Bedside Procedures

Bakhtiar Yamini and Nalin Gupta Introduction

The physical diversity of the pediatric population is significantly greater than that encountered in a typical adult practice. Bedside procedures are often perfomed in children ranging from premature neonates to mature adolescents. These procedures are not only done in emergency situations, but also in elective settings. In most medical centers, a section of the neonatal intensive care unit (ICU) can be transformed into a virtual operating room, allowing many invasive procedures to be performed under sterile conditions.

In most instances bedside procedures are used to gain access to the cerebrospinal fluid (CSF) spaces for diversion, chemical analysis or pressure monitoring. As a general rule, coagulopathies and other bleeding dyscrasias are a contraindication to performing these bedside procedures. As will be discussed later, some procedures have a slightly lower propensity to cause hemorrhage and may be preferred.

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