Pediatric surgery international
-
Pediatr. Surg. Int. · Nov 2015
Evaluating the socioeconomic and cultural factors associated with pediatric burn injuries in Maputo, Mozambique.
Pediatric burn injuries are one of the leading causes of preventable morbidity and mortality in Sub-Saharan Africa. Research on the complex system of social, economic and cultural factors contributing to burn injuries in this setting is much needed. ⋯ Prevention efforts in this setting are much needed and can be implemented taking complex cultural and social factors into account. Education regarding regulation of water temperature for baths is important, given the prevalence of scald burns. Moreover, the introduction of low-cost, safer cooking technology can help mitigate inhalation injury and reduce fire burns. Additionally, burn care systems must be integrated with local traditional medical interventions to respect local cultural medicinal practices.
-
Pediatr. Surg. Int. · Nov 2015
Comparative StudyLocal anesthetic wound infusion versus standard analgesia in paediatric post-operative pain control.
Local anesthetic wound infusion has shown promising results in adults. Its use in children is limited to some centers and there are only a few prospective trials in this group of patients. ⋯ Continuous subfascial bupivacaine infusion is reliable, safe and effective in paediatric post-operative pain control with considerably reduced opiate requirements.