Webinar - Prise en charge de la crise d'asthme

Venez pendant 1h parfaire vos connaissances sur l'asthme de l'enfant avec au programme :

  • Quelles modalités d’administration du salbutamol, Dr Guillaume Mortamet (Grenoble) : 15h-15h20
  • Que disent les recommandations ? Dr Christophe Milesi (Montpellier) : 15h20-15h40
  • Questions/réponses aux orateurs : 15h40-16h

Modération : Claire MORICE et Johan SIEBERT (Genève)

Withholding or withdrawing life saving treatment in pediatric intensive care unit: GFRUP guidelines

Several recent French studies have revealed that 40% of death in pediatric intensive care units are associated with withdrawal or limitation of life saving treatments. Because such decisions are common, the Groupe francophone de réanimation et urgences pédiatriques (GFRUP) has decided to publish recommendations in order to help paediatricians dealing with those difficult issues and to improve their decisions. In a first part of the document the ethical principles that imply those guidelines are...

Management of intussusception in France in 2004: investigation of the Paediatric Infectious Diseases Group, the French Group of Paediatric Emergency and Reanimation, and the French Society of Paediatric Surgery

CONCLUSION: The procedures of IS diagnosis are the same everywhere in France but the pathways of therapeutic management do vary, depending on the availability of surgeons and anaesthetists trained in paediatrics on each site. These disparities will probably change with the implementation of the new plan for sanitary organization in children and adolescents in France. Labellized paediatric emergency centres will gather more surgical patients and could eventually constitute an effective...

Are the GFRUP's recommendations for withholding or withdrawing treatments in critically ill children applicable? Results of a two-year survey

CONCLUSIONS: GFRUPs procedure was applicable in most cases. The main difficulties were anticipating the correct date for the meeting and involving nurses in the procedure. Children for whom the procedure was interrupted because of clinical improvement and who survived in poor condition without a formal decision pointed out the need for medical criteria for questioning, which should systematically lead to a formal decision-making process.