Pediatric emergency care
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Pediatric emergency care · Mar 2008
Randomized Controlled Trial Comparative StudyCosmetic outcomes of absorbable versus nonabsorbable sutures in pediatric facial lacerations.
We sought to compare the long-term cosmetic outcomes of absorbable versus nonabsorbable sutures for facial lacerations in children and to compare the complication rates and parental satisfaction in the 2 groups. ⋯ The use of fast-absorbing catgut suture is a viable alternative to nonabsorbable suture in the repair of facial lacerations in children.
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Pediatric emergency care · Mar 2008
Randomized Controlled TrialPediatric fingertip injuries: do prophylactic antibiotics alter infection rates?
Fingertip injuries are common in the pediatric population. Considerable controversy exists as to whether prophylactic antibiotics are necessary after repair of these injuries. Our goal was to compare the rate of bacterial infections among subgroups treated with and without prophylactic antibiotics. The study hypothesis was that infection rates were similar in the 2 groups. ⋯ This study suggests that routine prophylactic antibiotics do not reduce the rate of infection after repair of distal fingertip injuries.
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Pediatric emergency care · Feb 2008
Randomized Controlled TrialVeinlite transillumination in the pediatric emergency department: a therapeutic interventional trial.
We hypothesized that transillumination would increase peripheral intravenous (IV) insertion success rates in pediatric emergency department patients. Primary outcome was success in first attempt, and secondary outcome was success within 2 attempts. ⋯ After adjusting for multiple significant covariates and controlling for random effect of provider, our results indicated a benefit in the use of Veinlite transillumination for IV insertion in first attempt and within 2 attempts. This technique seemed to facilitate nonemergent IV placement in pediatric patients compared with standard practice.
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Pediatric emergency care · Feb 2008
Randomized Controlled TrialA randomized controlled trial of 2 methods of immobilizing torus fractures of the distal forearm.
Immobilization of torus fractures of the distal forearm, for 1 to 4 weeks in a slab, cast, or splint, produces good radiological and functional outcomes. This study assesses the pain associated with 2 forms of immobilization used for these injuries. ⋯ Use of a slab may increase the duration of pain, especially in patients who had more severe pain at presentation.
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Pediatric emergency care · Jan 2008
Randomized Controlled TrialPilot study of oral montelukast added to standard therapy for acute asthma exacerbations in children aged 6 to 14 years.
We hypothesized that children with moderate acute asthma exacerbations receiving oral montelukast with standard therapy will have at least 12% greater forced expiratory volume in 1 second (FEV1) improvement in 3 hours than those receiving standard therapy alone. ⋯ Based on these results, for children aged 6 to 14 years with moderate acute asthma exacerbations, oral montelukast (5 mg) added to standard therapy as in this design is unlikely to result in additional FEV1 improvements in 3 hours.