Skip to main content

Vital Signs: Parameters, Frequency, and Pediatric and Cardiac Early Warning Scores

  • Chapter
  • First Online:

Abstract

Vital parameters are indicative of the person’s general conditions and are listed below: respiratory rate, heart rate, blood pressure, temperature, and neurocognitive state.

Respiratory rate increases in any condition of respiratory fatigue due to airway obstruction, difficulty in gas exchange, or increased metabolic demands.

In addition to respiratory dynamics, it is important to evaluate oxygen saturation, a useful parameter of the tissue oxygenation state at a peripheral level.

Heart rate, blood pressure, refill time, and cyanosis evaluation indicate any condition of circulatory failure that, if not promptly corrected, can lead to multiorgan damage.

Temperature can be detected in various sites including core, near-core, and peripheral: this parameter is a sign of effective or poor peripheral perfusion.

Finally, neurocognitive impairment may be both respiratory and circulatory failure.

Multiparameter scales can be used to evaluate vital parameters, such as PEWS and C-CHEWS.

This is a preview of subscription content, log in via an institution.

Buying options

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   39.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD   49.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

References

  1. Badon P, Cesaro S. Manuale di nursing pediatrico. Milano: Casa Editrice Ambrosiana; 2006.

    Google Scholar 

  2. Murphy KA. Pediatric triage guidelines. St. Louis: Mosby; 1997.

    Google Scholar 

  3. Hockenberry MJ, et al. Wong’s essentials of pediatric nursing. St Louis: Elsevier Mosby; 2005.

    Google Scholar 

  4. Balagna R, Benedetti M, Biban P, et al. PALS pediatric advanced life support. Elsevier – Masson; 2009.

    Google Scholar 

  5. Marcdante KJ, Kliegman RM, Jenson HB, Behrman RE. Nelson Manuale di Pediatria. Milano: Elsevier; 2012.

    Google Scholar 

  6. National High Blood Pressure Education Program Working Group on High Blood Pressure in Children and Adolescents. The fourth report on the diagnosis, evaluation, and treatment of high blood pressure in children and adolescents. Pediatrics. 2004;114:555–76.

    Article  Google Scholar 

  7. Puglierin A. Misurazione della temperature corporea in sala operatoria. Società Italo Svizzera Studi Ipotermia. 2013.

    Google Scholar 

  8. Sessler DI. Temperature monitoring and perioperative thermoregulation. Anesthesiology. 2008;109(2):318–38.

    Article  PubMed Central  Google Scholar 

  9. McNeill G, Bryden D. Do either early warning systems or emergency response teams improve hospital patient survival? A systematic review. Resuscitation. 2013;84:1652–67.

    Article  CAS  PubMed Central  Google Scholar 

  10. National Early Warning Score (NEWS). LINEA GUIDA. Consiglio Sanitario Regionale Regione Toscana; 2014.

    Google Scholar 

  11. Duncan H, Hutchison J, Parshuram CS. The Pediatric Early Warning System score: a severity of illness score to predict urgent medical need in hospitalized children. J Crit Care. 2006;21:271–8.

    Article  Google Scholar 

  12. Frigato V, Vagliano L, Bondone C, et al. Studio sull’applicabilità del Pediatric Early Warning Score System nella pratica infermieristica di un ospedale pediatrico italiano. Child Nurses Ital J Pediatr Nurs Sci. 2013.

    Google Scholar 

  13. McLellan MC, Gauvreau K, Connor JA. Validation of the cardiac Children’s hospital early warning score: an early warning scoring tool to prevent cardiopulmonary arrests in children with heart disease. Congenit Heart Dis. 2014;9(3):194–202.

    Article  PubMed Central  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2019 Springer International Publishing AG, part of Springer Nature

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Mattioli, V. (2019). Vital Signs: Parameters, Frequency, and Pediatric and Cardiac Early Warning Scores. In: Flocco, S., Lillo, A., Dellafiore, F., Goossens, E. (eds) Congenital Heart Disease. Springer, Cham. https://doi.org/10.1007/978-3-319-78423-6_3

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-78423-6_3

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-78421-2

  • Online ISBN: 978-3-319-78423-6

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics