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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.
Background
Procedural Adaptation and Device Modification Concepts in a Low-Resource Setting
Basics of Pediatric Intensive Care, Neonatal Intensive Care, and Pediatric Emergency Medicine in a Low-Resource Setting
Neonatal Resuscitation in Resource-Constrained Settings:​ Sustaining Helping Babies Breathe and Beyond in a Low-Resource Setting
Phototherapy in a Low-Resource Setting
Umbilical Venous Catheter Placement in a Low-Resource Setting
Exchange Blood Transfusions for Severe Hyperbilirubinem​ia in Resource-Limited Settings
Breastfeeding Support Devices in Low-Resource Settings
Kangaroo Mother Care in a Low-Resource Setting
Safe Options for Obtaining Blood and Vascular Access in Neonates and Children in a Low-Resource Setting
Pediatric Resuscitation Guidelines for Limited-Resource Settings
Oral Rehydration Therapy in a Low-Resource Setting
Malnutrition:​ Practical Approaches to Feeding a Severely Malnourished Child in a Low-Resource Setting
Intraosseous Line Placement for Medical Therapy in a Low-Resource Setting
Intravenous Fluid Administration Without Programmable Infusion Pumps in a Low-Resource Setting
Mixing Intravenous Fluids in a Low-Resource Setting
Respiratory Equipment Adaptations in a Low-Resource Setting
Bubble CPAP in a Low-Resource Setting
Modified Chest Drainage System for Use in a Low-Resource Settings
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
Unique Considerations for Simulation Use in a Low-Resource Setting
Practice and Implementation of Procedural Adaptations in a Low-Resource Setting