Pediatric Procedural Adaptations for Low-Resource Settings : A Case-Based Guide / [E-Book]

Background -- Procedural Adaptation Concepts in a low-resource settings -- Basics of Neonatal Intensive Care and Pediatric Intensive Care in a low-resource settings -- Neonatal Resuscitation Adaptations in a low-resource settings -- Phototherapy in a low-resource settings -- Umbilical Venous Catheter Placement in a low-resource settings -- Exchange Transfusions for Severe Hyperbilirubinemia in a low-resource settings -- Breastfeeding Tips in a low-resource settings -- Kangaroo Mother Care in a low-resource settings -- Obtaining Blood in Neonates and Children in a low-resource settings -- Pediatric Resuscitation in a low-resource settings -- Oral Rehydration in low-resource settings -- Nutrition and Fluid Alternatives and Tips in a low-resource settings -- Intra-osseous (IO) Needles with Stabilizers in a low-resource settings -- Intravenous Fluid Administration without Pumps in a low-resource settings -- Mixing Intravenous Fluids in a low-resource Setting -- Respiratory Equipment Adaptations in a low-resource Setting -- Bubble CPAP in a low-resource Setting -- Chest Drainage System in a low-resource Setting -- Performing Lumbar Puncture in a low-resource Setting -- Peritoneal Dialysis in a low-resource Setting -- Wound Vacuum-Assisted Closure Therapy in a low-resource Setting -- Burn Care in a low-resource Setting -- Low-fidelity simulations in a low-resource Setting -- Practice and implementation of procedural adaptations in a low-resource Setting.

Despite global advancements in pediatric medicine, technologies which have become standard-of-care in high-resource settings are unavailable in low-and middle-income countries due to cost, availability, or challenges maintaining equipment. This book compiles evidence-based and expert clinical procedural adaptations in an approachable, case-based, step-by-step guide, aimed to provide educational support for healthcare providers practicing in resource-limited settings. This responds to both the high demand for this content and the importance of gathering experts across continents and pediatric disciplines. Each chapter provides both a theoretical framework and practical discussion of high-yield procedural adaptations. Leading international researchers and seasoned clinicians with expertise using these adaptations were selected by the editors as authors. Chapters include an example case with adaptation use and detailed instructions including supplies, indications, risks, and benefits. Content is grounded in current best practice recommendations and evidence-based research. Highlighted by the COVID-19 pandemic, a mature understanding of pathophysiology and device design/safety is required when providing care in low-resource settings or in crisis times. In-person instruction is not always feasible. Written and virtual platforms remain critical in disseminating high-yield, practical content. This book is not a substitute for appropriate procedural training, though is easily modified to meet the educational needs of diverse learner groups. It is a valuable resource for appropriately trained practitioners practicing in accordance with local guidelines. Knowledge and fluency with pediatric procedural adaptations is critical in efforts to reduce global inequities and pediatric morbidity/mortality in low-resource settings.