keyword
https://read.qxmd.com/read/38426296/children-s-rights-and-dental-care-treatment
#1
JOURNAL ARTICLE
L Paglia
Dentists, especially paediatric dentists, should inform their young patients of the treatment to be undertaken in an appropriate and comprehensive manner. In 1989, the UN Convention on the Rights of the Child (United Nations Convention on the Rights of the Child - UNCRC - https://www.unicef. org/child-rights-convention/convention-text) was adopted, comprising of 54 articles concerning every aspect of a child's life, notably health, including oral health. More than 30 years after the Declaration of the Rights of the Child, both health professionals and parents still struggle to grasp this subject, resulting in its scarce application in daily practice...
March 1, 2024: European Journal of Paediatric Dentistry: Official Journal of European Academy of Paediatric Dentistry
https://read.qxmd.com/read/38371213/the-k9-teen-pandemic-when-good-boy-goes-bad-the-epidemiology-management-and-public-health-ramifications-of-facial-dog-bite-injuries-newcastle-australia-experience
#2
JOURNAL ARTICLE
Sophie K M Kelly, Gary R Hoffman
The purpose of this study was to investigate the epidemiology, pattern of injury and management of facial dog bite injuries. Methods: The authors conducted a retrospective cohort study over a 5-year period of patients who sustained a facial dog bite injury. The study setting was an Oral and Maxillofacial Surgery Department at a level 1 trauma centre, servicing an estimated catchment population in excess of 950,000 people. Results: In total, 171 patients were managed in the designated period from January 2017 to January 2022...
March 2024: Craniomaxillofacial Trauma & Reconstruction
https://read.qxmd.com/read/38160688/surgically-reducing-displaced-distal-radial-fractures-in-children
#3
JOURNAL ARTICLE
David Metcalfe, Daniel C Perry
Displaced fractures of the distal radius in children are usually reduced under sedation or general anaesthesia to restore anatomical alignment before the limb is immobilized. However, there is growing evidence of the ability of the distal radius to remodel rapidly, raising doubts over the benefit to these children of restoring alignment. There is now clinical equipoise concerning whether or not young children with displaced distal radial fractures benefit from reduction, as they have the greatest ability to remodel...
January 1, 2024: Bone & Joint Journal
https://read.qxmd.com/read/38142866/electroencephalographic-density-spectral-array-monitoring-during-propofol-sevoflurane-coadministration-in-children-an-exploratory-observational-study
#4
JOURNAL ARTICLE
Iris J de Heer, Hannah A C Raab, Stephan Krul, Gulhan Karaoz-Bulut, Robert-Jan Stolker, Frank Weber
INTRODUCTION: Propofol and sevoflurane have a long history in pediatric anesthesia. Combining both drugs at low dose levels offers new opportunities. However, monitoring the hypnotic effects of this drug combination in children is challenging, because the currently available processed EEG-based systems are insufficiently validated in young children and the co-administration of anesthetics. This study investigated electroencephalographic density spectral array monitoring during propofol/sevoflurane coadministration with fixed sevoflurane- and variable propofol dosages...
December 22, 2023: Anaesthesia, Critical Care & Pain Medicine
https://read.qxmd.com/read/38048987/jelly-snakes-to-reduce-early-postoperative-vomiting-in-children-after-adenotonsillectomy-the-randomized-controlled-snakes-trial
#5
JOURNAL ARTICLE
David Sommerfield, Aine Sommerfield, Daisy Evans, R Nazim Khan, Abbie Luke, Shyan Vijayasekaran, Paul Bumbak, Hayley Herbert, Britta S von Ungern-Sternberg
BACKGROUND: Despite the use of dual antiemetic agents, postoperative nausea and vomiting (PONV) occurs in an unacceptably large number of patients post-tonsillectomy. There has been increased interest in alternative and non-pharmacological treatments for PONV e.g., chewing gum. We investigated if chewing a large confectionary jelly snake had prophylactic antiemetic effects postoperatively in young children. METHODS: Prospective, open-label randomised controlled trial of 240 patients, 2 - 16 years...
December 2, 2023: Anaesthesia, Critical Care & Pain Medicine
https://read.qxmd.com/read/38037830/intravenous-dexamethasone-does-not-prolong-the-duration-of-pudendal-nerve-block-in-infants-and-children-undergoing-hypospadias-surgery-a-randomized-clinical-trial
#6
RANDOMIZED CONTROLLED TRIAL
Young-Eun Joe, Jae-Hoon Lee, Darhae Eum, Ji-Ho Kim, Jeong-Rim Lee
BACKGROUND: The administration of intravenous dexamethasone increases the duration of neuraxial block and improves the quality of analgesia. However, little is known about these effects of dexamethasone on peripheral nerve blocks in children. AIMS: In this study, we aimed to investigate the benefit of intravenous dexamethasone for enhancing the effect of pudendal block on postoperative analgesia in children who underwent hypospadias surgery. METHODS: In total, 46 children aged 6-36 months who underwent hypospadias surgery were randomly allocated to either a control group (normal saline, group C) or dexamethasone group (0...
March 2024: Paediatric Anaesthesia
https://read.qxmd.com/read/38033463/parental-acceptance-of-silver-fluoride-as-a-treatment-option-for-carious-lesions-among-south-african-children-with-special-health-care-needs
#7
JOURNAL ARTICLE
N Potgieter, N Noordien, R Mulder, C Peck, S Groisman
UNLABELLED: Providing dental care for children with neurological special health care needs, including Down syndrome, Cerebral palsy and Autism spectrum disorders, is challenging. They often require repeat exposure to sedation or general anaesthesia for routine dental care. 51 parents of children with special needs completed a questionnaire regarding the acceptance of Silver Fluoride as a treatment option. BACKGROUND: Silver Diamine Fluoride has become popular as a minimally invasive treatment option for providing oral health care to young or uncooperative children...
2023: Front Oral Health
https://read.qxmd.com/read/38031494/airway-and-respiratory-complications-during-anaesthesia-and-associated-with-peri-operative-cardiac-arrest-as-reported-to-the-7th-national-audit-project-of-the-royal-college-of-anaesthetists
#8
JOURNAL ARTICLE
T M Cook, F Oglesby, A D Kane, R A Armstrong, E Kursumovic, J Soar
The 7th National Audit Project (NAP7) of the Royal College of Anaesthetists studied complications of the airway and respiratory system during anaesthesia care including peri-operative cardiac arrest. Among 24,721 surveyed cases, airway and respiratory complications occurred commonly (n = 421 and n = 264, respectively). The most common airway complications were: laryngospasm (157, 37%); airway failure (125, 30%); and aspiration (27, 6%). Emergency front of neck airway was rare (1 in 8370, 95%CI 1 in 2296-30,519)...
April 2024: Anaesthesia
https://read.qxmd.com/read/37919629/higher-portal-venous-pulsatility-is-associated-with-worse-clinical-outcomes-following-congenital-heart-surgery-a-single-centre-prospective-cohort-study
#9
JOURNAL ARTICLE
Ji-Hyun Lee, André Y Denault, William Beaubien-Souligny, Pyoyoon Kang, Jay Kim, Hee-Won Kim, Sang-Hwan Ji, Young-Eun Jang, Eun-Hee Kim, Hee-Soo Kim, Jin-Tae Kim
PURPOSE: Increased portal venous flow pulsatility is associated with major complications after adult cardiac surgery. Nevertheless, no data are available for pediatric patients with congenital heart disease. We hypothesized that Doppler parameters including portal flow pulsatility could be associated with postoperative outcomes in children undergoing various cardiac surgeries. METHODS: We conducted a prospective observational cohort study in children undergoing congenital cardiac surgery...
December 2023: Canadian Journal of Anaesthesia
https://read.qxmd.com/read/37641455/effect-of-tidal-volume-change-on-pressure-based-prediction-of-fluid-responsiveness-in-children
#10
JOURNAL ARTICLE
Sang-Hwan Ji, Young-Eun Jang, Jung-Bin Park, Pyoyoon Kang, Sung-Ae Cho, Eun-Hee Kim, Ji-Hyun Lee, Hee-Soo Kim, Jin-Tae Kim
INTRODUCTION: It is known that pulse pressure variation and systolic pressure variation cannot predict fluid responsiveness in children. In adults, the ability of these dynamic parameters to predict fluid responsiveness is improved by increasing tidal volume. We planned to investigate whether pulse pressure variation or systolic pressure variation can predict fluid responsiveness in children when augmented by increasing tidal volume by conducting a prospective study. METHODS: We enrolled children younger than 7 years who underwent cardiac surgery for atrial septal defect or ventricular septal defect...
November 2023: Paediatric Anaesthesia
https://read.qxmd.com/read/37587734/ultrasound-guided-selective-supraclavicular-nerve-block-for-postoperative-pain-control-in-children-receiving-hickman-catheter-or-chemoport-insertion-a-randomized-controlled-trial
#11
JOURNAL ARTICLE
Jung-Bin Park, In-Sun Song, Pyo-Yoon Kang, Sang-Hwan Ji, Young-Eun Jang, Eun-Hee Kim, Ji-Hyun Lee, Hee-Soo Kim, Jin-Tae Kim
BACKGROUND: Optimal pain management after insertion of a central venous catheter in children remains unclear. AIM: This study aimed to evaluate the effects of a selective supraclavicular nerve block on postoperative analgesia in pediatric patients undergoing hickman catheter or chemoport insertion. METHODS: Fifty patients aged 3-18 years scheduled for elective Hickman or chemoport insertion were randomized into two groups of 25 each: one group received an ultrasound-guided selective supraclavicular nerve block with 0...
August 16, 2023: Paediatric Anaesthesia
https://read.qxmd.com/read/37582352/-anaesthesia-and-sedation-for-diagnostic-procedures-in-children
#12
JOURNAL ARTICLE
Katharina Röher, Uwe Trieschmann, Nicolas Leister
Constant medical progress leads to an increasing range of indications and consequently increasing number of diagnostic procedures in (early) childhood. To prevent lasting traumatization of children (and parents) and to ensure proper examination conditions, adequate (analgo-)sedation or general anesthesia is usually required for the appropriate management of diagnostic procedures in childhood, whether painful or not. The safety of young patients is the first priority. Administrations, hospitals, and each individual anesthesiologist are responsible for establishing structures, experience, and knowledge in this area so that children of all ages receive optimum care...
July 2023: Anästhesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie: AINS
https://read.qxmd.com/read/37407252/individual-cartoon-video-for-alleviating-perioperative-anxiety-and-reducing-emergence-delirium-in-children-a-prospective-randomised-trial
#13
JOURNAL ARTICLE
Xinyu Tang, Muchun Zhang, Lizhuang Yang, Xinchen Tao, Yamei Li, Yi Wang, Xin Wang, Xianwen Hu
BACKGROUND: Perioperative anxiety and emergence delirium (ED) in young children may cause a series of adverse events, which are worth investigating. Pharmacological treatments of anxiety and delirium remain uncertain, while non-pharmacological treatments lack personalization and pertinence. AIMS: The aim of study was to determine whether an individual cartoon video can alleviate perioperative anxiety and reduce ED in young children undergoing adenoidectomy and tonsillectomy...
July 2023: BMJ Paediatrics Open
https://read.qxmd.com/read/37395423/-thoracolumbar-compression-fractures-in-children
#14
JOURNAL ARTICLE
J Štulík, L Salavcová, T Trč, P Havránek, T Pešl, M Barna
PURPOSE OF THE STUDY The study aimed to draw up a diagnosis and treatment guidelines for the management of the most common compression fractures of the thoracolumbar spine in children. MATERIAL AND METHODS Between 2015 and 2017, pediatric patients with a thoracolumbar injury aged 0-12 years were followed up in the University Hospital in Motol and the Thomayer University Hospital. The age and gender of the patient, injury etiology, fracture morphology, number of injured vertebrae, functional outcome (VAS and ODI modified for children), and complications were assessed...
2023: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca
https://read.qxmd.com/read/37231752/computed-tomographic-evaluation-of-congenital-left-ventricular-outflow-obstruction
#15
JOURNAL ARTICLE
Parveen Kumar, Mona Bhatia, Natisha Arora
Congenital left ventricular outflow obstruction represents a multilevel obstruction with several morphological forms. It can involve the subvalvular, valvar, or supravalvular portion of the aortic valve complex, and may coexist. Computed tomography (CT) plays an important supplementary role in the evaluation of patients with congenital LVOT obstruction. Unlike transthoracic echocardiography and cardiovascular magnetic resonance (CMR) imaging, it is not bounded by a small acoustic window, needs for anaesthesia or sedation, and metallic devices...
May 25, 2023: Current Cardiology Reviews
https://read.qxmd.com/read/37052220/anesthesia-management-of-neonates-and-infants-requiring-intraoperative-neurophysiological-monitoring-a-concise-review
#16
REVIEW
Hirofumi Nakahari, Niall C T Wilton, Taiki Kojima
Intraoperative neurophysiological monitoring is currently used to prevent intraoperative spinal cord and nerve injuries during neonatal and infant surgeries. However, its use is associated with some issues in these young children. The developing nervous system of infants and neonates requires higher stimulation voltage than adults to ensure adequate signals, thereby necessitating reduced anesthesia dose to avoid suppressing motor and somatosensory-evoked potentials. Excessive dose reduction, however, increases the risk of unexpected body movement when used without neuromuscular blocking drugs...
July 2023: Paediatric Anaesthesia
https://read.qxmd.com/read/36983617/emergence-from-general-anaesthesia-can-we-discriminate-between-emergence-delirium-and-postoperative-pain
#17
JOURNAL ARTICLE
Marta Somaini, Thomas Engelhardt, Pablo Ingelmo
Unsettled behaviors characterize the early phase after general anaesthesia in the pediatric population in up to 80% of cases. Emergence delirium (ED) and acute pain are the two most relevant sources of this phenomenon. Research and clinical guidelines are difficult to implement due to the variability of the definition of unsettled behavior and measurement of the different components. The most probable incidence of ED is between 10% and 20%, and the potential risk factors could be summarized as young age, male gender, preoperative anxiety, baseline sleep-disordered breathing, volatile anaesthesia and ENT or ophthalmologic surgery...
February 28, 2023: Journal of Personalized Medicine
https://read.qxmd.com/read/36918742/outcome-following-anaesthesia-in-infancy-in-the-nordic-countries-subgroup-analysis-of-the-nectarine-study
#18
JOURNAL ARTICLE
Tom G Hansen, Jenny Vieri, Wenche Bakken Børke, Albert Gyllencreutz Castellheim
INTRODUCTION: The neonate and children audit of anaesthesia practice in Europe (NECTARINE) prospective observational study reported an incidence of 35.2% of critical events requiring intervention during 6542 anaesthetics in 5609 infants up to 60 weeks postmenstrual age (PMA) from 165 centres in 31 European countries. METHODS: Sub-analysis of the cohort from the Nordic countries (8% of the entire cohort) was conducted. Secondary aims were to describe the Nordic countries' anaesthetic practices and compare morbidity and mortality with the overall European cohort...
July 2023: Acta Anaesthesiologica Scandinavica
https://read.qxmd.com/read/36804211/morbidity-following-suprapubic-line-insertion-for-videourodynamics-in-children
#19
JOURNAL ARTICLE
Kailas Bhandarkar, Adele Giannettoni, Pankaj Mishra, Anu Paul, Joanna Clothier, Riccardo Manuele, Eskinder Solomon, Massimo Garriboli, Anne Wright, Arash K Taghizadeh
INTRODUCTION: Previously in our unit, urodynamics were delayed after insertion of suprapubic (SP) lines. We postulated that performing urodynamics on the same day as SP line insertion would not result in increased morbidity. We retrospectively compared complications in those having urodynamics on the same day against those who had delayed urodynamics. PATIENTS AND METHODS: Notes were reviewed for patients undergoing urodynamics via SP lines from May 2009 until December 2018...
January 28, 2023: Journal of Pediatric Urology
https://read.qxmd.com/read/36652041/the-role-of-visual-electrodiagnostics-in-management-of-children-with-neurofibromatosis-type-1
#20
JOURNAL ARTICLE
Manca Tekavčič Pompe, Nuška Pečarič Meglič, Maja Šuštar Habjan
PURPOSE: To evaluate the role of visual electrodiagnostic testing in children with neurofibromatosis type 1 (NF1) despite improved accessibility to magnetic resonance imaging (MRI). METHODS: The records from 39 children (78 eyes, 15 boys, 24 girls, average age at last visit of 11.5 ± 4.3 years, average follow-up time of 7.8 ± 3.9 years) with genetically confirmed NF1 were retrospectively analysed. They all underwent a thorough ophthalmological investigation, including age-appropriate visual acuity testing, anterior segment evaluation for Lisch nodules and a dilated fundus examination...
January 18, 2023: Documenta Ophthalmologica. Advances in Ophthalmology
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