Pediatric emergency care
-
Pediatric emergency care · Dec 2006
Randomized Controlled Trial Comparative StudySingle-dose oral dexamethasone in the emergency management of children with exacerbations of mild to moderate asthma.
To compare the efficacy of a single dose of oral dexamethasone (Dex) versus 5 days of twice-daily prednisolone (Pred) in the management of mild to moderate asthma exacerbations in children. ⋯ A single dose of oral Dex (0.6 mg/kg) is no worse than 5 days of twice-daily prednisolone (1 mg/kg per dose) in the management of children with mild to moderate asthma.
-
Pediatric emergency care · Aug 2006
Randomized Controlled TrialOral betamethasone versus intramuscular dexamethasone for the treatment of mild to moderate viral croup: a prospective, randomized trial.
Intramuscular dexamethasone is an effective, but painful, treatment for croup. The effectiveness of betamethasone, an oral, palatable, and equally potent glucocorticoid has not been studied. The purpose of this study was to compare the effectiveness of a single oral dose of betamethasone with intramuscular dexamethasone in the outpatient treatment of mild to moderate croup. ⋯ There is no difference between oral betamethasone and intramuscular dexamethasonein the management of mild to moderate viral croup. It is palatable and does not require a nurse for administration, making it a good alternative for ambulatory management.
-
Pediatric emergency care · Jun 2006
Randomized Controlled Trial Comparative StudyVomiting of liquid corticosteroids in children with asthma.
Oral corticosteroids are an essential part of the management of children with acute asthma exacerbations. Vomiting is a frequently cited problem attributed to oral corticosteroids. A new formulation of prednisolone, Orapred, claims to have improved palatability that may decrease the incidence of vomiting. ⋯ In our study population, Orapred was associated with a significant less incidence of vomiting and better taste score compared to the generic prednisolone.
-
Pediatric emergency care · May 2006
Randomized Controlled TrialBrief focal ultrasound with topical anesthetic decreases the pain of intravenous placement in children.
To determine whether brief, focal pretreatment of children's skin with low-frequency ultrasound followed by a 5-minute application of a 4% lidocaine topical anesthetic decreases the pain of intravenous (IV) catheter placement. ⋯ Visual analog scale scores measuring children's pain and parents' perception of the child's pain were lower in those who were pretreated with brief focal ultrasound and 5 minutes of 4% lidocaine cream when compared with those pretreated with ultrasound and placebo.
-
Pediatric emergency care · Apr 2006
Randomized Controlled Trial Comparative StudyRandomized comparison of pain perception during radial head subluxation reduction using supination-flexion or forced pronation.
To determine if a difference exists in perceived pain between the forced pronation and supination-flexion methods of radial head subluxation (RHS) reduction. ⋯ Forced pronation is perceived as less painful than the supination-flexion method by parents of children treated for RHS in our ED.