CPG – Management of Immune Thrombocytopenic Purpura – August 2006

1. INTRODUCTION Immune thrombocytopenic purpura (ITP) affects both children and adults. It is an autoimmune disorder characterised by persistent thrombocytopenia (peripheral platelet count of less than 150 x109/L) due to autoantibody binding to platelet antigen(s) causing their premature destruction by the reticuloendothelial system, in particular the spleen. In childhood, the peak age is 2-4 years, girls and boys are…

CPG – Withholding and Withdrawing of Life Support in Children – Dec 2005

1. INTRODUCTION Technological advances in modern medicine have had a great impact on the care of critically ill patients, saving many children’s lives, but also leaving others with chronic diseases and disabilities. The increased ability to sustain life with intensive care may lead, unfortunately, sometimes only to prolonging suffering when treatment is unsuccessful, and prolonging the dying process, attached…