Pediatric surgery international
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Pediatr. Surg. Int. · Dec 2018
Children with appendicitis on the US-Mexico border have socioeconomic challenges and are best served by a freestanding children's hospital.
The US-Mexico border is medically underserved. Recent political changes may render this population even more vulnerable. We hypothesized that children on the border present with high rates of perforated appendicitis due to socioeconomic barriers. ⋯ Children with low socioeconomic status did not have difficulty accessing care on the USA-Mexico border, but they were commonly misdiagnosed. Children were less likely to receive a CT, more likely to be correctly diagnosed and length of stay was shorter when patients presented to a freestanding children's hospital.
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Pediatr. Surg. Int. · Dec 2018
Observational StudyRisk factors for post-induction hypotension in children presenting for surgery.
Preoperative factors have been correlated with pre-incision hypotension (PIH) in children undergoing surgery, suggesting that PIH can be predicted through preoperative screening. We studied blood pressure (BP) changes in the 12 min following the induction of anesthesia to study the incidence of post-induction hypotension and to assess the feasibility of predicting PIH in low-risk children without preoperative hypotension or comorbid features. ⋯ II.