PMID- 23015044
OWN - NLM
STAT- MEDLINE
DCOM- 20130702
LR  - 20211021
IS  - 1432-1076 (Electronic)
IS  - 0340-6199 (Linking)
VI  - 172
IP  - 1
DP  - 2013 Jan
TI  - Management of unstable pediatric hemato-oncology patient: results of a Web-based 
      survey to pediatric oncologists in Spain.
PG  - 51-8
LID - 10.1007/s00431-012-1840-3 [doi]
AB  - The current management and monitoring of unstable pediatric hemato-oncology 
      patient (UPHOP) in the oncology ward is not well defined. To evaluate this 
      concept, an anonymous Web-based survey was sent to the 150 Spanish pediatric 
      oncologists registered in the Spanish Society of Pediatric Hemato-Oncology. The 
      response rate was 57 %, with the following main results: Pediatric intensive 
      consulting was available for 97 %, and it was made in case of UPHOP by 37 % of 
      oncologists, up to 65 % if hemodynamic instability. In case of inotropic support 
      initiation, 32 % of respondents never consulted the intensivist. Dopamine is 
      first chosen inotropic; 28 % of surveyed considered there is no limit in its 
      dosage or it is superior to 20 mug/kg/min before an intensivist consulting. 
      Pediatric intensive care admission was considered necessary in case of fever with 
      hemodynamic instability by 15 % of respondents. Respiratory monitoring was mainly 
      done by clinical signs (67 %). In case of respiratory insufficiency, the 
      noninvasive respiratory support by high-flow ventilation with nasal cannula was 
      applied by 57 % in the oncology ward. In case of acute kidney injury, diuretics 
      were generally the initial therapy. The anticonvulsive drugs most frequently 
      applied were valproic acid (93 %), diazepam (88 %), and phenytoin (81 %). 
      CONCLUSION: A consensus should be achieved among oncologists and intensivists. 
      The creation and training of rapid response teams could be useful to improve the 
      UPHOP management.
FAU - Garcia-Salido, Alberto
AU  - Garcia-Salido A
AD  - Pediatric Critical Care Unit, Hospital Infantil Universitario Nino Jesus, Avenida 
      Menendez Pelayo 65, Madrid, Spain. citopensis@yahoo.es
FAU - Iglesias-Bouzas, Maria Isabel
AU  - Iglesias-Bouzas MI
FAU - Nieto-Moro, Montserrat
AU  - Nieto-Moro M
FAU - Lassaleta-Atienza, Alvaro
AU  - Lassaleta-Atienza A
FAU - Serrano-Gonzalez, Ana
AU  - Serrano-Gonzalez A
FAU - Casado-Flores, Juan
AU  - Casado-Flores J
LA  - eng
PT  - Journal Article
DEP - 20120927
PL  - Germany
TA  - Eur J Pediatr
JT  - European journal of pediatrics
JID - 7603873
SB  - IM
MH  - Child
MH  - Child, Preschool
MH  - Critical Illness
MH  - Hematologic Neoplasms/*therapy
MH  - Humans
MH  - *Internet
MH  - Physicians
MH  - Spain/epidemiology
MH  - Surveys and Questionnaires
EDAT- 2012/09/28 06:00
MHDA- 2013/07/03 06:00
CRDT- 2012/09/28 06:00
PHST- 2012/03/06 00:00 [received]
PHST- 2012/09/10 00:00 [accepted]
PHST- 2012/09/28 06:00 [entrez]
PHST- 2012/09/28 06:00 [pubmed]
PHST- 2013/07/03 06:00 [medline]
AID - 10.1007/s00431-012-1840-3 [doi]
PST - ppublish
SO  - Eur J Pediatr. 2013 Jan;172(1):51-8. doi: 10.1007/s00431-012-1840-3. Epub 2012 
      Sep 27.