Pediatr Neonatol
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Respiratory failure is rarely associated with Guillain-Barré syndrome (GBS) in children. The aim of the study was to determine the risk factors of respiratory failure in children with GBS to advance management. ⋯ Respiratory failure in childhood GBS was related to the Hughes score at nadir, respiratory distress, and hypotension. Atypical presentations of symptoms were more predominant in patients younger than 6 years. The prognosis in our series was good and not related to previous events. Understanding the risk factors of severe GBS will provide better treatment strategies and improve the outcomes.
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Comparative Study
Laparoscopic versus open appendectomy in the management of all stages of acute appendicitis in children: a retrospective study.
We conducted this study in order to evaluate whether laparoscopic appendectomy was an alternative therapeutic tool to open appendectomy for all stages of pediatric appendicitis. ⋯ Laparoscopic appendectomy may be considered a better alternative to open appendectomy for children with perforated appendicitis and appendicitis with abscess.
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There is insufficient data on pediatric endoscopic sedation practices worldwide. This study aimed to assess nationwide data on the current pediatric endoscopic sedation practices in Taiwan. ⋯ A majority of pediatric EGD in Taiwan was performed under sedation and applied more often to younger children. Endoscopists were more satisfied during EGD when practicing sedation. This survey should help formulate updated practice guidelines and policies regarding endoscopic sedation.
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Nasal septal abscess is defined as a collection of pus between the cartilage or the bony septum and the overlying mucoperichondrium or mucoperiostium. Appropriate management of a nasal septal abscess requires prompt diagnosis, adequate surgical drainage, and parenteral administration of antibiotics. ⋯ Incidence of nasal septal abscess is rare, and most reports involve adults who had experienced nasal trauma. Herein, we report a case of nasal septal abscess caused by methicillin-resistant Staphylococcus aureus in a healthy immunocompetent child.