Pediatric emergency care
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Pediatric emergency care · Oct 2012
Randomized Controlled Trial Comparative StudyThe effect of Lactobacillus GG on acute diarrheal illness in the pediatric emergency department.
The purpose of this study was to evaluate the effectiveness of the probiotic Lactobacillus GG (LGG) in reducing the duration of acute infectious diarrhea in the pediatric emergency department. ⋯ Lactobacillus GG may reduce the duration of acute diarrheal illness among children presenting with more than 2 days of symptoms.
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Pediatric emergency care · Oct 2012
Randomized Controlled Trial Comparative StudyBispectral analysis during procedural sedation in the pediatric emergency department.
Our primary objective was to determine the maximum depth of sedation achieved, as measured by the bispectral (BIS) index monitor, for pediatric patients undergoing procedural sedation in a pediatric emergency department. ⋯ This study suggests that most pediatric procedural sedation patients spend at least a period in a general anesthetic state. During most procedural sedation, the physicians involved are likely underestimating the maximal depth of sedation for their patients.
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Pediatric emergency care · Oct 2012
Randomized Controlled Trial Comparative StudyProcalcitonin as a marker of bacteremia in children with fever and a central venous catheter presenting to the emergency department.
To evaluate the clinical use of procalcitonin (PCT) as a rapid marker for the identification of bacteremia in the emergency department (ED) population of children with fever and a central venous catheter (CVC). ⋯ The PCT levels are useful in identifying children with fever and a CVC who are bacteremic in the ED.
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Pediatric emergency care · Oct 2012
Review Case ReportsEarly repair of large infant ventricular septal defect despite respiratory syncytial virus-induced respiratory failure with postrepair chylous pericardial effusion requiring pleuropericardial window: a case report and review of the literature.
The surgical correction of congenital cardiac lesions that are complicated by intercurrent respiratory syncytial virus (RSV) pneumonitis has traditionally been deferred for at least 6 to 8 weeks. The presumption is that using cardiopulmonary bypass will increase the risk of postoperative pulmonary complications. We present an infant who developed acute respiratory failure related to RSV pneumonitis and required urgent mechanical ventilation. ⋯ Two weeks later, he underwent creation of a pleuropericardial window with successful resolution of the chylous effusion. It is of interest to pediatricians to be able to correctly time the repair of congenital heart disease lesions after RSV infection to minimize post-bypass pulmonary complications and yet avoid morbidity from undue delays in repair. In addition, chylopericardium can occur in infants after VSD repair, and dietary modification and catheter drainage may not be adequate.
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Pediatric emergency care · Oct 2012
Comparative StudyScreening for adolescent anxiety disorders in a pediatric emergency department.
Adolescence is a time of increasing risk for some anxiety disorders. Scant data exist on adolescent anxiety in emergency department (ED) settings. We sought to characterize select clinical characteristics and health care use associated with anxiety disorders in a pediatric ED. ⋯ The current pilot data suggest that anxiety disorders are more prevalent among adolescent ED patients than among the general population but largely untreated. Several demographic and clinical variables may help to identify occult anxiety disorders. Greater awareness of anxiety disorders in this population may assist in redirecting a pattern of low use of mental health services but higher overall health care use.