing information about improving paediatric palliative care. Information was extracted in relation to key areas for investment and change: quality, access, advance care planning, skills, research, collaboration and community awareness. Results A total of 2228 literature sources were screened, with 369 included. Synthesised information identified clear ways to improve quality of care, access to care, advance care planning, and research and data collection. The synthesis identified knowledge gaps in understanding how to improve skills in paediatric palliative care, collaboration across Australian jurisdictions and community awareness. Conclusions The findings of this review bring together information from a vast range of sources to provide action-oriented information to target investment and change in paediatric palliative care over the coming decades.

Joanna R. G, V., et al. (2022). "Persistent pulmonary hypertension in neonates with perinatal asphyxia and therapeutic hypothermia: a frequent and perilous combination." The Journal of Maternal-Fetal & Neonatal Medicine 35(25): 4969-4975 https://doi.org/10.1080/14767058.2021.1873941

doi: 10.1080/14767058.2021.1873941.

Therapeutic hypothermia in neonates with perinatal asphyxia may increase the risk of PPHN. This potentially affects outcome.Objectives (1) To investigate whether neonates with perinatal asphyxia and therapeutic hypothermia more often developed PPHN compared to a control group with perinatal asphyxia not treated with hypothermia; (2) To identify risk factors for severe PPHN during hypothermia and evaluate short-term outcome.Methods This single-center retrospective cohort study included (near-)term neonates with perinatal asphyxia admitted between 2004 and 2016. Neonates with perinatal asphyxia and hypothermia were compared to a historical control group without hypothermia. Primary outcome was PPHN, defined as severe hypoxemia requiring mechanical ventilation and inhaled nitric oxide, confirmed by echocardiography. Short-term adverse outcome was defined as mortality within one month and/or severe brain injury on MRI.Results Incidence of PPHN was 23% (26/114) in the hypothermia group and 11% (8/70) in controls. In multivariate analysis, PPHN was 2.5 times more common among neonates with hypothermia. Neonates developing PPHN during hypothermia often had higher fraction of inspired oxygen at baseline. PPHN was not associated with a higher risk of severe brain injury. However, early mortality was higher and three infants died due to severe refractory PPHN during hypothermia.Conclusions In this study PPHN occurred more often since the introduction of therapeutic hypothermia. This was usually reversible and did not lead to overall increased adverse outcome. However, in individual cases with PPHN deterioration occurred rapidly. In such cases the benefits of hypothermia should be weighed against the risk of a complicated, fatal course.

Sequera-Ramos, L., et al. (2022). "Noninvasive ventilation in children: A review for the pediatric anesthesiologist." Pediatric Anesthesia 32(2): 262-272 https://onlinelibrary.wiley.com/doi/abs/10.1111/pan.14364

Abstract Preserving adequate respiratory function is essential in the perioperative period. Mechanical ventilation with endotracheal intubation is widely used for this purpose. In select patients, noninvasive ventilation (NIV) may be an alternative to invasive ventilation or may complement respiratory management. NIV is used to provide ventilatory support and increase gas exchange at the alveolar level without the use of an invasive artificial airway such as an endotracheal tube or tracheostomy. NIV includes both continuous positive airway pressure (CPAP) and noninvasive positive pressure ventilation. Indications for NIV range from acute hypoxic respiratory failure in the intensive care unit or the emergency department, to chronic respiratory failure in patients with neuromuscular disease with nocturnal hypoventilation. In the perioperative setting, NIV is commonly applied as CPAP, and bilevel positive airway pressure (BPAP). There are limited data on the role of NIV in children in the perioperative setting, and there are no clear guidelines regarding optimal timing of use and pressure settings of perioperative NIV. Contraindications to the use of NIV include reduced level of consciousness, apnea, severe respiratory distress, and inability to maintain upper airway patency or airway protective reflexes. Common problems encountered during NIV involve airway leaks and asynchrony with auto-triggering. High-flow nasal oxygen (HFNO) has emerged as an alternative to NIV when trying to decrease the work of breathing and improve oxygenation in children. HFNO delivers humidified and heated oxygen at rates between 2 and 70 L/min using specific nasal cannulas, and flows are determined by the patient's weight and clinical needs. HFNO can be useful as a method for preoxygenation in infants and children by prolonging apnea time before desaturation, yet in children with decreased minute ventilation or apnea HFNO does not improve alveolar gas exchange. Clinicians experienced with these devices, such as pediatric intensivists and pulmonary medicine specialists, can be useful resources for the pediatric anesthesiologist caring for complex patients on NIV.

Singh, P., et al. (2023). "Management of neonatal pulmonary hypertension-a survey of neonatal intensive care units in India." BMC Pediatrics 23(1): 149 https://doi.org/10.1186/s12887-023-03964-9

Persistent pulmonary hypertension of the newborn (PPHN) is a common neonatal condition associated with significant morbidity and mortality. First-line diagnostic and treatment options such as echocardiography and inhaled nitric oxide (iNO) are not routinely available in resource limited settings and alternative treatment modalities need to be utilized. This study was conducted to assess current diagnostic and management strategies used for PPHN in Indian neonatal intensive care units (NICUs).

Books

Clinical Examination Skills in Paediatrics by A. Mark Dalzell (Editor); Ian Sinha (Editor)
Call Number: BANKSTOWN Medical Library WS 141/CLI/1
ISBN: 9781118746080
Publication Date: 2020
Examining children presents unique challenges for trainees and new doctors in paediatrics. Paediatric patients vary greatly in age and development, often find it difficult to describe their symptoms, and can behave unpredictably in clinical settings. Clinical Examination Skills in Paediatrics helps MRCPCH candidates and other practitioners learn effective history taking and fundamental examination techniques. Clear and concise chapters-with contributions from a team of paediatric specialists-demonstrate the clinical examination and questioning techniques used in daily practice. Emphasis on the intellectual processes involved in decision making assists both trainees preparing for a formal examination as well as new clinicians faced with a difficult diagnostic problem. Topics include cardiovascular and respiratory examination, examining a child with a neuromuscular disorder, musculoskeletal examination, and taking history from a child with diabetes and a rheumatological condition. Includes access to a companion website containing high-quality videos that demonstrate techniques, procedures and approaches Features commentary by experienced practitioners which offer observations and deductions at each stage of the examination process Offers tips for communicating effectively with the patients using appropriate lay terms Helps translate the symptoms and signs experienced by patients into medical-speak Covers all the skills tested in the MRCPCH Clinical exam Clinical Examination Skills in Paediatrics is the perfect study and reference guide for paediatrics trainees, MRCPCH candidates, foundation doctors, allied healthcare professionals, and anyone looking to improve their clinical and communication skills in paediatrics.
Essential Paediatrics and Child Health by Mary Rudolf; Anthony Luder; Kerry Jeavons
Call Number: BANKSTOWN Medical Library WS 200/RUD/4
ISBN: 9781119420224
Publication Date: 2020
Essential Paediatrics and Child Health is a comprehensive and practical guide to paediatric disorders as they present to the student and practitioner, offering step-by-step guidance on symptom assessment, history taking, physical examination, investigation and diagnosis, management and treatment, patient education, follow-up and prognosis. With full-colour images and a range of unique and innovative learning features, this completely revised new edition of the award-winning book Paediatrics and Child Health will prove an invaluable resource for medical students and junior doctors on their journey through contemporary paediatrics. Organises paediatric disorders into system-based chapters for easy navigation, with symptom-based and integrative discussions of all the important diseases and disabilities in paediatrics Combines up-to-date descriptions of the latest in basic and clinical science with the core competencies expected of students in paediatric rotations Self-directed learning is made easy by means of navigation diagrams, tables, key-point and "at-a-glance" boxes, links to guidelines and other summary aids Sections on student experience, self-assessment, doing well in paediatric clinical placements and preparing for examinations and OSCEs Includes a completely new introduction with perspectives on the nature of paediatrics and how best to become engaged and immersed within it, and new content on communication, national guidelines, imaging techniques, genetics and epigenetics, prescribing for children toxicology, the latest advances in diagnosing and treating disease, and much more Provides a companion website containing physical examination instruction videos, a complete set of interactive patient scenarios and multiple-choice questions Essential Paediatrics and Child Health is the ideal companion for medical students and junior doctors to succeed in their studies and clinical practice.
Nelson Textbook of Pediatrics, 2-Volume Set by Robert M. Kliegman; Joseph W. St. Geme III
Call Number: BANKSTOWN Medical Library WS 100/NEL/21 V.1, BANKSTOWN Medical Library WS 100/NEL/21 V.2
ISBN: 9780323529501
Publication Date: 2019
Welcome to the 21st Edition of Nelson Textbook of Pediatrics - the reference of choice among pediatricians, pediatric residents, and others involved in the care of young patients. This fully revised edition continues to provide the breadth and depth of knowledge you expect from Nelson, while also keeping you up to date with new advances in the science and art of pediatric practice. Authoritative and reader-friendly, it delivers the information you need in a concise, easy-to-use format for everyday reference and study. From rapidly changing diagnostic and treatment protocols to new technologies to the wide range of biologic, psychologic, and social problems faced by children today, this comprehensive 2-volume reference keeps you on the cutting edge of the very best in pediatric care.
Paediatric Clinical Examination Made Easy by Denis Gill; Niall O'Brien
Call Number: BANKSTOWN Medical Library WS 141/GIL/6
ISBN: 9780702072888
Publication Date: 2017
Fully revised, this is an updated new edition of a much-loved book which has built a reputation for pithy, entertaining good sense over the course of six editions. 'Children are different. Paediatrics is much more than medicine miniaturised.' From reviews of the previous edition: 'All in all a very handy book for the student, the resident or other professionals working with children. I had a lot of fun reading it.' 'The book is full of wonderful illustrations, and funny and profound advice with quotations, like the words of Sir Dominic Corrigan (1853): "The trouble with many doctors is not that they do not know enough but that they do not see enough", or the advice to teach thy tongue to say" "I do not know" (Rabbi Moses Maimonides or Rambam, 1135-1204). I have used this book for my final medical year paediatrics exams, the DCH and the MRCP and it has been a great help. It reminds us of the most important and basic things - history and examination, and of course a friendly demeanour.' Short, manageable chapters Clinical examples of examination techniques Very helpful tips and topics section Clinical checklists Simply illustrated Updated throughout New section of 'questions of fives' questions.

E-Books

The 5-minute pediatric consult by Cabana, Michael D.
Call Number: CIAP Electronic books (login required for home access
ISBN: 9781975126841
Publication Date: 2019
Supporting the Child and the Family in Paediatric Palliative Care by Brian Warr; Erica Brown; Anne Smallman (Contribution by); Sheila Shribman (Foreword by)
Call Number: ProQuest E-Book Central database (login required)
ISBN: 9781843101819
Publication Date: 2007-06-15
Supporting the Child and the Family in Paediatric Palliative Care provides a comprehensive overview of good practice in caring for terminally-ill children, young people and their families. Drawing from extensive personal experiences of working in paediatric palliative care, the author provides guidance on issues including symptom management and pain relief; cultural, religious and spiritual aspects of care; and the role of education for life-limited children. Addressing the importance of individual needs, the book looks at emotional, social and cognitive support at different stages of the illness, how parents and professionals can respond to children's own questions about death, and the impact of life-limiting illness on the whole family - including grandparents and siblings. The material offers helpful suggestions on how to support families in making informed choices during distressing periods, such as where their child will die and how to prepare for the funeral. This book is a practical and invaluable tool for nurses, paediatricians, hospice care staff, bereavement counsellors and all those caring for life-limited children.

Web resources

AMH Children's Dosing Companion. Available via CIAP

BNF for Children: Guidance on the actions and uses of drugs prescribed in the UK for children. Available via CIAP

MD Calc - medical calculator. Available via CIAP

Medicines for Children. Available via CIAP

NETS Clinical Calculator Available via CIAP

Podcasts

Cochrane Neonatal podcasts.

Short summaries of recent Cochrane reviews on neonatal practice. Available in multiple language.

Neonatal Conversations

A podcast where clinical experts in neonatal intensive care discuss how they provide care for the critically ill newborn. Available as Apple, Spotify and Google podcasts.

NICU Ride & Review

An educational podcast for clinicians who care for newborns, featuring discussions with faculty at the University of Texas Southwestern Medical Center.