Multiprofessional Critical Care Review: Pediatric (2023)-Pediatric Endocrine Issues

Video Transcription

Video Summary

In this lecture, Dr. Zimmerman discusses a variety of common endocrine issues encountered in the pediatric intensive care unit (PICU). He covers topics such as diabetic ketoacidosis (DKA), adrenal insufficiency, the renal angiotensin-aldosterone axis, three salt and water syndromes, pheochromocytoma, and hypo and hyperthyroidism. Dr. Zimmerman emphasizes the importance of early recognition and treatment of these endocrine issues in critically ill children. He explains the pathogenesis, clinical presentation, and management of each condition. For example, in DKA, the primary interventions include fluid resuscitation, insulin administration, electrolyte replacement, investigation for the underlying cause, and prevention of complications such as hypoglycemia and hypokalemia. Dr. Zimmerman also discusses the syndrome of inappropriate antidiuretic hormone (SIADH), which is the most common salt and water syndrome encountered in the ICU. He explains the pathophysiology and management of SIADH. The lecture concludes with a discussion on hypothyroidism, hyperthyroidism, and thyroid storm, including their clinical features and treatment options. Dr. Zimmerman highlights the importance of close monitoring and early intervention to optimize patient outcomes in the PICU.

Keywords

endocrine issues

pediatric intensive care unit

diabetic ketoacidosis

adrenal insufficiency

salt and water syndromes

pheochromocytoma

hypo and hyperthyroidism

SIADH

pathophysiology

clinical features

treatment options

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