B P International

In the realm of intensive care medicine, extracorporeal blood purification techniques are becoming more common. These methods are used in a variety of clinical settings, including Sepsis, Trauma, Burns, Influenza, Surgery, Pancreatitis, ARDS, Life Support, and Liver Failure. New adsorptive procedures have shown to directly target the inflammatory cascade by effectively removing important mediators, as opposed to filtration-based methods commonly utilised for renal replacement treatment. However, in the neonatal and paediatric population, these approaches provide a number of hurdles as well as significant technological difficulties. A promising extracorporeal device for cystic fibrosis was recently developed. However, there is a scarcity of data on its use in severely unwell children [1]. Due to a lack of data and procedure protocols, we had to make some aprioristic diagnostic and speculative decisions based solely on science: "in primis," when we decided to use this "Cyt...

The goal of this study is to give a broad review of the most disputed areas of clinical therapeutic help in neonatal and paediatric general and cardiothoracic surgery, as well as pre- and post-operative Intensive Care Unit therapies. This is a description based on protocols and experiments that have been published or are in the midst of being verified in the Neonatal and Pediatric General and Cardiac Anaesthesia and ICU at a Pediatric Hospital in Bari, Italy. Even if science is quick to provide clinicians with new gadgets and therapeutic aims, it is up to the clinicians to use them correctly or, at the very least, alternatively, always keeping the patient's best interests in mind. This is how we function on a daily basis: we strive to adapt new equipment or treatments to the needs of the patients, rather than the patients to the devices or drugs, keeping in mind that developing dedicated systems in the newborn and paediatric age is quite challenging. We have adapted several adu...