The Journal of pediatrics
-
The Journal of pediatrics · Mar 2008
Randomized Controlled TrialA novel needle-free powder lidocaine delivery system for rapid local analgesia.
To determine the analgesic effect and tolerability of a novel needle-free powder lidocaine delivery system in children undergoing venipuncture. ⋯ The needle-free powder lidocaine delivery system was well tolerated and provided effective local analgesia when administered 2 to 3 minutes before venipuncture.
-
The Journal of pediatrics · Mar 2008
Randomized Controlled TrialEffect of an integrated care pathway on acute asthma/wheeze in children attending hospital: cluster randomized trial.
To determine whether an integrated care pathway (ICP) could improve care delivered to patients coming to an emergency department only or to patients who were subsequently admitted. ⋯ An acute asthma/wheeze ICP improved education and prescribing errors, modestly reduced the length of stay when discharge criteria were adhered to, but did not influence recovery time. Further consideration of the effect on staff workload is required.
-
The Journal of pediatrics · Mar 2008
Comparative StudyApparent life-threatening events and sudden infant death syndrome: comparison of risk factors.
To compare the risk factors of 153 cases of apparent life-threatening event (ALTE) enrolled in the multicenter Collaborative Home Infant Monitoring Evaluation (CHIME) from 1994 to 1998 with the published risk factors for sudden infant death syndrome (SIDS). ⋯ Although a number of risk factors for ALTE are similar to those for SIDS, the differences warrant a separate focus on ALTE beyond that on SIDS.
-
The Journal of pediatrics · Mar 2008
Sensitivity of the bacterial meningitis score in 889 children with bacterial meningitis.
To validate sensitivity of the bacterial meningitis score (BMS) in a large population of children with bacterial meningitis (BM). ⋯ The sensitivity of the BMS to detect disease was very high, but a few cases of BM were missed. Further refinements of the BMS may be warranted to lower the false-negative rate.
-
The Journal of pediatrics · Mar 2008
Medication use in the neonatal intensive care unit: current patterns and off-label use of parenteral medications.
To study the current patterns of medication use, assess the extent of off-label parenteral medication use, and evaluate evidence for efficacy and safety of parenteral medications used off-label in neonates. ⋯ Critically ill neonates are exposed to numerous medications, a significant proportion of which are not yet FDA-approved for use in this vulnerable group of patients.