The Journal of pediatrics
-
The Journal of pediatrics · Jun 2015
Structured performance assessment in three pediatric emergency scenarios: a validation study.
To develop and validate 3 performance evaluation checklists (PECs) for systematic performance assessment in 3 clinical scenarios: cardiopulmonary arrest, dyspnea with oxygen desaturation after intubation, and respiratory syncytial virus (RSV). ⋯ For 2 pediatric emergencies, the PEC is a valid and reliable tool for systematic performance assessment. The unsatisfactory results for the PEC for RSV may be related to limitations of the simulation setting and require further investigation. Structured assessment of clinical performance can augment feedback on technical performance aspects and is essential for training purposes as well as for research. Only reliable and valid performance measures will allow medical educators to accurately evaluate the behavioral effects of training interventions and further enhance the quality of patient care.
-
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
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.
-
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.