keyword
https://read.qxmd.com/read/38515426/barriers-to-healthcare-access-for-children-with-congenital-heart-disease-in-eight-latin-american-countries
#21
JOURNAL ARTICLE
Rodrigo Lopez-Barreda, Lorena Schaigorodsky, Claudia Rodríguez-Pinto, Wilbaldo Salas, Yamile Muñoz, Bianca Betanco, Oscar Angulo, Marina Huamán, Gladys Lejbusiewicz, Victor Pedrero, Milena Pavlova, Wim Groot, Juan C Ibla
BACKGROUND: Mortality from congenital heart disease has decreased considerably in the last two decades due to improvements in overall health care. However, there are barriers to access to healthcare in Latin America for this population, which could be related to factors such as healthcare system, policies, resources, geographic, cultural, educational, and psychological factors. Understanding the barriers to access to care is of paramount importance for the design and implementation of policies and facilitate the provision of care...
March 22, 2024: Paediatric Anaesthesia
https://read.qxmd.com/read/38514437/evaluation-of-risk-factors-associated-with-caries-development-after-full-mouth-rehabilitation-for-early-childhood-caries-under-general-anesthesia
#22
JOURNAL ARTICLE
Mebin George Mathew, Ganesh Jeevanandan, Prabhadevi C Maganur, Ahmed Ali Tamah, Yaqoub Ahmed Ayyashi, Abdullah Ibrahim Tawhari, Satish Vishwanathaiah
AIM: To evaluate the risk factors associated with caries development after full-mouth rehabilitation for early childhood caries (ECC) under general anesthesia. MATERIALS AND METHODS: A total of 100 children diagnosed with ECC requiring full-mouth rehabilitation under general anesthesia were recruited for the study. At baseline, caries status, plaque index, Streptococcus mutans count, and Lactobacillus count were evaluated. The risk assessment for caries was evaluated using a cariogram...
January 1, 2024: Journal of Contemporary Dental Practice
https://read.qxmd.com/read/38512871/recurrent-cholesteatoma-why-it-occurs
#23
JOURNAL ARTICLE
Fathmath Shana Mohamed, Farah Liana Lokman, Wan Nabila Binti Wan Mansoor, Nadhirah Binti Mohd Shakri, Rizuana Iqbal Hussain, Asma Abdullah
A cholesteatoma is an expansion of keratinizing squamous epithelium that enters the middle ear cleft from the outer layer of the tympanic membrane or ear canal. Choleatomas are always treated surgically. Recurrence of the illness presents another challenge for the patient and the surgeon, though. There have been reports of recurrence rates as high as 30% in adults and as high as 70% in children. Here, we describe a case of persistent recurrent otorrhea following revision surgery, along with acquired recurrent cholesteatoma following canal wall down surgery...
March 21, 2024: International Tinnitus Journal
https://read.qxmd.com/read/38512578/comparison-of-deep-and-moderate-neuromuscular-blockade-for-major-laparoscopic-surgery-in-children-a-randomized-controlled-trial
#24
JOURNAL ARTICLE
Guo Wei, Yong-Xin Li, Ying Chen, Mei Diao, John Wei Zhong, Shou-Dong Pan
BACKGROUND AND OBJECTIVE: Neuromuscular blocking agents are routinely used in laparoscopic surgery to optimize operative conditions. We compared the effect of a deep and moderate neuromuscular blockade (NMB) on surgical conditions and postoperative outcomes in children undergoing major laparoscopic surgery. METHODS: Sixty children aged 2-14 years scheduled to undergo major laparoscopic surgery were randomly allocated to deep (post-tetanic count 1-2 twitches) or moderate (train-of-four 1-2 twitches) NMB groups...
March 21, 2024: Paediatric Drugs
https://read.qxmd.com/read/38512488/predicting-peri-operative-cardiorespiratory-adverse-events-in-children-with-idiopathic-pulmonary-arterial-hypertension-undergoing-cardiac-catheterization-using-echocardiography-a-cohort-study
#25
JOURNAL ARTICLE
Timothy J W Dawes, Valentine Woodham, Emma Sharkey, Angus McEwan, Graham Derrick, Vivek Muthurangu, Shahin Moledina, Lucy Hepburn
General anesthesia in children with idiopathic pulmonary arterial hypertension (PAH) carries an increased risk of peri-operative cardiorespiratory complications though risk stratifying individual children pre-operatively remains difficult. We report the incidence and echocardiographic risk factors for adverse events in children with PAH undergoing general anesthesia for cardiac catheterization. Echocardiographic, hemodynamic, and adverse event data from consecutive PAH patients are reported. A multivariable predictive model was developed from echocardiographic variables identified by Bayesian univariable logistic regression...
March 21, 2024: Pediatric Cardiology
https://read.qxmd.com/read/38512425/ferritinophagy-mediated-hippocampus-ferroptosis-is-involved-in-cognitive-impairment-in-immature-rats-induced-by-hypoxia-combined-with-propofol
#26
JOURNAL ARTICLE
Ling Liu, Wen Gao, Shun Yang, Fei Yang, Shangyingying Li, Yaqiong Tian, Li Yang, Qianyu Deng, Zhengwei Gan, Shengfen Tu
Propofol is a clinically common intravenous general anesthetic and is widely used for anesthesia induction, maintenance and intensive care unit (ICU) sedation in children. Hypoxemia is a common perioperative complication. In clinical work, we found that children with hypoxemia who received propofol anesthesia experienced significant postoperative cognitive changes. To explore the causes of this phenomenon, we conducted the study. In this study, our in vivo experiments found that immature rats exposed to hypoxia combined with propofol (HCWP) could develop cognitive impairment...
March 21, 2024: Neurochemical Research
https://read.qxmd.com/read/38510224/methadone-for-emergence-delirium-in-ambulatory-pediatric-strabismus-surgery
#27
JOURNAL ARTICLE
Khaled A Dajani, Bren Davis, Hussam Ghabra, Jakayla Harrell-Mohamed, Carol O Carrillo, H Sprague Eustis
Background: Emergence delirium in children following strabismus surgery is a distressing and potentially dangerous condition and is likely attributable to visual disturbances, pain, and anesthetic gases. We explored whether a single intraoperative dose of methadone could reduce emergence delirium. Methods: Our study was an institutional review board-approved prospective, controlled, before-and-after investigation. Inclusion criteria were age <18 years and American Society of Anesthesiologists (ASA) classification 1 or 2...
2024: Ochsner Journal
https://read.qxmd.com/read/38506028/-acute-and-chronic-rhinosinusitis-age-characteristics
#28
JOURNAL ARTICLE
S V Ryazantsev, I M Kirichenko, E L Savlevich, V I Popadyuk, N S Kozlova, A I Chernolev
Children's and adults' rhinosinusitis are two diseases that have both similarities and differences in anatomy, epidemiology, causes, pathogenesis, diagnosis and treatment. At the same rhinosinusitis is one of the most common in otorhinolaryngology's practice, both in children and adults. The of adults paranasal sinuses (PNS) anatomy differs from children's PNS anatomy. Although ostiomeatal complex occlusion is recognized as a major cause of poor ventilation and drainage of the adult paranasal sinuses, it does not have a strong effect on pediatric rhinosinusitis, but adenoids play a key role...
2024: Vestnik Otorinolaringologii
https://read.qxmd.com/read/38505775/case-report-febrile-infection-related-epilepsy-syndrome-in-a-14-year-old-girl-with-multiple-organ-failure-and-lethal-outcome
#29
Lars Ruttkowski, Ines Wallot, Marie Korell, Elke Daur, Peter Seipelt, Andreas Leonhardt, Stefanie Weber, Nadine Mand
We report a case of an otherwise healthy 14-year-old girl with febrile infection-related epilepsy syndrome (FIRES), multiple organ failure (MOF), and ultimately a lethal outcome. This is a rare case of FIRES with MOF and consecutive death. Only a few cases have been described in the literature. The adolescent girl was initially admitted to our pediatric emergency department with a first episode of generalized tonic-clonic seizures after a short history of fever a week before admission. Seizures progressed rapidly into refractory status epilepticus without any evidence of the underlying cause, and treatment subsequently had to be escalated to thiopental anesthesia...
2024: Frontiers in Neuroscience
https://read.qxmd.com/read/38505154/visual-guidelines-and-tutoring-in-pediatric-urological-surgery
#30
JOURNAL ARTICLE
Stanislav Kotcherov, Shahar Rotem, Jawdat Jaber, Galit Avraham, Gennady Lev, Michal Darmon, Yudith Gabay, Boris Chertin
BACKGROUND: The aim of this prospective randomized study was to evaluate the impact of visual guidelines (picture book) and parents tutoring on pediatric urological surgery on parent's stress and anxiety, the number of postoperative contacts, and complications. MATERIALS AND METHODS: Following institutional ethical committee approval, a special picture book reflecting different stages of the convalescent period following multiple types of pediatric urological surgery was developed...
March 2024: Current Urology
https://read.qxmd.com/read/38505019/factors-influencing-the-length-of-stay-los-undergoing-robot-assisted-thoracoscopic-lung-surgery-in-the-setting-of-enhanced-recovery-after-surgery-eras-protocol-for-pediatric-patients-a-retrospective-study
#31
JOURNAL ARTICLE
Jiabin Fan, Yi Gao, Jialian Zhao, Liang Liang, Yue Jin, Haiyan Jin
BACKGROUND: A prolonged length of stay (LOS) after surgery may result in higher hospital costs and hospital-acquired complications. This study aims to identify the risk factors associated with a prolonged hospital stay after robot-assisted thoracoscopic lung surgery for pediatric patients in the context of enhanced recovery after surgery. METHODS: The data for this retrospective study were collected from pediatric patients undergoing robot-assisted thoracoscopic lung surgery...
February 29, 2024: Journal of Thoracic Disease
https://read.qxmd.com/read/38504962/surgical-outcomes-in-congenital-nasolacrimal-duct-obstruction-after-probing-failure-a-one-stage-approach
#32
JOURNAL ARTICLE
Murat Oklar, Seyhan Kocabas, Mehmet Can Ozen, Ozlen Rodop Ozgur
OBJECTIVES: This study evaluates the outcomes of a one-stage obstruction-based strategy for congenital nasolacrimal duct obstruction (CNLDO) in children who have prior probing failure. The objective is to assess the success rates of probing, balloon dacrioplasty (BDP), monocanalicular intubation (MCI), and external dacryocystorhinostomy (external DCR) performed in the same anesthesia session. METHODS: A retrospective analysis included 55 eyes (45 patients, aged 12-120 months) with initial probing at another center...
2024: Beyoglu eye journal
https://read.qxmd.com/read/38504555/remimazolam-for-sedation-and-anesthesia-in-children-protocol-for-a-scoping-review
#33
JOURNAL ARTICLE
Vladimir Brüggemann, Tom G Hansen
BACKGROUND: Remimazolam, a novel intravenous benzodiazepine recently approved by both the European Medicines Agency and the Food and Drug Agency, holds significant promise in clinical practice. Its pharmacodynamic profile closely mirrors that of midazolam, while its pharmacokinetics properties bear resemblance to remifentanil. Research in adult populations continues to accumulate, but the pediatric studies' pace is not significant. This scoping review aims to methodically scrutinize published studies, clinical trials, observational research, case reports, and pertinent literature to offer a comprehensive insight into the existing understanding of remimazolam in pediatric sedation and anesthesia...
March 19, 2024: Acta Anaesthesiologica Scandinavica
https://read.qxmd.com/read/38500156/effect-of-low-level-laser-therapy-in-wound-healing-of-primary-molar-teeth-extraction
#34
JOURNAL ARTICLE
Hazal Özer, Merve Abaklı İnci
INTRODUCTION: Tooth extraction in children requires attention to wound healing and pain management, which are influenced by patient-related factors and behavioral guidance. AIM OF THE STUDY: The study aimed to evaluate the effect of LLLT on healing sockets in pediatric patients with bilateral primary molar teeth extraction and determine its impact on pain management. METHODS: 6-10 years of age, systemically healthy, and with atraumatic extraction indications of bilateral primary molar teeth were included in the study (n = 40)...
March 19, 2024: BMC Oral Health
https://read.qxmd.com/read/38499834/bispectral-index-versus-the-university-of-michigan-sedation-scale-in-assessing-sedation-depth-during-pediatric-drug-induced-sleep-endoscopy
#35
JOURNAL ARTICLE
Yongping Zheng, Bingrui Xiong, Aming Sang, Xiaorong Liu, Xinyi Li, Xuemin Song
BACKGROUND AND PURPOSE: Bispectral Index (BIS) and University of Michigan Sedation Scale (UMSS) were two commonly used methods of monitoring the sedation depth, but their correlation was not clear. The purpose of this study is to ascertain if BIS correlates with UMSS in determining the sedation level during pediatric drug-induced sleep endoscopy (DISE). METHODS: One-hundred children, aged 36-143 months, with ASA I~II grade, were enrolled. They were subject to general anesthesia for an elective adenotonsillectomy...
March 18, 2024: Sleep & Breathing
https://read.qxmd.com/read/38497284/what-is-the-role-of-gastric-ultrasound-in-children
#36
EDITORIAL
Gianluca Bertolizio, Marta Garbin, Thomas Engelhardt
No abstract text is available yet for this article.
March 18, 2024: Paediatric Anaesthesia
https://read.qxmd.com/read/38494399/the-use-of-a-high-flow-picc-catheter-for-stem-cell-and-lymphocyte-apheresis-the-initial-experience-of-a-pediatric-oncology-center-in-brazil
#37
JOURNAL ARTICLE
Vilani Kremer, Andréia Rheinheimer, Ana Luiza Rodrigues, Andressa Taborda, Robson Coelho, Antonella Zanette
BACKGROUND: Autologous hematopoietic stem cell transplant (HSCT), characterized by high intensity chemotherapy followed by the infusion of HSC previously collected from the peripheral blood, is a procedure used in the treatment of several malignancies. In pediatrics, the apheresis procedure represents a challenge, due to the need for insertion of a rigid central venous catheter (CVC) in small children. The CVC is usually used for stem cell collection and then removed. Later, the patient will need a new device for cell infusion...
February 24, 2024: Journal of Pediatric Surgery
https://read.qxmd.com/read/38493959/erector-spinae-blocks-for-opioid-sparing-multimodal-pain-management-after-pediatric-cardiac-surgery
#38
JOURNAL ARTICLE
Nathalie Roy, M Fernanda Parra, Morgan L Brown, Lynn A Sleeper, Joe Kossowsky, Andreas M Baumer, Sarah E Blitz, Jocelyn M Booth, Connor E Higgins, Viviane G Nasr, Pedro J Del Nido, Roland Brusseau
OBJECTIVE: Peripheral regional anesthesia is proposed to enhance recovery. We sought to evaluate: the efficacy of bilateral continuous erector spinae plane blocks (B-ESpB) for postoperative analgesia and the impact on recovery in children undergoing cardiac surgery. METHODS: Patients ages 2 through 17 years undergoing cardiac surgery in the enhanced recovery after cardiac surgery (ERAS) program were prospectively enrolled to receive B-ESpB at the end of the procedure, with continuous infusions via catheters postoperatively...
March 15, 2024: Journal of Thoracic and Cardiovascular Surgery
https://read.qxmd.com/read/38490772/pediatric-intubations-in-a-semiurban-helicopter-emergency-medicine-service-a-retrospective-review
#39
JOURNAL ARTICLE
Sarah Morton, Sinead Keane, Matt O'Meara
OBJECTIVE: Although a small proportion of helicopter emergency medical service (HEMS) missions are for pediatric patients, it is recognized that children do present unique challenges. This case series aims to evaluate the intubation first-pass success rate in HEMS pediatric patients for both medical and trauma patients in a UK semiurban environment. METHODS: A retrospective review of the computerized records system was performed from January 1, 2015, to July 31, 2022, at 1 UK HEMS...
2024: Air Medical Journal
https://read.qxmd.com/read/38489714/lipid-emulsion-treatment-for-local-anesthetic-systemic-toxicity-in-pediatric-patients-a-systematic-review
#40
JOURNAL ARTICLE
Soo Hee Lee, Sunmin Kim, Ju-Tae Sohn
BACKGROUND: Local anesthetic systemic toxicity (LAST) is rare, but fatal; the current widely used treatment is lipid emulsion (LE). The goal of this study was to analyze and review case reports on LE treatment for LAST in pediatric patients. METHODS: We performed a systematic review using case reports on LE treatment for LAST in pediatric patients, searching PubMed and Scopus databases to March 2023 using the following keywords: ("local anesthetic toxicity" OR "local anesthetic systemic toxicity" OR LAST") AND ("newborn" OR "infant" OR "child" OR "children" OR "adolescent" OR "pediatric") AND ("lipid emulsion" OR "Intralipid")...
March 15, 2024: Medicine (Baltimore)
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