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Ketamine Use for Tracheal Intubation in Critically Ill Children Is Associated With a Lower Occurrence of Adverse Hemodynamic Events Journal Club Eastern Virginia Medical School Therapy Article Presenter: Allison Wood Date: 8/31/20 Citation: Conway, J., et al, Ketamine Use for Tracheal Intubation in Critically Ill Children Is Associated With a Lower Occurrence of Adverse Hemodynamic Events. Critical Care Medicine, 47, p.498. I. WHAT IS BEING STUDIED? 1. Study Objective To study “whether (...) the administration of ketamine for tracheal intubation in critically ill children with or without shock was associated with fewer adverse hemodynamic events compared with other induction agents.” “We also investigated if there was a dose dependence for any association between ketamine use and adverse hemodynamic events.” 2. Study Design Retrospective analysis of prospectively collected observational data from the NEAR4KIDS and PALISI databases that included 40 PICU’s in US & Canada 3. Inclusion Criteria All
A Clinical Prediction Rule to Identify Febrile Infants 60 Days and Younger at Low Risk for Serious Bacterial Infections CRITICAL REVIEW FORM FOR A CLINICAL PREDICTION RULE Resident: Shane Leighton Date: 8/31/2020 Citation: Kupperman et al. A Clinical Prediction Rule to Identify Febrile Infants 60 Days and Younger at Low Risk for Serious Bacterial Infections Pediatr 2019 Apr 1;173(4):342-351. Study Objective: To derive and validate a prediction rule to identify febrile infants less than 60 days (...) clinical sense in a narrow patient population.. Unlike the "step by step" clinical prediction rule which involves a more subjective component (the pediatric assessment triangle), this clinical decision rule only includes objective predictors such as pro-calcitonin, ANC and UA in a non-toxic appearing child. 3. Did validation include prospective studies on several different populations from that used to derive it (II) or was it restricted to a single population (III)? No. It was restricted to a single
Ondansetron Prescription Is Associated With Reduced Return Visits to the Pediatric Emergency Department for Children With Gastroenteritis Journal Club Eastern Virginia Medical School Therapy Article Presenter: Drexel Proctor Date: 8/31/20 Citation: Benary D et al, Ondansetron Prescription Is Associated With Reduced Return Visits to the Pediatric Emergency Department for Children With Gastroenteritis, Annals of Emergency Medicine, Ann Emerg Med. 2020 May 26:S0196-0644(20)30262-6. 2020, I. WHAT (...) IS BEING STUDIED? 1. Study Objective Primary objective: to evaluate whether a prescription for ondansetron on discharge from the pediatric ED or urgent care center in patients with vomiting or gastroenteritis was associated with a difference in return rates in 72 hours. Secondary objectives: to evaluate the association between ondansetron prescription and return rates in patients specifically receiving a diagnosis of gastroenteritis, and to assess whether there was an association between an ondansetron
. 2020 Sep 11;pnaa259. doi: 10.1093/pm/pnaa259. Online ahead of print. Analgesic Effect of Intrathecal Fentanyl vs Dexmedetomidine as Adjuvants to Bupivacaine Following Abdominal Surgery for Cancer in Children, a Randomized Trial , , , , Affiliations Expand Affiliations 1 Anesthesia, Intensive Care and Pain Management, South Egypt Cancer Institute, Assiut University, Assiut, Egypt. 2 Pediatric Oncology, South Egypt Cancer Institute, Assiut University, Assiut, Egypt. PMID: 32914161 DOI: Item (...) Pediatric Oncology, South Egypt Cancer Institute, Assiut University, Assiut, Egypt. PMID: 32914161 DOI: Item in Clipboard Full-text links Cite Display options Display options Format Abstract Background: Intrathecal fentanyl in spinal anesthesia improves intra- and postoperative analgesia. Dexmedetomidine is a fascinating adjuvant with regards to neuraxial anesthesia in children experiencing surgery for abdominal malignancy. Patients and methods: After endorsement by the institutional reviewing board
, Sichuan University, Chengdu, China email@example.com. 6 Academic Division of Child Health, Derbyshire Childrens Hospital, Derby, UK. PMID: 32144089 PMCID: DOI: Free PMC article Item in Clipboard Safety of ceftriaxone in paediatrics: a systematic review Linan Zeng et al. Arch Dis Child . 2020 Oct . Free PMC article Show details Display options Display options Format Arch Dis Child Actions . 2020 Oct;105(10):981-985. doi: 10.1136/archdischild-2019-317950. Epub 2020 Mar 6. Authors (...) Hospital, Sichuan University, Chengdu, China firstname.lastname@example.org. 6 Academic Division of Child Health, Derbyshire Childrens Hospital, Derby, UK. PMID: 32144089 PMCID: DOI: Item in Clipboard Full-text links Cite Display options Display options Format Abstract Objective: To determine the safety of ceftriaxone in paediatric patients and systematically evaluate the categories and incidences of adverse drug reactions (ADRs) of ceftriaxone in paediatric patients. Methods: We performed a systematic search
. Review. Show more similar articles References Barber C, Ille S, Vergison A, Coates H. Acute otitis media in young children — what do parents say? Int J Pediatr Otorhinolaryngol. 2014;78(2):300–306. - Hansen MP, Howlett J, Del Mar C, Hoffmann TC. Parents’ beliefs and knowledge about the management of acute otitis media: a qualitative study. BMC Fam Pract. 2015;16:82. - - National Institute for Health and Care Excellence Otitis media (acute): antimicrobial prescribing NG91. 2018 (accessed 21 Jul 2020 (...) ). Damoiseaux RAMJ, Venekamp RP, Eekhof JAH, et al. [M09 NHG guideline Acute Otitis Media in children]. [Article in Dutch] Huisarts Wet. 2014;57(12):648. Lieberthal AS, Carroll AE, Chonmaitree T, et al. Clinical practice guideline: the diagnosis and management of acute otitis media. Pediatrics. 2013;131(3):e964–e999. - Show all 55 references Related information LinkOut - more resources Full Text Sources Full-text links [x] [x] Cite Copy Download .nbib Format: Send To [x] Connect National Center
, and they set out the basic methodology used throughout the specific topics covered in later chapters. Keywords: hydrocephalus, systematic review, practice guidelines Abbreviations used in this paper: AANS = American Association of Neurological Surgeons; CNS = Congress of Neurological Surgeons; JGC = Joint Guidelines Committee. Pediatric hydrocephalus is the most common surgically correctable neurological problem in infants, children, and adolescents. It is estimated that hydrocephalus may occur (...) in the following papers, but, in general, in their analyses members of the Pediatric Hydrocephalus Systematic Review and Evidence-Based Guidelines Task Force looked at available treatments, the effects and complications of those treatments, and strategies to avoid and manage complications. In undertaking this review, we define the condition “hydrocephalus” for purposes of the literature search and use the term “pediatric” to specify the care of infants, children, and adolescents younger than 18 years of age
patients. Journal of neurology, neurosurgery, and psychiatry. 2009;80(11):1248-1253. Gil Z, Siomin V, Beni-Adani L, Sira B, Constantini S. Ventricular catheter placement in children with hydrocephalus and small ventricles: the use of a frameless neuronavigation system. Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery. 2002;18(1-2):26-29. Lam S, Harris DA, Lin Y, Rocque BG, Ham S, Pan IW. Outcomes of endoscopic third ventriculostomy in adults (...) . Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia. 2016;31:166-171. McMillen JL, Vonau M, Wood MJ. Pinless frameless electromagnetic image-guided neuroendoscopy in children. Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery. 2010;26(7):871-878. Piatt JH, Garton HJ. Clinical diagnosis of ventriculoperitoneal shunt failure among children with hydrocephalus. Pediatric emergency care. 2008(4):201-210
hydrocephalus: systematic literature review and evidence-based guidelines Part 8: Management of cerebrospinal fluid shunt infection UPDATE Mandeep S. Tamber, MD,1 Paul Klimo, Jr., MD, MPH,2,3 Catherine A. Mazzola, MD,4 Ann Marie Flannery, MD5 1 Department of Pediatric Neurological Surgery, Children’s Hospital of Pittsburgh, University of Pittsburgh, Pittsburgh, Pennsylvania; 2 Department of Neurosurgery, University of Tennessee Health Science Center, Memphis, and 3 Le Bonheur Children’s Hospital, Memphis (...) , Tennessee; 4 Division of Pediatric Neurological Surgery, Goryeb Children’s Hospital, Morristown, New Jersey; and 5 Department of Neurological Surgery, Saint Louis University, St. Louis, Missouri Object. The objective of this systematic review was to answer the following question: What is the optimal treatment strategy for CSF shunt infection in pediatric patients with hydrocephalus? Methods. The US National Library of Medicine and the Cochrane Database of Systematic Reviews were queried using MeSH
Medication safety for children with medical complexity Due to advances in medical care and innovations in health technology, many children with life-limiting conditions are now living longer. These children are often referred to as ‘children with medical complexity (CMC)’, and they are characterized by chronic conditions, increased health care utilization, and technology dependence. Their complexity of care and inherent fragility lead to higher risk for medication errors, both (...) in-community and in-hospital. High rates of care fragmentation, miscommunication, and polypharmacy in CMC increase opportunities for error, particularly as children transition between health care settings and practitioners. Data on the factors contributing to higher risk of medication errors in this population and how they can be effectively addressed are lacking. This practice point provides clinical guidance for health care professionals to ensure medication safety when caring for CMC, with focus
Shareable Link Use the link below to share a full-text version of this article with your friends and colleagues. Copy URL Share a link Share on ). Capturing the scale of maltreatment, is difficult (UNICEF, ) but it is estimated that, worldwide, 41,000 child homicides occur each year and as many as one in four adults were physically abused as children (WHO, ). Commonly accepted impacts of childhood maltreatment, during the adult life‐course, include clinical depression and anxiety (Li, D'arcy, & Meng (...) , ). Evidence to suggest that child maltreatment is passed on from generation‐to‐generation is complex, but extensive (Bartlett, Kotake, Fauth, & Easterbrooks, ) and suggests that the parenting capacity of victims of childhood maltreatment can be reduced. Statutory intervention on behalf of maltreated children is the responsibility of child welfare agencies in most countries. However, systems of detection, investigation and intervention for maltreated children are the subject of continued review and debate
(offline and online), dating and intimate partner violence, as well as gang violence (Know Violence in Childhood, ). The gendered experience of violence also manifests as children grow older and transition to adolescence. Vulnerability to violence is also experienced by children who face other violations of their rights such as early marriage or child labour. For instance, girls who marry before 18 are more likely to experience intimate partner violence than their peers who marry later (UNICEF (...) , ). 3.1.2 Risk factors and context Data suggest that risk factors for exposure to or experience of violence manifest differently across gender, age groups and context. WHO estimates that the highest child homicide rates occur in adolescents, especially boys, aged 15–17 years and among 0–4‐year‐old children (WHO, ). A 2011 review estimated the global lifetime prevalence of childhood sexual abuse to be about 18% for girls compared with 8% for boys (Stoltenborgh, Van IJzendoorn, Euser, & Bakerman
of interest for this map is children and adolescents from LMICs (UNICEF, Convention on the Rights of the Child, 1989). Children irrespective of their sex in the age group of 18 years and under were included in the EGM. The age group is classified based on the age criteria stated as follows: infanthood (<3 years of age), childhood (3–10 years), adolescence (10–18 years). The population subgroup of interest includes: girls, orphans and vulnerable children, children with disabilities, children belonging (...) . Often the family and environmental risk factors a child experiences are beyond their control. However, the effects of these factors can be moderated and this is where opportunities to promote children's well‐being and positive mental health lie. 3.1.3 Consequences of shortfalls in child well‐being Childhood deprivation cannot just take childhood from children, but also have long‐run consequences. Child undernutrition is associated with shorter adult height, less schooling, reduced economic
Sexuality Education for Children and Adolescents Sexuality Education for Children and Adolescents | American Academy of Pediatrics Main menu User menu Search Source Search for this keyword Source Search for this keyword PEDIATRICS COVID-19 COLLECTION Find the latest research and articles related to COVID-19 for free. | Find AAP resources . Racism and Its Effects on Pediatric Health The American Academy of Pediatrics recognizes the harm racism causes to infants, children, adolescents (...) , and their families. This policy is a revision of the policy in From the American Academy of Pediatrics Clinical Report Sexuality Education for Children and Adolescents Cora C. Breuner , Gerri Mattson , COMMITTEE ON ADOLESCENCE and COMMITTEE ON PSYCHOSOCIAL ASPECTS OF CHILD AND FAMILY HEALTH Pediatrics August 2016, 138 (2) e20161348; DOI: https://doi.org/10.1542/peds.2016-1348 Cora C. Breuner Gerri Mattson Abstract The purpose of this clinical report is to provide pediatricians updated research on evidence-based
Anxietydisordersareamongthemostcommonpsychiatricdisordersinchildrenandadolescents.Asreviewedinthisguideline,bothcognitive-behavioral therapy (CBT) and selective serotonin reuptake inhibitor (SSRI) medication have considerable empirical support as safe and effective short-term treatments for anxiety in children and adolescents. Serotonin norepinephrine reuptake inhibitor (SNRI) medication has some empirical support as an additional treatment option. In the context of a protracted severe shortage of child and adolescenttrained behavioral health specialists, research demonstrating convenient, ef?cient (...) , cost-effective, and user-friendly delivery mechanisms for safe and effective treatments for child and adolescent anxiety disorders is an urgent priority. The comparative effectiveness of anxiety treatments, delineation of mediators and moderators of effective anxiety treatments, long-term effects of SSRI and SNRI use in children and adolescents, and additional evaluation of the degree of suicide risk associated with SSRIs and SNRIs remain other key research needs. Key Words: clinical practice