Journal of paediatrics and child health
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Foreign body ingestion is seen commonly in paediatric surgical practice and the vast majority of ingested foreign bodies will pass spontaneously once they have made their way into the stomach. Lead foreign body ingestion in children represents a special case in view of the potential for acute lead intoxication secondary to dissolution and absorption of the ingested lead. ⋯ This case stimulated a review of the relevant literature and the formulation of a management plan for lead foreign body ingestion in children. The principles of this management plan are observation of the child in hospital and use of a protein pump inhibitor until the foreign body has passed out of the stomach.
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J Paediatr Child Health · Aug 1997
Factors related to infant apnoea and cyanosis: a population-based study.
To examine the relationship between infant and parental characteristics and parental report of infant cyanosis and also hospital admission for apnoea/cyanosis. ⋯ Several infant and parental characteristics are associated with increased risk of infant apnoea/cyanosis in this study but further population-based work with a larger group of infants hospitalised for apnoea/cyanosis should be conducted. The finding of an association between the administration of antihistamine medication and infant cyanosis highlights the possibility of adverse side-effects if antihistamine medication is administered to young infants.
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J Paediatr Child Health · Aug 1997
Case ReportsNurse-controlled analgesia using a patient-controlled analgesia device: an alternative strategy in the management of severe cancer pain in children.
Nurse-controlled analgesia (NCA) using a patient-controlled analgesia (PCA) device has been described for intensive care and postoperative use. This report describes the effective use of this technique for severe episodic and procedural pain in four children with advanced malignancy and high opioid requirements where conventional parenteral analgesia had been inadequate. Both morphine and fentanyl were used. Average duration of NCA was 6.75 days (range 4-12).
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J Paediatr Child Health · Apr 1997
Outcome at 2 years of children 23-27 weeks' gestation born in Victoria in 1991-92. The Victorian Infant Collaborative Study Group.
To determine the survival and sensorineural disability rates in very preterm infants born in 1991-92, and to compare the results with contemporaneous normal birthweight controls and with preterm infants born in 1985-87. ⋯ Survival rates of very preterm infants in this regional cohort have improved in the 1990s after the introduction of exogenous surfactant. Blindness at 2 years of age was significantly lower than in an earlier preterm cohort, but the rates of sensorineural disability still remain higher in very preterm survivors than for NBW controls. Although survival rates are lower and disability rates are higher with diminishing maturity, there is no obvious gestational age below which adverse neurological outcome in survivors would preclude active management on the basis of gestational age alone.
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J Paediatr Child Health · Apr 1997
Emergency management skills of South Australian paediatric trainees.
This article describes a theoretical and practical assessment of the emergency management skills of South Australian paediatric trainees. The aim was to identify strengths and weaknesses so as to optimally orientate future training in this area, and to provide a baseline that could be used to assess effectiveness of future interventions. ⋯ There is a range of theoretical and practical resuscitation deficits that may currently hinder effective emergency management by paediatric trainees.