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Neonatal and Pediatric Cardiovascular Crises
Warren G. Guntheroth, MD
JAMA. 1975;232(2):168-171.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings. |
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CRISES of the cardiovascular system in the pediatric age group occur most often in the infant, whose size makes monitoring blood pressure difficult and the dosage of fluids and medications critical. Therefore, some general comments about monitoring and drug dosage may serve well as an introduction to the critical care of infants and children.
Blood Pressure Determination
The blood pressure determination is crucial to the diagnosis as well as to the treatment of circulatory shock. No matter whether auscultation or ultrasonic or other electronic methods are employed, the cuff size is of enormous significance. A cuff that is too small will indicate systolic pressures higher than the true value of the intra-arterial pressure, and a cuff too large will produce readings that may suggest shock in the presence of a normal circulatory state.
The width of the air bladder in the cuff should be 20% to 25% wider than the
. . . [Full Text PDF of this Article]
Author Affiliations
From the Department of Pediatrics, University of Washington School of Medicine, Seattle.
Footnotes
Read in part before the Symposium on Critical Care Medicine, Anaheim, Calif, Feb 21, 1974.
Reprint requests to Department of Pediatrics (RD-20), University of Washington, Seattle, WA 98195.
Edited by Samuel Vaisrub, MD, Senior Editor.
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