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.

Tina M. Slusher, MD 

Professor of Pediatrics

University of Minnesota

Pediatric Global Health Program

Minneapolis, MN, USA

Ashley R. Bjorklund, MD FAAP

Assistant Professor of Pediatrics

University of Minnesota/Pediatric Global Health Program

Hennepin Healthcare/Pediatric Critical Care

Minneapolis, MN, USA

Stephanie M. Lauden, MD CTropMed FAAP 

Assistant Professor of Pediatrics

Nationwide Children's Hospital | The Ohio State University

Columbus, OH, USA