ABSTRACT
Objective: Postanesthetic emergence agitation is a common problem in pediatric postanesthetic care unit with an incidence ranging from 10 to 80%. This study was done to determine the prevalence of emergence agitation and associated risk factors in pediatric patients who underwent general anesthesia
Methods: This cross-sectional descriptive and analytic study was performed on 747 pediatric patients aged 3- 7 years that underwent general anesthesia for various elective surgeries at Bou-Ali Sina Hospital in Sari, Iran between January 2010 and January 2011. A non-probability quota sampling technique was used. The presence of emergence agitation was recorded using Pediatric Anesthesia Emergence Delirium Scale. The factors linked with Emergence Agitation were recorded in a questionnaire. The data were analyzed using SPSS software 16 and independent sample t-test, chi[2] and binary logistic regression. P-values less than 0.05 were considered as significant
Findings: One hundred thirty-four [17.9%] children had emergence agitation. The most frequent surgical procedures were ENT surgical procedures 315 [42.2%], abdominal surgery 177 [23.7%], orthopedic surgery 137 [18.3%], urology 97 [13%] and ophthalmic surgery 24 [3.2%]. Otorhinolaryngological surgical procedures [P=0.001], pain [P<0.05] and induction behavior of children [P<0.005] were associated with higher rates of post anesthetic emergence agitation [P=0.001]
Conclusion: This study identified the multiple independent risk factors which are associated with emergence agitation in children. To minimize the incidence of postanesthetic emergence agitation, these risk factors should be considered in the routine care by care providers in postanesthetic care unit
ABSTRACT
To assess the efficacy and tolerability of using high dose Furazolidone just during the first week of two different quadruple regimens in eradicating H. pylori. One-hundred sixty patients with duodenal ulcer and positive H. pylori infection were randomly allocated into two groups. Group A received [OAM-F] omeprazole [20 mg BID], amoxicillin [1gr BID], metronidazole [500mg BID] for two weeks and Furazolidone [200 mg BID] just during the first week. Patients in group B received [OAB-F] omeprazole [20 mg BID], amoxicillin [1 gr BID], bismuth subcitrate [240 mg BID] for two weeks and Furazolidone [200 mg BID] in the first week. The eradication rates by per-protocol and intention-to-treat analyses were 86.36% and 80% in group A and 90.27% and 86.3% in group B, respectively. Severe side effects of the drugs were more prevalent in group A compared with group B [12.8% against 2.5%]. One-week Furazolidone combined with two-week Omeprazole, amoxicillin and bismuth subcitrate is a safe and cost effective regimen to eradicate of H pylori infection in Iran
ABSTRACT
The purpose of this study was to examine effects of performing preoperative preparation program on children's anxiety. This study was performed in Amirkola Pediatrics Hospital, Mazandaran. A randomized controlled trail was performed on 122 children [7-12 years of age] admitted for elective surgery during 15 months. The researcher randomly assigned eligible participants in to the experimental and control groups, after pre-test baseline measurement had been taken. Analyzing was performed through independent t-test and x[2] test. P<0.005 was considered statistically significant. The experimental group received therapeutic play and the control group received routine preoperative information preparation. The mean and standard deviation of the state anxiety scores of children in experimental and control groups before intervention were 35.52 +/- 6.99 and 34.98 +/- 6.78, after intervention 31.44 +/- 5.87 and 38.31 +/- 7.44 respectively. The state anxiety score was lower significantly in the experimental group prior to preoperative surgery than in the control group [P=0.000]. Performing preoperative program with using therapeutic play intervention is effective for preparing children before surgery and decreases their anxiety
Subject(s)
Humans , Male , Female , Preoperative Care/nursing , Anxiety/prevention & control , Preoperative Care/psychology , Child, Hospitalized/psychology , Play Therapy/methods , Psychiatric Status Rating ScalesABSTRACT
We report a case of severe tissue ischemia after umbilical catheterization in a preterm newborn. Umbilical catheters can accidentally enter branches of the iliac artery during attempted placement in the umbilical vein. If these misplacements are not recognized by radiology and promptly corrected, arterial obstruction may lead to ischemia and infarction of the extremities. This is the first report of below-knee gangrene due to peripheral vasospasm or thrombosis occurring after umbilical vein catheterization [UVC]. We discuss that the radiographic verification is essential before infusing medications