Anales de pediatría : publicación oficial de la Asociación Española de Pediatría (A.E.P.)
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A review of the evidence on the most commonly used diagnostic procedures in acute bronchiolitis is presented. Rapid diagnostic tests for respiratory syncytial virus infection are acceptably valid. These tests show a moderate to high sensitivity and a high specificity in relation to other reference tests. ⋯ The measurement of oxygen saturation is useful in the initial assessment or in the monitoring of clinical changes of patients. Patients with AB have a very low risk of concurrent bacterial infection (particularly urinary tract infection), so the routine use of screening tests for bacterial infection is not useful. There are no clinical criteria with sufficient predictive capacity to select cases that would benefit from such tests.
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Review Case Reports
[Frey's sydrome secondary to an obstetrics trauma: Presntation of 2 cases and a review of the literature].
Frey's Syndrome is a little known condition and is probably under diagnosed in children. It consists of recurrent episodes of facial flushing and sweating triggered by gustatory stimulation. Although the exact etiology is unknown, an aberrant regeneration of the nerve fibers of the auriculotemporal nerve due to nerve injury, has been proposed as a pathophysiological mechanism. We report two new cases of Frey's syndrome secondary to obstetric forceps injury at birth and review the existing literature to date (37 articles describing 68 cases).
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Multicenter Study
[Are parents present during invasive procedures? Assessment in 32 Spanish hospitals].
Parental participation in medical decisions involving their children is essential and family presence during invasive procedures (IP) is fundamental. ⋯ Parental presence during IP is limited in Spanish PED, due to parental anxiety and is detrimental to the success of the procedure. Physicians and nurses disagree with family presence, especially during the most invasive procedures.
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A review of the evidence on treatment of acute bronchiolitis is presented. There is sufficient evidence on the lack of effectiveness of most interventions tested in bronchiolitis. ⋯ Heliox and non-invasive ventilation techniques, methylxanthine could be used in cases with respiratory failure, in patients with apnea, and surfactant and inhaled ribavirin in intubated critically ill patients. The available evidence does not recommend the use of oral salbutamol, subcutaneous adrenaline, anticholinergic drugs, inhaled or systemic corticosteroids, antibiotics, aerosolized o intravenous immunoglobulin, respiratory physiotherapy and others (nitric oxide, recombinant human deoxyribonuclease, recombinant interferon, nebulised furosemide and so on).