Clinical pediatrics
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Agitation that occurs in children receiving standard procedural sedation regimens may indicate inadequate patient comfort and compromise procedural success. Although agitation in uninterrupted pediatric procedures is recognized to occur, it is not generally tracked as an adverse event, and there have been no formal studies to determine its rate of incidence. ⋯ A clinically significant number of children appear agitated during standard procedural sedation and analgesia. In addition, agitation in children undergoing uninterrupted procedures was associated with other adverse events. Identifying risk factors for agitation is fundamental to improving the quality of procedural sedation in children.
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Clinical pediatrics · Jan 2010
The pace of signs and symptoms of blunt abdominal trauma to children.
The authors describe the types, signs, and symptoms of blunt abdominal injury. Record reviews of children <5 years old were carried out at a regional children's hospital or level 1 trauma center between 1994 and 1999. Recognized cases of child abuse, penetrating trauma, or children with an unavailable chart were excluded. ⋯ Most children suffering unintentional blunt abdominal trauma have immediate and ongoing injury. Caretakers promptly seek emergency care, and solid organ injuries predominate. The series mortality was low compared with that for abusive abdominal injuries.
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Clinical pediatrics · Oct 2009
Case ReportsSafety of propofol sedation for pediatric outpatient procedures.
Propofol sedation is used more frequently in pediatric procedures because of its ability to provide varying sedation levels. The authors evaluated all outpatient pediatric procedures using propofol sedation over a 6-year period. ⋯ Significantly more major complications associated with propofol occurred during bronchoscopy (P = .001). Propofol administered by a pediatric intensivist is a safe sedation technique in the pediatric outpatient setting.
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Clinical pediatrics · Oct 2009
Injuries From furniture tip-overs among children and adolescents in the United States, 1990-2007.
To describe the epidemiology of pediatric injuries associated with furniture tip-overs in the United States. ⋯ The number and rate of injuries to children associated with furniture tip-overs are increasing. Pediatricians and caregivers should be aware of this important source of pediatric injury and the strategies for prevention.