The Journal of pediatrics
-
The Journal of pediatrics · May 2015
Safety of deep sedation in young children with sickle cell disease: a retrospective cohort study.
To assess the rates and types of complications associated with deep sedation in children with sickle cell disease (SCD) and to explore potential risk factors. ⋯ Deep sedation in young children with SCD using a standard protocol is safe, with a sedation-related complication rate comparable to that of the general pediatric population. The observed rate of VOE, although not significantly higher than expected, warrants further investigation.
-
The Journal of pediatrics · May 2015
Multicenter StudyUtilization of nebulized 3% saline in infants hospitalized with bronchiolitis.
To describe utilization of 3% hypertonic saline (HTS) in hospitalized infants and to evaluate the association between HTS use and length of stay (LOS) in a real-world setting. ⋯ Variation in HTS use and the lack of association between HTS and mean LOS demonstrates the need for further research to standardize HTS use and better define the infants for whom HTS will be most beneficial.
-
The Journal of pediatrics · May 2015
Observational StudyNeonatal morphine exposure in very preterm infants-cerebral development and outcomes.
To investigate the association of morphine exposure in very preterm infants with cerebral volumes and neurodevelopmental outcome from birth through middle childhood. ⋯ Low-dose morphine analgesia received during neonatal intensive care was associated with early alterations in cerebral structure and short-term neurobehavioral problems that did not persist into childhood.
-
The Journal of pediatrics · May 2015
Randomized Controlled TrialEndotracheal Suction for Nonvigorous Neonates Born through Meconium Stained Amniotic Fluid: A Randomized Controlled Trial.
To assess whether endotracheal suctioning of nonvigorous infants born through meconium stained amniotic fluid (MSAF) reduces the risk and complications of meconium aspiration syndrome (MAS). ⋯ The current practice of routine endotracheal suctioning for nonvigorous neonates born through MSAF should be further evaluated.
-
The Journal of pediatrics · May 2015
Academic Performance among Children with Inflammatory Bowel Disease: A Population-Based Study.
To determine grade 12 academic performance for children with inflammatory bowel disease (IBD). ⋯ Children with IBD on average achieve similar levels of academic achievement in grade 12 as those without IBD. This study underscores the educational impact of mental health conditions at IBD diagnosis among children.