Anales de pediatría : publicación oficial de la Asociación Española de Pediatría (A.E.P.)
-
Randomized Controlled Trial Comparative Study
[Pre-anesthetic medication with intranasal dexmedetomidine and oral midazolam as an anxiolytic. A clinical trial].
Dexmedetomidine is a pharmacological option for sedation in children. In this study, the efficacy of intranasal dexmedetomidine to reduce preoperative anxiety in pediatric patients is compared with that of oral midazolam. ⋯ Intranasal dexmedetomidine premedication is more effective than oral midazolam to reduce preoperative anxiety in pediatric patients.
-
Randomized Controlled Trial
[Usefulness of capnography for monitoring sedoanalgesia: influence of oxygen on the parameters monitored].
To evaluate the usefulness of capnography for early detection of respiratory depression during sedoanalgesia procedures in the pediatric emergency department. To assess whether the administration of oxygen during the procedure can modify monitored parameters, thus delaying detection of respiratory depression. ⋯ The inclusion of capnography to routine monitoring for adequate sedation procedures could improve safety. Oxygen administration does not appear to modify the parameters monitored.
-
Randomized Controlled Trial Comparative Study
[Analgesia when taking heel-lance blood in the newborn].
To evaluate the pain in healthy newborns requiring blood test by a heel-prick procedure and compare different pain management methods. ⋯ The blood test by heel lance represents a painful procedure of moderate intensity capable of analgesic treatment. A proper nursing method, along with a complement of non-nutritive sucking during extraction, significantly decreases the discomfort and crying, it being unnecessary to consider other analgesics.
-
Randomized Controlled Trial
[Bronchodilators via metered-dose inhaler with spacer in the pediatric emergency department: what is the dosage?].
Bronchodilators administrated through a metered-dose inhaler (MDI) with spacer are as effective as nebulizers in the treatment of acute asthma exacerbations in childhood. However, consensus is lacking on the most suitable dosage. ⋯ The distinct bronchodilator doses administered via an MDI with spacer showed similar effectiveness. These findings should contribute to a reevaluation of the use of high doses of bronchodilators, at least in most acute asthma exacerbations in children.
-
Randomized Controlled Trial
[Telephone triage performed by emergency room physicians].
To determine the applicability and utility of a telephone triage performed by physicians in a pediatric emergency department (PED). ⋯ If special training programs and answering systems are established after a training period, telephone consultation in a PED is a safe and useful method of performing patient triage. Satisfaction among families was high.