Pediatric emergency care
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Pediatric emergency care · Mar 2004
Randomized Controlled Trial Comparative Study Clinical TrialThe value of capnography during sedation or sedation/analgesia in pediatric minor procedures.
To measure changes in end-tidal carbon dioxide levels (ETco2) with different sedation/analgesia (midazolam, ketamine, ketamine plus midazolam, midazolam plus fentanyl, and propofol) during pediatric minor surgical procedures and to determine whether there were significant increases in ETco2 with different drugs. ⋯ This study demonstrated that propofol and midazolam-fentanyl produced a higher incidence of respiratory depression and higher mean ETco2 during sedation/analgesia than presedation and postsedation/analgesia. Capnography can serve as a useful monitoring tool in the evaluation of ventilation during sedation or sedation/analgesia in clinically stable children.
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Pediatric emergency care · Mar 2004
ReviewMisdiagnoses of ovarian masses in children and adolescents.
The purpose of this study is to describe the presenting signs and symptoms and the presumptive diagnoses of children who were admitted to our children's hospital with ovarian masses. ⋯ Ovarian masses often present with abdominal complaints that can mimic other diseases, in particular, appendicitis. Although considered relatively uncommon, in our hospital, they comprised one fifth as many admissions as did appendicitis in females during the study period. In females that present with a clinical picture consistent with appendicitis, ovarian masses should be considered in the differential and a computed tomography scan or ultrasound should be obtained.
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Pediatric emergency care · Mar 2004
Comparative StudyThe use of restraint for pediatric psychiatric patients in emergency departments.
To identify current practice and staff education regarding the use of restraint in emergency departments for children undergoing psychiatric evaluations and to compare restraint practice and education in emergency medicine residencies (EMRs) and pediatric emergency medicine fellowships (PEMFs). ⋯ Restraint, both physical and chemical, is a widely, but uncommonly used, intervention for pediatric psychiatric patients in emergency departments. Many EMRs and PEMFs do not teach residents about restraint.
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Pediatric emergency care · Mar 2004
Review Case ReportsUnintentional ingestion of potassium permanganate.
This case of an unintentional ingestion of an unknown amount of potassium permanganate by a 5-year-old boy, and its sequelae, exemplifies the potential danger of this poison. Due to the wide availability of this agent in over-the-counter preparations and the high potential for serious sequelae, clinicians should be aware of the actions of this agent, as well as the diagnostic and management features associated with it.