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Sickle Cell Patient with Fever Clinical Pathway Patients with sickle cell disease (SCD) are at increased risk of severe bacterial infections, in large part due to reduced or absent splenic function. Repeated episodes of sickling and infarction lead to ‘autosplenectomy,’ often by age three years. Functionally asplenic patients

DIAMOND Award The Division of Clinical Services includes the following services: Audiology, Cardiopulmonary Lab, Care Coordination, Child Life, Clinical Nutrition, Neurodiagnostic Lab, Occupational Therapy, Pharmacy, Physical Therapy, Radiology, Respiratory, Sleep Lab, Social Work, Speech &

Sickle Cell: Management of Acute Pain Crisis Clinical Pathway Sickle Cell Disease (SCD) is the most common genetic disease in the United States. It is caused by a mutation in the hemoglobin beta chain in which glutamic acid is substituted with valine. The Centers for Disease Control and Prevention (2019) estimates that over 100,000

Somatic Symptom and Related Disorders (SSRD) Clinical Pathway Somatic Symptom and Related Disorders (SSRD) is a clinical presentation where symptoms or impairment cannot be fully explained by an identifiable disease process given the current medical evidence. This pathway seeks to evaluate and ultimately explain to patients and their

Status Epilepticus Clinical Pathway Status epilepticus is a relatively common medical presentation, with 18-41 per 100,000 children presenting to emergency rooms each year. The American Epilepsy Society made recommendations in 2016 for treatment of prolonged seizures, which includes level A evidence of

Suspected Neurosurgical Shunt Infection Clinical Pathway Ventricular-peritoneal shunt placement is a common neurosurgical procedure. Ventricular-peritoneal shunt infection is a known risk in children with this hardware. Early recognition and treatment is essential to prevent further morbidity, and it also leads to decreased medical

Suspected Neurosurgical Shunt Malfunction Clinical Pathway Ventriculoperitoneal (VP) shunt insertion remains the mainstay of treatment for hydrocephalus despite a high rate of complications. In the United States alone, more than 30,000 procedures to relieve hydrocephalus are performed every year. The 1-year failure rate for VP shunts had

Suspected Physical Abuse (SPA) Clinical Pathway In 2013 there were close to 70,000 substantiated cases of child abuse and neglect in the United States. Child maltreatment is a significant medical problem. Cases of suspected physical abuse frequently present to the emergency department. It has been noted that there is variation

Suspected Sexual Abuse Clinical Pathway According to the U.S. Department of Health and Human Services, in 2017, there were 674,000 substantiated cases of child maltreatment in the U.S., 8.6% of which were sexual abuse. In Connecticut, there were 8,442 victims of child maltreatment, and 401 of those cases involved

Tethered Cord: Post-Operative Care Clinical Pathway Tethered cord occurs when the spinal cord is attached to tissues around the spine, most commonly at the base of the spine. The attached tissue limits the movement of the spinal cord within the spinal column and causes an abnormal stretching of the spinal cord and impairment of

Community Resources Connecticut Children’s board certified physicians and highly trained specialists provide advanced clinical and surgical care to children of all ages. However, the impact we make on healthcare in Connecticut reaches far beyond our walls and into communities across the region

Tonsillectomy and Adenoidectomy: Perioperative Care Clinical Pathway Tonsillectomy and adenoidectomy is a common procedure with greater than 500,000 performed annually in the United States. However, there is variability in peri-operative and post-operative care for these patients. This can lead to confusion and dissatisfaction for patients

Urinary Tract Infection Clinical Pathway Urinary tract infection (UTI) is one of the most common causes of SBI (serious bacterial infection) in children aged 2-24 months, and a common reason for inpatient admission. The goal of this pathway is early treatment to help with elimination of infection and prevention of

Anesthesiology Children undergoing surgery, invasive diagnostic procedures, and some imaging tests and radiologic interventions may require anesthesia to block sensations in areas of the body that would otherwise experience pain or severe discomfort. Our pediatric anesthesiology team receive