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Pediatric pressure ulcer

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https://www.readbyqxmd.com/read/27763881/neuropathic-ulcers-among-children-with-neural-tube-defects-a-review-of-literature
#1
Anand Pandey, Vipin Gupta, Shailendra P Singh, Vijendra Kumar, Rajesh Verma
A trophic ulcer is a pressure ulcer caused by external trauma to a part of the body that is compromised due to disease, vascular insufficiency, or loss of afferent nerve fibers. Spinal dysraphism (ie, neural tube defects [NTD]) such as meningomyelocele is a risk factor for developing these ulcers in adults and pediatric patients. Information regarding the occurrence of trophic ulcers in pediatric patients with NTD is lacking. A review of the English-language literature on skin/neuropathic ulcers in patients with NTDs, irrespective of study design, published between 1975 and 2014, was undertaken using the PubMed database...
December 2015: Ostomy/wound Management
https://www.readbyqxmd.com/read/27609529/faecal-and-serum-metabolomics-in-paediatric-inflammatory-bowel-disease
#2
Kaija-Leena Kolho, Alberto Pessia, Tytti Jaakkola, Willem M de Vos, Vidya Velagapudi
BACKGROUND: Inflammatory bowel disease [IBD] is considered to result from the interplay between host and intestinal microbiota but its pathogenesis is incompletely understood. While IBD in adults has shown to be associated with marked changes in body fluid metabolomics, there are only few studies in children. Hence, this prospective study addressed the faecal and serum metabolomics in newly diagnosed paediatric IBD. METHODS: Paediatric patients with IBD undergoing diagnostic endoscopies and controls also with endoscopy but no signs of inflammation provided blood and stool samples in a tertiary care hospital...
September 8, 2016: Journal of Crohn's & Colitis
https://www.readbyqxmd.com/read/26927980/device-related-pressure-ulcers-from-a-biomechanical-perspective
#3
Ayelet Levy, Kara Kopplin, Amit Gefen
Pressure ulcers (PUs) in the pediatric population are inherently different from those in adults, in their risk factors and etiology, with more than 50% of the cases related to contact with medical equipment at the care setting. The aims of this study were to: (i) Determine the mechanical loads in the scalp of a newborn lying supine, near a wedged encephalogram electrode or wire, which is deforming the scalp at the occiput. (ii) Evaluate the effect of a doughnut-shaped headrest on the mechanical state of tissues at the same site...
February 17, 2016: Journal of Tissue Viability
https://www.readbyqxmd.com/read/26849739/o-022%C3%A2-intravenous-iron-sucrose-for-treatment-of-iron-deficiency-anemia-in-pediatric-inflammatory-bowel-disease
#4
Kristen Plantz, Elizabeth Maxwell, Petar Mamula, Robert Baldassano, Ronen Stein
BACKGROUND: Iron deficiency anemia (IDA) is a common complication of pediatric inflammatory bowel disease (IBD). The effectiveness of oral iron supplementation in the treatment of IDA is limited by its slow onset of action, daily dosing, gastrointestinal side effects, and potential for exacerbation of intestinal inflammation. Intravenous iron sucrose (IS) is an effective and safe alternative treatment for IDA in adults with IBD, but its role in the treatment of IDA in pediatric IBD is unclear...
March 2016: Inflammatory Bowel Diseases
https://www.readbyqxmd.com/read/26792695/-clinical-characteristics-analysis-of-120-cases-of-pediatric-spinal-cord-injury-without-radiologic-abnormality
#5
Y J Wang, H J Zhou, B Wei, G L Liu, Y Zheng, Y Zhang, C X Hao, H Q Kang, Y Yuan, X L Lu
OBJECTIVE: To study the epidemiologic characteristics of pediatric spinal cord injury without radiologic abnormality. METHODS: A retrospective analysis was performed and 120 cases of children with spinal cord injury without radiologic abnormality were admitted in China Rehabilitation Research Center from January 2005 to December 2014.The gender, age, causes of injury, injury condition and complication were analyzed. All cases were divided into two groups (0-7 years old and 8-13 years old) according to age...
January 12, 2016: Zhonghua Yi Xue za Zhi [Chinese medical journal]
https://www.readbyqxmd.com/read/26487980/adjustability-and-adaptability-are-critical-characteristics-of-pediatric-support-surfaces
#6
Ayelet Levy, Kara Kopplin, Amit Gefen
Significance: Pressure ulcers (PUs) in newborns and children are remarkably different from those in adults, both in their possible causal factors and in the etiology and biomechanical pathways for tissue damage. Recent Advances: Pediatric muscle and fat tissue structures are overall softer than those of adults, making newborns and young children more susceptible to deformation-inflicted injuries at their weight-bearing soft tissues. Critical Issues: The unique medical environment of neonatal and pediatric intensive care units, which is overloaded with medical devices, wiring, tubing, electrodes, and so on, is, in fact, an extrinsic risk factor for device-related PUs, since accidently misplaced tubes, wires, or electrodes can become trapped between the skin and the mattress, causing large sustained soft tissue deformations around them...
October 1, 2015: Advances in Wound Care
https://www.readbyqxmd.com/read/26487976/second-annual-meeting-of-the-international-society-of-pediatric-wound-care
#7
Sundeep G Keswani
The overarching goals of the International Society of Pediatric Wound Care (ISPeW) are to (1) set global standards for the assessment and treatment of pediatric wounds of varying etiologies; (2) provide a forum for international interprofessional collaboration among healthcare professionals, researchers, educators, and industry leaders dedicated to the care of pediatric wounds; (3) promote and support clinical research focused on the prevention, assessment, and treatment of pediatric wounds; (4) collaborate with wound care organizations worldwide on pediatric wound care issues; and (5) provide evidence-based pediatric wound care education to healthcare professionals, parents, and lay caregivers...
October 1, 2015: Advances in Wound Care
https://www.readbyqxmd.com/read/26420902/face-masks-for-noninvasive-ventilation-fit-excess-skin-hydration-and-pressure-ulcers
#8
Marty O Visscher, Cynthia C White, Jennifer M Jones, Thomas Cahill, Donna C Jones, Brian S Pan
BACKGROUND: Pressure ulcers (stages III and IV) are serious safety events (ie, never events). Healthcare institutions are no longer reimbursed for costs to care for affected patients. Medical devices are the leading cause of pediatric pressure ulcers. Face masks for noninvasive ventilation were associated with a high percentage of pressure ulcers at our institution. METHODS: A prospective cohort study investigated factors contributing to pressure ulcer development in 50 subjects using face masks for noninvasive ventilation...
November 2015: Respiratory Care
https://www.readbyqxmd.com/read/26289236/effect-of-a-real-time-pediatric-icu-safety-bundle-dashboard-on-quality-improvement-measures
#9
Susanna J Shaw, Brian Jacobs, David C Stockwell, Craig Futterman, Michael C Spaeder
BACKGROUND: Patient daily goal sheets have been shown to improve compliance with hospital policies but might not represent the dynamic nature of care delivery in the pediatric ICU (PICU) setting. A study was conducted at Children's National Health System (Washington, DC) to determine the effect of a visible, unitwide, real-time dashboard on timeliness of compliance with quality and safety measures. METHODS: An automated electronic health record (EHR)- querying tool was created to assess compliance with a PICU Safety Bundle...
September 2015: Joint Commission Journal on Quality and Patient Safety
https://www.readbyqxmd.com/read/26260712/costs-of-venous-thromboembolism-catheter-associated-urinary-tract-infection-and-pressure-ulcer
#10
Anthony Goudie, Linda Dynan, Patrick W Brady, Evan Fieldston, Richard J Brilli, Kathleen E Walsh
OBJECTIVE: To estimate differences in the length of stay (LOS) and costs for comparable pediatric patients with and without venous thromboembolism (VTE), catheter-associated urinary tract infection (CAUTI), and pressure ulcer (PU). METHODS: We identified at-risk children 1 to 17 years old with inpatient discharges in the Nationwide Inpatient Sample. We used a high dimensional propensity score matching method to adjust for case-mix at the patient level then estimated differences in the LOS and costs for comparable pediatric patients with and without VTE, CAUTI, and PU...
September 2015: Pediatrics
https://www.readbyqxmd.com/read/26258836/clinical-nurse-specialist-collaboration-to-recognize-prevent-and-treat-pediatric-pressure-ulcers
#11
Jennifer Peterson, Kathleen Adlard, Beverly Inge Walti, Jennifer Hayakawa, Elyse McClean, Susan Carroll Feidner
PURPOSE/OBJECTIVES: The purpose of this quality improvement project was to reduce the incidence of pressure ulcers in a 232-bed, freestanding children's hospital in Western United States. BACKGROUND: Pressure ulcers have been an underappreciated hospital-acquired condition in children. Children have distinct anatomic, physiologic, and developmental factors that alter how pressure ulcers occur, but nurses may not recognize the pediatric patient as at risk because of lack of knowledge and tools to assess skin, identify risk factors, and recognize or stage pressure ulcers...
September 2015: Clinical Nurse Specialist CNS
https://www.readbyqxmd.com/read/26153243/histopathological-effect-of-balloon-dilation-in-a-live-rabbit-implications-for-the-pediatric-airway
#12
Vikash K Modi, Jiovani M Visaya, Robert F Ward
OBJECTIVE/HYPOTHESIS: To examine the short- and long-term histopathologic changes that occur in the subglottis in response to airway balloon dilation (ABD) with different balloon diameters and inflation pressures. STUDY DESIGN: Prospective animal study using forty-two 8-month old New Zealand white rabbits at an academic animal research facility. METHODS: Thirty-nine live New Zealand rabbits underwent a single ABD with diameters ranging from 6...
September 2015: Laryngoscope
https://www.readbyqxmd.com/read/26150691/causes-of-uveitis-in-children-without-juvenile-idiopathic-arthritis
#13
Stephanie B Engelhard, Asima Bajwa, Ashvini K Reddy
BACKGROUND: The purpose of this study was to report the demographics, disease characteristics, treatments, and visual outcomes of pediatric uveitis patients without juvenile idiopathic arthritis managed in a tertiary medical center. METHODS: A retrospective, observational study was performed in pediatric uveitis patients without juvenile idiopathic arthritis and aged 0-18 years, who were seen at the University of Virginia from 1984 to 2014. RESULTS: Thirty-nine pediatric uveitis patients (57 eyes) were identified...
2015: Clinical Ophthalmology
https://www.readbyqxmd.com/read/26065111/-gluteal-artery-based-perforator-flaps-for-sacral-pressure-sore-reconstruction-in-children
#14
B Berenguer, I Simal, M C Marín, E de Tomás, O Riquelme, A García Martín, J L González
INTRODUCTION: Children have much lower incidence of pressure sores (PS) than adults and furthermore, they are diagnosed in earlier stages. Therefore, the reported experience with surgical treatment of advanced pediatric PS is scarce. MATERIAL AND METHODS: We present the surgical treatment of 2 chronic PS stage IV in children aged 11 and 14 years, by means of perforator flaps based on the gluteal arteries: in the first case we used a free-style flap based on a left medial gluteal perforator and in the second a large reusable rotation-advancement flap based on both right superior and inferior gluteal artery perforators...
October 2014: Cirugía Pediátrica: Organo Oficial de la Sociedad Española de Cirugía Pediátrica
https://www.readbyqxmd.com/read/25974962/serial-casting-for-reconstruction-of-a-deformed-charcot-foot-a-case-report
#15
Jonathan I Rosenblum, Shmuel Weiss, Michael Gazes, Michal Amit-Kohn
INTRODUCTION: Charcot neuroarthropathy may occur in patients with peripheral neuropathy who do not notice pain while their bones and joints collapse or breakdown under the constant pressure of body weight. This can lead to ulcerations from severe deformity and potentially limb-threatening and life-threatening infections. Current treatments vary from immobilization to extensive reconstructive surgical interventions. METHODS: Serial casting, used to correct many pediatric deformities while bones are often more pliable, was used with a 63-year-old male patient who presented with an active phase of Charcot foot with ulceration...
May 2015: Wounds: a Compendium of Clinical Research and Practice
https://www.readbyqxmd.com/read/25958105/perception-of-secondary-conditions-in-adults-with-spina-bifida-and-impact-on-daily-life
#16
Robert Wagner, Ronna Linroth, Candice Gangl, Nancy Mitchell, Michelle Hall, Rhonda Cady, Matthew Christenson
BACKGROUND: Spina bifida is a congenital defect of the neural tube resulting in motor and sensory disruption. Persons with spina bifida can also experience executive function impairments. Secondary conditions are physical, medical, cognitive, emotional, or psychosocial consequences to which persons with disabilities are more susceptible. Our experience suggested clinicians underappreciate the presence and impact of secondary conditions in adults with spina bifida because they do not specifically ask for this information...
October 2015: Disability and Health Journal
https://www.readbyqxmd.com/read/25921961/nursing-and-respiratory-collaboration-prevents-bipap-related-pressure-ulcers
#17
Darlene E Acorda
In early 2012, an increase in the incidence of BiPAP-related pressure ulcers was noted in the progressive care unit of a large pediatric facility. An interdisciplinary team of nursing and respiratory staff and leadership formed a collaborative to address the gaps in practice, recommend, and implement evidence-based interventions using a quality improvement model. Interventions included piloting new masks, changing the skin barrier from a hydrocolloid dressing to a foam dressing and using a template for better fit, including skin assessments every 4 hours as part of nursing and respiratory therapists' workflow, and implementing a notification process that included Wound Ostomy Continence Nurses, respiratory, and nursing leadership for any redness of skin noted...
July 2015: Journal of Pediatric Nursing
https://www.readbyqxmd.com/read/25764951/biomechanics-of-pus-in-paediatric-care-settings
#18
Amit Gefen
No abstract text is available yet for this article.
March 2015: Journal of Wound Care
https://www.readbyqxmd.com/read/25665547/predictive-factors-of-hospitalization-in-adults-with-pediatric-onset-sci-a-longitudinal-analysis
#19
A M January, K Zebracki, A Czworniak, K M Chlan, L C Vogel
STUDY DESIGN: Longitudinal survey. OBJECTIVES: To investigate the prevalence and rate of hospitalization among adults with pediatric-onset spinal cord injury (SCI) and explore medical and behavioral factors associated with hospitalization. METHODS: This study included 368 adults who sustained a SCI prior to age 19 and were enrolled in an ongoing longitudinal study investigating the outcomes of pediatric-onset SCI. Participants were interviewed on an approximately annual basis using a study-specific questionnaire and standardized outcome measures: Satisfaction with Life Scale; Short-Form 12 Health Survey; Alcohol Use Disorders Identification Test; Patient Health Questionnaire-9 Depression Scale; and Craig Handicap Assessment and Recording Technique...
April 2015: Spinal Cord
https://www.readbyqxmd.com/read/25602358/protocolized-sedation-vs-usual-care-in-pediatric-patients-mechanically-ventilated-for-acute-respiratory-failure-a-randomized-clinical-trial
#20
RANDOMIZED CONTROLLED TRIAL
Martha A Q Curley, David Wypij, R Scott Watson, Mary Jo C Grant, Lisa A Asaro, Ira M Cheifetz, Brenda L Dodson, Linda S Franck, Rainer G Gedeit, Derek C Angus, Michael A Matthay
IMPORTANCE: Protocolized sedation improves clinical outcomes in critically ill adults, but its effect in children is unknown. OBJECTIVE: To determine whether critically ill children managed with a nurse-implemented, goal-directed sedation protocol experience fewer days of mechanical ventilation than patients receiving usual care. DESIGN, SETTING, AND PARTICIPANTS: Cluster randomized trial conducted in 31 US pediatric intensive care units (PICUs)...
January 27, 2015: JAMA: the Journal of the American Medical Association
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