The Journal of pediatrics
-
The Journal of pediatrics · May 2015
Observational StudyIntranasal dexmedetomidine for sedation for pediatric computed tomography imaging.
This prospective observational pilot study evaluated the aerosolized intranasal route for dexmedetomidine as a safe, effective, and efficient option for infant and pediatric sedation for computed tomography imaging. The mean time to sedation was 13.4 minutes, with excellent image quality, no failed sedations, or significant adverse events.
-
The Journal of pediatrics · May 2015
Multicenter StudyUtilization of nebulized 3% saline in infants hospitalized with bronchiolitis.
To describe utilization of 3% hypertonic saline (HTS) in hospitalized infants and to evaluate the association between HTS use and length of stay (LOS) in a real-world setting. ⋯ Variation in HTS use and the lack of association between HTS and mean LOS demonstrates the need for further research to standardize HTS use and better define the infants for whom HTS will be most beneficial.
-
The Journal of pediatrics · May 2015
The diagnosis of concussion in a pediatric emergency department.
To compare the proportion of children diagnosed with a concussion by pediatric emergency physicians vs the proportion who met criteria for this injury as recommended by Zurich Fourth International Conference on Concussion consensus statement and to determine clinical variables associated with a physician diagnosis of a concussion. ⋯ Pediatric emergency physicians diagnosed concussion less often relative to international consensus-based guidelines and used a limited number of variables to make this diagnosis compared with current recommendations. Thus, pediatric emergency physicians may be missing cases of concussion and the corresponding opportunity to provide critical advice for cognitive and physical management.
-
The Journal of pediatrics · May 2015
Observational StudyNeonatal morphine exposure in very preterm infants-cerebral development and outcomes.
To investigate the association of morphine exposure in very preterm infants with cerebral volumes and neurodevelopmental outcome from birth through middle childhood. ⋯ Low-dose morphine analgesia received during neonatal intensive care was associated with early alterations in cerebral structure and short-term neurobehavioral problems that did not persist into childhood.
-
The Journal of pediatrics · May 2015
Academic Performance among Children with Inflammatory Bowel Disease: A Population-Based Study.
To determine grade 12 academic performance for children with inflammatory bowel disease (IBD). ⋯ Children with IBD on average achieve similar levels of academic achievement in grade 12 as those without IBD. This study underscores the educational impact of mental health conditions at IBD diagnosis among children.