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Multiprofessional Critical Care Review: Pediatric ...
Oncologic and Hematologic Emergencies
Oncologic and Hematologic Emergencies
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Video Transcription
Video Summary
In this video, Dr. Atsia Golnik, a pediatric intensivist, discusses the recognition and management of common oncologic and hematologic emergencies in children. She highlights the high risk of critical illness in children with cancer due to factors such as immunosuppression, disrupted natural barriers, and complications from the disease or treatment. Dr. Golnik emphasizes the importance of recognizing and treating complications such as hyperleukocytosis, tumor lysis syndrome, APL differentiation syndrome, mediastinal masses, spinal cord compression, febrile neutropenia, and toxicities from chemotherapy. She discusses the pathophysiology, clinical presentation, diagnostic evaluation, and management approaches for each of these emergencies. Dr. Golnik also mentions the risk factors for mortality in these patients, including relapsed oncologic disease, underlying hematologic malignancies, stem cell transplantation, infections, and organ failure. Overall, this lecture highlights the need for critical care support in children with cancer and the importance of early recognition and intervention in managing oncologic and hematologic emergencies.
Keywords
pediatric intensivist
oncologic emergencies
hematologic emergencies
children with cancer
complications
hyperleukocytosis
tumor lysis syndrome
APL differentiation syndrome
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