Journal of pediatric surgery
-
Damaged central venous catheters (CVCs) are commonly repaired to avoid line replacement and preserve vascular access. However, limited data suggest an increased risk for central line-associated bloodstream infections (CLABSIs) associated with the repair procedure. The purpose of this study was to describe outcomes of CVC repairs among parenteral nutrition (PN) dependent children with intestinal failure (IF). ⋯ Treatment study; level IV.
-
Multicenter Study
Pediatric firearm injuries in Los Angeles County: Younger children are more likely to be the victims of unintentional firearm injury.
Firearm injuries are now the third leading cause of death in children. Understanding the circumstances surrounding pediatric firearm injuries will allow for targeted injury prevention efforts. We hypothesized that younger children are more likely to be victims of unintentional firearm injury. ⋯ Level III.
-
Bariatric surgery is an increasingly common treatment of morbid obesity in the United States and has demonstrated effective weight loss and improvement of comorbidities. We used the National Surgical Quality Improvement Program (NSQIP) data to characterize bariatric surgery utilization and complication rates in the adolescent population. ⋯ Treatment Study, Level III.
-
The objective of this study was to report our multidisciplinary diagnostic approach for patients with anterior mediastinal masses (AMM). ⋯ IV (Case Series with no Comparison Group).
-
Randomized Controlled Trial
Nebulized analgesia during laparoscopic appendectomy (NALA): A randomized triple-blind placebo controlled trial.
Postoperative pain remains a considerable concern for patients and families. We assessed whether nebulized ropivacaine reduces morphine consumption and pain after laparoscopic appendectomy for uncomplicated appendicitis in children. ⋯ Level I.