Arch Pediat Adol Med
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Arch Pediat Adol Med · Oct 2000
Randomized Controlled Trial Multicenter Study Clinical TrialHigher-dose intravenous magnesium therapy for children with moderate to severe acute asthma.
To evaluate the efficacy of a 40-mg/kg dose of intravenous magnesium sulfate for moderate to severe asthma exacerbations in pediatric patients. ⋯ Children treated with 40 mg/kg of intravenous magnesium sulfate for moderate to severe asthma showed remarkable improvement in short-term pulmonary function.
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Arch Pediat Adol Med · Oct 2000
Clinical Trial Controlled Clinical TrialTeaching resuscitation to pediatric residents: the effects of an intervention.
To evaluate the effectiveness of an educational intervention on pediatric residents' resuscitation fund of knowledge, technical skills, confidence, and overall performance. ⋯ A structured, formal curriculum can improve the necessary fund of knowledge, skills, confidence, and leadership required for resuscitation.
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Arch Pediat Adol Med · Oct 2000
Sustaining the implementation of an evidence-based guideline for bronchiolitis.
To describe the changes occurring over a 3-year period after implementation of an evidence-based clinical practice guideline for the care of infants with bronchiolitis. ⋯ An evidence-based clinical practice guideline for the care of patients encountered in major pediatric care facility has been successfully sustained beyond the initial year of its introduction to practitioners in southwest Ohio.
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Arch Pediat Adol Med · Sep 2000
Pulse oximetry is a poor predictor of hypoxemia in stable children with sickle cell disease.
To evaluate the accuracy of the pulse oximeter to detect hypoxemia in patients with sickle cell disease in an ambulatory care setting. ⋯ Making treatment decisions based on pulse oximetry data alone in patients with sickle cell disease who are not acutely ill may be inappropriate.
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Arch Pediat Adol Med · Sep 2000
Nocturnal asthma in children affects school attendance, school performance, and parents' work attendance.
Asthma symptoms that occur at night may signal worse asthma control, but the nighttime occurrence may have additional clinical significance. To date, however, there have been few studies of the impact of nocturnal awakening from asthma on children with the disease, including problems with daytime functioning. ⋯ Nighttime awakenings in children with asthma may affect school attendance and performance, as well as work attendance by parents. Nighttime symptoms have independent prognostic value, even when overall asthma symptom severity is accounted for. By addressing whether there are nighttime awakenings in children with asthma, clinicians may be able to tailor the therapeutic regimen to counter these symptoms.