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pediatric vrs

George Georgoulis, Andrei Brînzeu, Marc Sindou
OBJECTIVE The utility of intraoperative neuromonitoring (ION), namely the study of muscle responses to radicular stimulation, remains controversial. The authors performed a prospective study combining ventral root (VR) stimulation for mapping anatomical levels and dorsal root (DR) stimulation as physiological testing of metameric excitability. The purpose was to evaluate to what extent the intraoperative data led to modifications in the initial decisions for surgical sectioning established by the pediatric multidisciplinary team (i...
April 13, 2018: Journal of Neurosurgery. Pediatrics
Ozgur Karcioglu, Hakan Topacoglu, Ozgur Dikme, Ozlem Dikme
OBJECTIVE: The study analysed the Visual Analogue Scale (VAS), the Verbal Rating Scale (VRS) and the Numerical Rating Scale (NRS) to determine: 1. Were the compliance and usability different among scales? 2. Were any of the scales superior over the other(s) for clinical use? METHODS: A systematic review of currently published studies was performed following standard guidelines. Online database searches were performed for clinical trials published before November 2017, on the comparison of the pain scores in adults and preferences of the specific patient groups...
April 2018: American Journal of Emergency Medicine
Dabin Cheng, Lu Liu, Zheng Hu
OBJECTIVE: Propofol is a new anesthetic agent in clinical practice, but randomized double-blinded prospective studies on its role in pediatric anesthesia remain limited. We aimed to compare the preventive effects of pre-injected lidocaine or ketamine and its pre-mixture on the anesthesia-induced injection pain of propofol using a randomized double-blinded prospective method, and to compare the outcomes with those of medium-/long-chain propofol (M/LCT). METHODS: A total of 360 pediatric patients (aged 5-12 years old) who received elective surgery were randomly divided into six groups (n= 60) as follows...
May 2017: Pakistan Journal of Medical Sciences Quarterly
In-Kyung Song, Yong-Hee Park, Ji-Hyun Lee, Jin-Tae Kim, In Ho Choi, Hee-Soo Kim
BACKGROUND: Preemptive analgesia is an anti-nociceptive treatment that starts before surgery and prevents the establishment of central sensitization. Whether preemptive analgesia is more effective than conventional regimens for managing postoperative pain remains controversial. This study evaluated the efficacy of intravenous preemptive analgesia for acute postoperative pain control in pediatric patients. METHODS: In this prospective randomized controlled trial, 51 children aged 3-7 years, scheduled for corrective osteotomy were randomized into control (group C) or preemptive (group P) group...
April 2016: Paediatric Anaesthesia
Laura Barriuso Lapresa, Belén Sanz-Barbero
BACKGROUND: oral health is integral to health from the eruption of the first tooth. To achieving, it is necessary an early establishment of healthy oral habits as regular dental checkups. In developed countries, caries is the most prevalent chronic pediatric disease and it may be increasing in preschool age. OBJECTIVES: a) assessing prevalence of oral health services use among Spanish preschool population, b) quantifying and analyzing the existence of variability among autonomous community and c) identifying variables associated with such use...
January 2012: Revista Española de Salud Pública
M Gabrielle Pagé, Joel Katz, Jennifer Stinson, Lisa Isaac, Andrea L Martin-Pichora, Fiona Campbell
UNLABELLED: This study evaluates the construct validity (including sensitivity to change) of the numerical rating scale (NRS) for pain intensity (I) and unpleasantness (U) and participant pain scale preferences in children/adolescents with acute postoperative pain. Eighty-three children aged 8 to 18 years (mean = 13.8, SD = 2.4) completed 3 pain scales including NRS, Verbal Rating Scale (VRS), and faces scales (Faces Pain Scale-Revised [FPS-R] and Facial Affective Scale [FAS], respectively) for pain intensity (I) and unpleasantness (U) 48 to 72 hours after major surgery, and the NRS, VRS and Functional Disability Index (FDI) 2 weeks after surgery...
April 2012: Journal of Pain: Official Journal of the American Pain Society
M Sánchez Bayle, R Martín Martín, J Cano Fernández, G Martínez Sánchez, J Gómez Martín, G Yep Chullen, M C García García
OBJECTIVE: [corrected] To study the utility of chest physiotherapy by increased exhalation technique with assisted cough in the acute bronchiolite of the hospitalized new-born babys. PATIENTS AND METHODS: Double-blind clinical trial accomplished on 236 patients of age lower than 7 months and hospitalizad with diagnosis of acute bronchiolitis, first episode, in a pediatric department in Madrid.The patients were randomized in two groups: those who have received maneuvers of chest physiotherapy and those who have received maneuvers placebo...
July 2012: Anales de Pediatría: Publicación Oficial de la Asociación Española de Pediatría (A.E.P.)
Heinz-Dieter Basler
In the perioperative period acute pain is measured by one-dimensional scales concentrating on pain intensity. As part of a quality assurance procedure pain assessment is to be exercised during periods of rest and activity. Pain is a subjective experience. That is why self-report is the golden standard of pain assessment. Only in case self-report is not available due to mental development or to cognitive restraints, it has to be replaced by behavioural observation. Established scales are the visual analogue scale (VAS), the verbal rating scale (VRS), and the numerical rating scale (NRS) with a preference for the NRS...
May 2011: Anästhesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie: AINS
Benoit Bailey, Raoul Daoust, Evelyne Doyon-Trottier, Sabine Dauphin-Pierre, Jocelyn Gravel
Although the verbal numeric scale (VNS) is used frequently at patients' bedsides, it has never been formally validated in children with acute pain. In order to validate this scale, a prospective cohort study was performed in children between 8 and 17years presenting to a pediatric emergency department (ED) with acute pain. Pain was graded using the VNS, the visual analogue scale (VAS), and the verbal rating scale (VRS). A second assessment was done before discharge. We determined a priori that in order to be valid, the VNS would need to: correlate with the VAS (concurrent validity); decrease after intervention to reduce pain (construct validity); and be associated with the VRS categories (content validity)...
May 2010: Pain
Ronald M Kline, Elizabeth P Baorto
PURPOSE: The increasing frequency of Gm(+) infections in febrile neutropenic (FN) patients has resulted in increased use of vancomycin (VN). Likely as a result, VN-resistant Enterococcus (VRE) has become a significant concern in FN patients. We sought to understand how the emergence of VN resistant microbes has changed the antibiotic management of pediatric FN. METHODS: A questionnaire was distributed by e-mail to responsible investigators of the Children's Oncology Group...
March 2005: Pediatric Blood & Cancer
Robert M Issenman, Iqbal H Jaffer
BACKGROUND: Voice recognition software (VRS), with specialized medical vocabulary, is being promoted to enhance physician efficiency, decrease costs, and improve patient safety. This study reports the experience of a pediatric subspecialist (pediatric gastroenterology) physician with the use of Dragon Naturally Speaking (version 6; ScanSoft Inc, Peabody, MA), incorporated for use with a proprietary electronic medical record, in a large university medical center ambulatory care service...
September 2004: Pediatrics
Maria Cristina Medici, Maria Cristina Arcangeletti, Rocco Merolla, Carlo Chezzi
BACKGROUND: Respiratory Syncytial Virus (RSV) is the leading cause of emergency visits and hospitalization for acute lower respiratory tract infections (LRTI) in infants and young children worldwide. To collect specific epidemiological data on the incidence of RSV infection among infants referred to Emergency Departments (ED) for LRTI in a Mediterranean country, an Italian multicenter epidemiological surveillance program was established. METHODS: Eight pediatric centers throughout Italy participated in this study...
April 2004: Acta Bio-medica: Atenei Parmensis
O Chouakri, F Ktari, J Lavaud, I Maury, N Lode, S Durand, J L Chabernaud, H Arbaoui, A Lemouchi, M L Barbier
This study involves 106 infants (neonatal period ruled out), victims of severe bacterial infections managed from 1st january 1998 to 30 April 2001 by the four paediatric Mobile Intensive Care Unit (P.M.I.C.U.) teams AP-HP in Ile-de-France area. 46.2% of the whole infants are primary interventions (home, medical room, airport) and primary-secondary interventions (hospital emergencies) whereas 53.8% are related to secondary transports of infants who have been hospitalized and suffered from severe bacterial disorders complicating their original disease...
September 2001: Archives de Pédiatrie: Organe Officiel de la Sociéte Française de Pédiatrie
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