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shock in neonates or children with adrenaline these

https://read.qxmd.com/read/36277549/real-world-management-of-anaphylaxis-versus-the-national-institute-for-health-and-clinical-excellence-nice-guidelines
#1
JOURNAL ARTICLE
Iman Nasr, Asmaa S Mahdi, Jalila Al Shekaili, Ikram Nasr, Humaid Al Wahshi, Saad Al Juma, Latifa Al Shukeili, Ibrahim Al Zakwani, Issa Al Salmi
Objectives  Anaphylaxis is an acute, life-threatening immediate allergic reaction caused by the sudden systemic release of mediators from mast cells. This study aims to assess the current practice of emergency management of children and adults diagnosed with anaphylaxis at the Royal Hospital, Muscat, Oman, in line with the National Institute for Health and Clinical Excellence (NICE) guidelines.  Methods This is an observational retrospective study of all anaphylaxis cases seen at the emergency department (ED) from January 2013 to January 2018 and compared with the management of anaphylaxis in the ED as per the NICE guidelines...
September 2022: Curēus
https://read.qxmd.com/read/35775767/neonatal-septic-shock-a-focus-on-first-line-interventions
#2
REVIEW
Valentina Spaggiari, Erica Passini, Sara Crestani, Maria Federica Roversi, Luca Bedetti, Katia Rossi, Laura Lucaccioni, Cecilia Baraldi, Elisa Della Casa Muttini, Licia Lugli, Lorenzo Iughetti, Alberto Berardi
Septic shock is a main cause of morbidity and mortality in neonates. Septic shock evolves from compensated to uncompensated through 3 distinct phases. Prompt diagnosis is challenging, since neonatal septic shock may overlap with the physiological changes occurring at birth. The outcome of septic shock depends on a prompt recognition of symptoms and a strict adherence to cardiopulmonary resuscitation guidelines. Fluid administration plays a major role in the initial management of septic shock. If there is no response to volume filling, inotropes must be infused within one hour of onset (dopamine, dobutamine, adrenaline)...
July 1, 2022: Acta Bio-medica: Atenei Parmensis
https://read.qxmd.com/read/33456391/is-weight-just-a-number-the-accuracy-of-uk-ambulance-paediatric-weight-guidance-findings-from-a-cross-sectional-study
#3
JOURNAL ARTICLE
Karl Charlton, Matt Capsey, Chris Moat
BACKGROUND: The weight of children provides the cornerstone of their clinical management, as many drug dosages, equipment sizes, fluid boluses, as well as DC shock energy, are administered on a per kilogram basis. Children who attend hospital are weighed using scales prior to receiving these interventions. This is not possible in the pre-hospital environment. A paucity of evidence exists to support the page for age weight guidance indicated by JRCALC, and it remains unknown if this approach meets the reference standard of 70% of estimations within 10% of actual weight and 95% within 20% of actual weight...
December 1, 2020: British paramedic journal
https://read.qxmd.com/read/26522419/-six-cases-of-wheat-dependent-exercise-induced-anaphylaxis-in-children
#4
JOURNAL ARTICLE
Tomoko Nakagawa, Kazunori Sakai, Naofumi Hayashi, Arisa Sato, Kemal Sasaki, Teruaki Matsui, Shiro Sugiura, Naoyuki Kando, Komei Ito
Wheat-dependent exercise-induced anaphylaxis (WDEIA) is often reported in adults for whom the specific IgE to ω-5 gliadin can be a useful diagnostic test. However, few cases of WDEIA in children have been reported. We herein report six cases (aged 7-16 years) of children with WDEIA, who had no clinical history of immediate-type wheat allergy but who were diagnosed by a wheat ingestion + exercise provocation test. The specific IgE to wheat ranged <0.35-3.49 (median 1.64) UA/ml. Skin prick tests using wheat extract were performed on 3 patients who showed either a negative or low specific IgE titer to wheat, and all of them resulted in negative findings...
August 2015: Arerugī, [Allergy]
https://read.qxmd.com/read/24461180/-serious-systemic-adverse-events-associated-with-allergen-specific-immunotherapy-in-children-with-asthma
#5
JOURNAL ARTICLE
Li Dai, Ying Huang, Ying Wang, Huan-Li Han, Qu-Bei Li, Yong-Hui Jiang
OBJECTIVE: To retrospectively assess serious systemic adverse effects of standardized dust-mite vaccine in children with asthma. METHODS: Medical records of 704 children (5-17 years in age) with asthma between January, 2005 and December, 2011 were reviewed. Serious systemic adverse events following treatment with a standardized dust-mite vaccine in these children were analyzed. RESULTS: A total of 336 systemic adverse reactions were observed in 17...
January 2014: Zhongguo Dang Dai Er Ke za Zhi, Chinese Journal of Contemporary Pediatrics
https://read.qxmd.com/read/17153762/-pediatric-advanced-life-support
#6
REVIEW
A Castellanos Ortega, C Rey Galán, A Alvarez Carrillo, J López-Herce Cid, M A Delgado Domínguez
Advanced life support (ALS) includes all the procedures and maneuvers used to restore spontaneous circulation and breathing, thus minimizing brain injury. The fundamental steps of ALS are airway control with adjuncts, ventilation with 100% oxygen, vascular access and fluid and drug administration, and monitoring to diagnose and treat arrhythmias. Airway control can be achieved by means of oropharyngeal airway, endotracheal intubation, and alternative methods (laryngeal mask and cricothyroidotomy). Vascular access can be achieved by the peripheral venous, intraosseous, central venous, and tracheal routes...
October 2006: Anales de Pediatría: Publicación Oficial de la Asociación Española de Pediatría (A.E.P.)
https://read.qxmd.com/read/11603253/ige-mediated-food-allergy-extensive-review-of-the-literature
#7
REVIEW
D G Ebo, W J Stevens
Adverse reactions to food, i.e. food allergy and intolerance have gained considerable attention. This overview focuses on the diagnosis and management of IgE-mediated food allergy that is believed to be responsible for most immediate-type food-induced hypersensitivity reactions. Clinically, these reactions are characterised by a variety of signs and symptoms that occur within minutes or hours after consumption of the offending food. Reactions may be limited or more generalised with involvement of the skin, nose, eyes, and/or lungs...
July 2001: Acta Clinica Belgica
https://read.qxmd.com/read/3097814/-food-allergies-iii-therapy-elimination-diet-symptomatic-drug-prophylaxis-and-specific-hyposensitization
#8
JOURNAL ARTICLE
B Wüthrich, T Hofer
The treatment of food allergies is logically based on strict elimination of causative allergens. While it is easy to eliminate food which is infrequently consumed, it is more difficult to manage an allergy involving regularly consumed foods, especially where patients have to eat away from home for professional reasons. The creation of elimination diets for milk, eggs, and mould and yeast allergies is discussed. In raw food and vegetable allergy the act of cooking is often sufficient to denature the allergen as it is unstable to heat...
October 11, 1986: Schweizerische Medizinische Wochenschrift
https://read.qxmd.com/read/1841948/capsaicin-sensitive-sensory-neurons-are-involved-in-the-plasma-catecholamine-response-of-rats-to-selective-stressors
#9
JOURNAL ARTICLE
X F Zhou, B G Livett
1. The effect of capsaicin pre-treatment on adrenal catecholamine (CA) secretion in response to stress is controversial. In earlier experiments performed under pentobarbitone anaesthesia, the release of CA in response to stress was complicated by the effects of the barbiturate anaesthesia. 2. In the present study we have used conscious freely moving rats with indwelling cannulae to study the effect of neonatal capsaicin pre-treatment on the plasma CA response to different types of stressors (swimming stress, hypovolaemic stress, immobilization stress and cold stress)...
February 1991: Journal of Physiology
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