Journal of pediatric surgery
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The aim of this report is to review a decade of experience in the management of perineal and genital burns at a major burn center. ⋯ Most perineal and genital burns in children can be treated successfully with a conservative approach. Child abuse should be vigorously investigated.
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Risk factors that may independently predict morbidity in children with penetrating abdominal wounds (PAW) have not been elucidated fully. The aim of this study was to identify not only correlated risk factors for morbidity in children with PAW, but also to evaluate the independent predictive value of 3 different trauma scoring systems: the Injury Severity Score (ISS), the Penetrating Abdominal Trauma Index (PATI), and the Pediatric Trauma Score (PTS). ⋯ ISS and PATI score were the most important indicators found to be independently associated with morbidity.
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Comparative Study
Delayed institution of extracorporeal membrane oxygenation is associated with increased mortality rate and prolonged hospital stay.
Severe meconium aspiration syndrome (MAS) is a frequent indication for extracorporeal membrane oxygenation (ECMO). Trials of less invasive cardiopulmonary support may result in fewer infants treated with ECMO but could delay institution of ECMO. The authors hypothesized that those infants with severe MAS who are treated with ECMO early will have a lower mortality rate and a shorter hospital course than those who receive delayed ECMO. ⋯ Delay in institution of ECMO for MAS results in prolonged ECMO and need for post-ECMO ventilation. Consideration should be given to instituting ECMO earlier in patients with severe MAS.