PIER Network Paediatric Clinical Guidelines

Featured Native Clinical Guidelines

• Management of Severe Hyponatraemia in Children & Young People

  Introduction In children, a normal plasma sodium is 135-145mmol/L (though there may be regional variations in laboratory normal ranges of up to 2mmol/L). Hyp...

• Management of children and young people presenting with an adrenal crisis (new presentation or with pre-existing adrenal insufficiency)

  Introduction Presentation with an adrenal crisis is a life-threatening emergency and needs to be managed promptly. An adrenal crisis may present in children ...

• Gastrostomy Toolkit

  Introduction Problems around surgically placed feeding tubes are common however many simple steps can be taken to reduce the impact this has on a child. The ...

• Kawasaki Disease

  Introduction This guideline applies to all paediatric patients (under 16 years) Kawasaki disease is the second most common systemic vasculitis in childhood a...

• Bedside Placement and Care of a Nasojejunal Tube

  Introduction The aim of this document is to provide a short summary guideline for the bedside placement of a Nasojejunal tube (NJ tube). A routine nasogastri...

• The Assessment and Management of Overweight and Obesity in Children and Young People

  Scope and Purpose This guideline was originally intended for Southampton/ Hampshire & Isle of Wight services. Since then the Complications of Excess Weig...

• Febrile Neutropaeina

  Introduction Febrile neutropenia (FN) remains one of the most critical oncological emergencies in paediatric practice. It is defined as a temperature of ≥38°...

• Management of Significant Upper Gastrointestinal Bleeding in Secondary Care

  Introduction Upper Gastrointestinal Bleeding is uncommon in children, affecting approximately 1-2 per 10000 each year. The majority are benign and self-limit...

• Management of Infants and Pregnant Women Exposed to Chickenpox (Varicella)/Shingles (Zoster)

  Introduction Varicella zoster virus (VZV) causes chicken pox (varicella) and shingles (herpes zoster).  In pregnant women and neonates, VZV can result i...

• Asthma & Wheeze Pathway

  Introduction This guidance is designed to be used in practice to help diagnose and manage children with asthma and pre-school wheeze. Please select if you ar...

Clinical Disciplines & Guidance

Allergy • Cardiology • Child Protection • Dermatology • Emergency Medicine • Endocrinology • Gastroenterology • Haematology • Infection • Neonatology • Nephrology • Neurology • Oncology • Ophthalmology • Orthopaedics • Palliative Care • Respiratory • Surgery