The Journal of pediatrics
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The Journal of pediatrics · Jul 2017
Complexity and Severity of Pediatric Patients Treated at United States Emergency Departments.
To compare the complexity and severity of presentation of children in general vs pediatric emergency departments (EDs). ⋯ Pediatric EDs provided care to a greater proportion of medically complex children than general EDs and had greater rates of hospitalization. This information may inform educational efforts in residency or postgraduate training to ensure high-quality care for children with complex health care needs.
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The Journal of pediatrics · Jun 2017
Randomized Controlled Trial Multicenter StudyDexamethasone for Parapneumonic Pleural Effusion: A Randomized, Double-Blind, Clinical Trial.
To assess whether dexamethasone (DXM) decreases the time to recovery in patients with parapneumonic pleural effusion. ⋯ In this trial, DXM seemed to be a safe and effective adjunctive therapy for parapneumonic pleural effusion.
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The Journal of pediatrics · Jun 2017
Comparison of Effort of Breathing for Infants on Nasal Modes of Respiratory Support.
To directly compare effort of breathing between high flow nasal cannula (HFNC), nasal intermittent mechanical ventilation (NIMV), and nasal continuous positive airway pressure (NCPAP). ⋯ For infants, effort of breathing is similar on HFNC, NIMV, and NCPAP after extubation, regardless of flow rate or inspiratory pressure. We speculate that bi-level NIMV may be superior if high levels of synchrony can be achieved.
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The Journal of pediatrics · Jun 2017
Mortality and Morbidity after Laparoscopic Surgery in Children with and without Congenital Heart Disease.
To determine the risk of morbidity and mortality after laparoscopic surgery among children with congenital heart disease (CHD). ⋯ Children with major or severe CHD have higher morbidity and mortality after laparoscopic surgery. Clinicians should consider the increased risks of laparoscopic surgery for these children during medical decision making.