Articles: pediatrics.
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Pediatric emergency care · Dec 2010
ReviewEnhancing patient safety in the pediatric emergency department: teams, communication, and lessons from crew resource management.
The fast-paced and multifaceted nature of patient care in the emergency department makes our discipline especially prone to errors and adverse events. In recent years, strategies such as formal communication and medical team training have been proposed as potential means to enhance patient safety. ⋯ This article reviews concepts of communication and team training in medicine, including those learned from the aviation industry (known as crew resource management). Recent literature pertaining to teams and communication in medicine is reviewed.
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Comparative Study
Provider density and health system facility factors and their relationship to rates of pediatric perforated appendicitis in US counties.
To examine whether density of providers or health care facility factors have a significant effect on the rates of perforated appendicitis in the pediatric population. ⋯ Increasing geographic density of pediatricians was associated with a decreasing trend in the odds ratio of perforated appendicitis, with a statistically significant protective effect observed in the highest-density quartile of pediatricians. The density of all other provider and health care facility factors analyzed did not demonstrate a significant association with the rates of perforated appendicitis.
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Klinische Pädiatrie · Dec 2010
Case ReportsLemierre syndrome and nosocomial transmission of Fusobacterium necrophorum from patient to physician.
Human-to-human transmission of Fusobacterium necrophorum has not been described before. ⋯ Early diagnosis and treatment of anaerobic pharyngitis is critical to prevent Lemierre Syndrome. Respiratory precautions should be recommended to medical staff caring for patients with suspected Lemierre Syndrome to prevent nosocomial transmission.
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Korean J Anesthesiol · Dec 2010
Ultrasound-guided supraclavicular brachial plexus block in pediatric patients -A report of four cases-.
Supraclavicular brachial plexus blocks are not common in pediatric patients due to the risk of pneumothorax. Ultrasonography is an important tool for identifying nerves during regional anesthesia. ⋯ In addition, ultrasound monitoring helps avoid complications, such as inadvertent intravascular injection or pneumothorax. This paper reports four cases of pediatric patients who received ultrasound-guided supraclavicular brachial plexus block for upper limb surgery.
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Anaphylaxis or anaphylactoid reaction in pediatric patient during anesthesia is rare. We report a rocuronium induced anaphylactic reaction in a 33-month-old female. ⋯ A similar reaction occurred after administration of rocuronium on subsequent anesthesia. She underwent uneventful anesthesia with volatile induction and maintenance of anesthesia with sevoflurane on her next 7 operations without using of muscle relaxant.