Practice guidelines for five of the most common podopediatric deformities are presented. In establishing these diagnosis and management guidelines, the authors have reviewed an extensive body of literature and considered their experience as clinicians in one of the busiest settings for the evaluation and treatment of disorders of children's feet. No attempt has been made to be encyclopedic; rather, the authors emphasize practical visual descriptors and the rationale for treatment to demonstrate the value of early intervention in moderate-to-severe orthopedic pathology of the foot and leg.
Purpose of Review We aim to present the challenges in defining bronchopulmonary dysplasia (BPD) and summarize optimized management of established BPD in a multidisciplinary fashion. Recent Findings In the last few years, several meta-analyses assessing the treatment of BPD have been updated to assist in guiding clinical management. In addition, a new severity grading system was proposed at the National Institute of Child Health and Human Development (NICHD) BPD workshop with more objective criteria including commonly used modes of noninvasive respiratory support. Summary Although survival of infants born prematurely has improved over the last several decades, the incidence of BPD has remained unchanged. Defining BPD and stratifying its severity continue to be challenging for clinicians. Successful BPD management requires a multidisciplinary approach to optimize ventilator strategies, provide adequate nutrition, utilize pharmacotherapeutics in an evidence-based fashion, and screen for comorbidities.
Just before morning sign-in rounds began the other day I quickly perused the list of children admitted to the hospital and noted recurrent themes of indwelling catheters, gastrostomy tubes, tracheostomies, and ileostomies. For some individuals, diagnoses were many, the number of which was surpassed by the medications ordered. What happened to the child admitted for a single reason, whose care seemed simple in comparison to today? When did hospital length of stay become inversely proportional to the complexity of care? Yes, General Pediatrics has changed for the better; our children are surviving significant morbidities. Yet our outpatient care is becoming ever more complicated. We now care for patients in our clinics whom we used to care for in our hospitals."Discharge of Medically Complex Infants and Developmental Follow-Up" is the first of two articles in 2021 to kick off our new Chronic Conditions feature, which will be a quarterly feature in 2022 and beyond. Pediatrics in Review strongly believes it is time to regularly address the care of the infant, child, and adolescent with complex, chronic disease(s). We hope you agree.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.