keyword
https://read.qxmd.com/read/38533276/primary-hyperparathyroidism-in-young-and-adolescents-alike-or-unlike-adult-hyperparathyroidism-a-series-from-south-india
#1
JOURNAL ARTICLE
Dhalapathy Sadacharan, Smitha S Rao, Shriraam Mahadevan, G Shanmugasundar, S Murthy, Shruti Chandrashekaran, Vijay Bhaskar Reddy, Bharath Ramji
BACKGROUND: Primary hyperparathyroidism (PHPT) is a common endocrine condition but rare in the pediatric and adolescent populations. The presentations can be unique, accounting for significant morbidity in the case of untimely detection. AIM: To study surgically treated pediatric PHPT retrospectively. METHODS: Surgically treated children of PHPT up to 20 years of age between 2010 to 2022 were analyzed. All of them were operated on by an endocrine surgeon and team...
2024: Indian Journal of Endocrinology and Metabolism
https://read.qxmd.com/read/38532850/a-case-report-of-primary-hyperparathyroidism-in-an-adolescent-during-ramadan-fast
#2
Ujunwa Justina Eze, Sundus Elfadil
Primary hyperparathyroidism is rare in children and usually presents with nonspecific symptoms. Ramadan fasting has been reported to unmask the diagnosis of primary hyperparathyroidism. A 15-year-old boy presented to the clinic for an emergency department follow up visit. He had started Ramadan fasting a week before his presentation to the clinic. He reported unintentional weight loss, abdominal pain, constipation, frequent headaches, exercise intolerance, tiredness, and palpitations. Physical examination was unremarkable except that he looked tired...
2024: SAGE Open Medical Case Reports
https://read.qxmd.com/read/38532430/needle%C3%A2-based-gastrocnemius-lengthening-a-novel-ultrasound%C3%A2-guided-noninvasive-technique-part-ii-clinical-results
#3
JOURNAL ARTICLE
A Iborra, M Villanueva, H Fahandezh-Saddi Díaz
BACKGROUND: Isolated gastrocnemius contracture has been associated with more than 30 lower limb disorders, including plantar heel pain/plantar fasciitis, Achilles tendinosis, equinus foot, adult flatfoot, and metatarsalgia. Although many techniques are available for gastrocnemius recession, potential anesthetic, cosmetic, and wound-related complications can lead to patient dissatisfaction. Open and endoscopic recession techniques usually require epidural or general anesthesia, exsanguination of the lower extremities and stitches and can damage the sural nerve, which is not under the complete control of the surgeon at all stages of the procedure...
March 26, 2024: Journal of Orthopaedic Surgery and Research
https://read.qxmd.com/read/38523049/non-pharmacological-interventions-for-preventing-emergence-delirium-in-children-under-general-anesthesia-a-scoping-review
#4
REVIEW
Xiaoxia Shi, Lili Su, Yue Sun, Caixia Ma, Zhiwen Wang
PROBLEM: The phenomenon of emergence delirium in pediatric patients undergoing general anesthesia has garnered increasing attention in the academic community. While formal non-pharmaceutical interventions have demonstrated efficacy in mitigating this phenomenon, the diversity of intervention types and their varying degrees of effectiveness necessitate further discussion. A scoping review was conducted to identify and explicate the categorization, content elements, and outcomes measures of non-pharmacological interventions utilized to forestall the onset of emergence delirium in children undergoing general anesthesia...
March 23, 2024: Journal of Pediatric Nursing
https://read.qxmd.com/read/38514285/opioid-prescription-usage-and-disposal-after-provider-education-and-sms-based-parent-education
#5
JOURNAL ARTICLE
Keerthana Mohankumar, Andrea H Rossman, Raymond Yong, Angela Thao, Katie Sheridan, Elizabeth B Roth
INTRODUCTION: Adequate pain control after outpatient pediatric urologic surgery is important for both providers and caregivers; however, opioid pain medications are often prescribed in excess of utilization. The resultant excess opioid medication has potential to be diverted or misused. While families are instructed to dispose of leftover opioids, a significant proportion may not dispose of leftover medication. We performed a quality improvement (QI) initiative within a tertiary academic care center to examine opioid excess, opioid disposal, and whether a two-component QI intervention of provider education and family education via automated SMS messages on opioid disposal could improve excess opioid prescribing and leftover opioid disposal...
March 7, 2024: Journal of Pediatric Urology
https://read.qxmd.com/read/38512578/comparison-of-deep-and-moderate-neuromuscular-blockade-for-major-laparoscopic-surgery-in-children-a-randomized-controlled-trial
#6
JOURNAL ARTICLE
Guo Wei, Yong-Xin Li, Ying Chen, Mei Diao, John Wei Zhong, Shou-Dong Pan
BACKGROUND AND OBJECTIVE: Neuromuscular blocking agents are routinely used in laparoscopic surgery to optimize operative conditions. We compared the effect of a deep and moderate neuromuscular blockade (NMB) on surgical conditions and postoperative outcomes in children undergoing major laparoscopic surgery. METHODS: Sixty children aged 2-14 years scheduled to undergo major laparoscopic surgery were randomly allocated to deep (post-tetanic count 1-2 twitches) or moderate (train-of-four 1-2 twitches) NMB groups...
March 21, 2024: Paediatric Drugs
https://read.qxmd.com/read/38510224/methadone-for-emergence-delirium-in-ambulatory-pediatric-strabismus-surgery
#7
JOURNAL ARTICLE
Khaled A Dajani, Bren Davis, Hussam Ghabra, Jakayla Harrell-Mohamed, Carol O Carrillo, H Sprague Eustis
Background: Emergence delirium in children following strabismus surgery is a distressing and potentially dangerous condition and is likely attributable to visual disturbances, pain, and anesthetic gases. We explored whether a single intraoperative dose of methadone could reduce emergence delirium. Methods: Our study was an institutional review board-approved prospective, controlled, before-and-after investigation. Inclusion criteria were age <18 years and American Society of Anesthesiologists (ASA) classification 1 or 2...
2024: Ochsner Journal
https://read.qxmd.com/read/38500156/effect-of-low-level-laser-therapy-in-wound-healing-of-primary-molar-teeth-extraction
#8
JOURNAL ARTICLE
Hazal Özer, Merve Abaklı İnci
INTRODUCTION: Tooth extraction in children requires attention to wound healing and pain management, which are influenced by patient-related factors and behavioral guidance. AIM OF THE STUDY: The study aimed to evaluate the effect of LLLT on healing sockets in pediatric patients with bilateral primary molar teeth extraction and determine its impact on pain management. METHODS: 6-10 years of age, systemically healthy, and with atraumatic extraction indications of bilateral primary molar teeth were included in the study (n = 40)...
March 19, 2024: BMC Oral Health
https://read.qxmd.com/read/38496295/comparison-of-postoperative-analgesia-and-side-effects-in-pediatric-laparoscopic-surgery-with-morphine-and-nalbuphine
#9
JOURNAL ARTICLE
Jia Chen, Cheng-Yu Wang, John Wei Zhong, Yu-Hang Cai, Jianmin Zhang, Fang Wang, Mazhong Zhang, Hongbin Gu, Hong-Yu Ma, Zhen Wang, Junzheng Wu, Hua-Cheng Liu
There is currently no consensus on the optimal perioperative pain management strategy involving specific opioids. This study aims to compare the postoperative analgesia, the associated side effects between nalbuphine and morphine in children undergoing laparoscopic surgery. One hundred ninety children were randomly assigned to nalbuphine (0.2 mg/kg) or morphine (0.2 mg/kg). Nalbuphine's analgesic effect was non-inferior to morphine, with similar total rescue analgesic consumption during PACU stay (0...
March 15, 2024: IScience
https://read.qxmd.com/read/38493959/erector-spinae-blocks-for-opioid-sparing-multimodal-pain-management-after-pediatric-cardiac-surgery
#10
JOURNAL ARTICLE
Nathalie Roy, M Fernanda Parra, Morgan L Brown, Lynn A Sleeper, Joe Kossowsky, Andreas M Baumer, Sarah E Blitz, Jocelyn M Booth, Connor E Higgins, Viviane G Nasr, Pedro J Del Nido, Roland Brusseau
OBJECTIVE: Peripheral regional anesthesia is proposed to enhance recovery. We sought to evaluate: the efficacy of bilateral continuous erector spinae plane blocks (B-ESpB) for postoperative analgesia and the impact on recovery in children undergoing cardiac surgery. METHODS: Patients ages 2 through 17 years undergoing cardiac surgery in the enhanced recovery after cardiac surgery (ERAS) program were prospectively enrolled to receive B-ESpB at the end of the procedure, with continuous infusions via catheters postoperatively...
March 15, 2024: Journal of Thoracic and Cardiovascular Surgery
https://read.qxmd.com/read/38490692/postoperative-pain-and-pain-management-following-selective-dorsal-rhizotomy
#11
JOURNAL ARTICLE
Isabel G Adams, Ramanie Jayaweera, Jennifer Lewis, Nadia Badawi, Mohamed E Abdel-Latif, Simon Paget
BACKGROUND: Selective dorsal rhizotomy (SDR) is a neurosurgical procedure that reduces lower limb spasticity, performed in some children with spastic diplegic cerebral palsy. Effective pain management after SDR is essential for early rehabilitation. This study aimed to describe the anaesthetic and early pain management, pain and adverse events in children following SDR. METHODS: This was a retrospective cohort study. Participants were all children who underwent SDR at a single Australian tertiary hospital between 2010 and 2020...
March 15, 2024: BMJ Paediatrics Open
https://read.qxmd.com/read/38481945/adult-supratentorial-extraventricular-anaplastic-ependymoma-with-cerebrospinal-fluid-dissemination-metastases-a-case-report
#12
Daojin Zhang, Hongbing Liu, Maosong Zhang, Jun Cao
BACKGROUND: Ependymomas mostly locate in the infratentorial region and often occur in children. Anaplastic ependymomas account for 45-47% of supratentorial and 15-17% of infratentorial ependymomas, also known as malignant ependymomas. Adult supratentorial extraventricular anaplastic ependymoma (SEAE) is rare in clinical practice, and only a few cases have been reported so far, and there is no clinical study with large sample size. We report a case of adult supratentorial extraventricular anaplastic ependymoma in the occipital lobe with cerebrospinal fluid dissemination metastases...
2024: Frontiers in Neurology
https://read.qxmd.com/read/38466063/clinical-application-of-tonsillectomy-with-preservation-of-capsule-and-support-tissue
#13
JOURNAL ARTICLE
Zhiping Pang, Qingyong Chen, Dongqing Wang, Yangyang Yang, Zhipeng Chen, Qiang Shao, Huaiqing Lv
OBJECTIVE: The clinical effect of tonsillectomy with the preservation of tonsillar capsule and stent tissue and punctuated suture of tonsillar capsule and stent tissue was analyzed retrospectively. METHODS: From January 2013 to January 2022, a total of 960 patients underwent tonsillectomy, consisting of 530 males and 430 females with ages ranging from 4 to 60 years (median age: 11 years). The capsule and scaffold tissues were preserved in all patients during the operation, and the surrounding mucosa, capsule, and scaffold tissues were sutured without tension...
March 8, 2024: Alternative Therapies in Health and Medicine
https://read.qxmd.com/read/38463099/severity-and-associated-factors-of-postoperative-pain-in-paediatric-surgical-patients-aged-2-months-7-years-at-selected-addis-ababa-public-hospitals-a-multicenter-prospective-longitudinal-study
#14
JOURNAL ARTICLE
Fassil Mihretu Rede, Eyayalem Melese Goshu, Sulaiman Jemal Muzien
BACKGROUND: Postoperative pain is a common and distressing consequence of surgery in children. It can lead to suffering, prolonged recovery, impaired physical functioning, and even chronic pain. Effective postoperative pain management is crucial for improving patient outcomes. However, several factors hinder the accurate assessment and management of pain in children, particularly in low-income countries. This study aims to evaluate the severity of postoperative pain in paediatric patients and identify its predictors...
March 2024: Annals of Medicine and Surgery
https://read.qxmd.com/read/38462889/free-vascularized-proximal-fibular-epiphyseal-transfer-for-hip-reconstruction-following-septic-necrosis-in-children
#15
JOURNAL ARTICLE
Tarek Abdalla El-Gammal, Amr El-Sayed Ali, Mohamed Mostafa Kotb, Waleed Riad Saleh, Yasser Farouk Ragheb, Omar Ahmed Refai, Mohamed Mohamed Morsy, Yousif Tarek El-Gammal
BACKGROUND: Septic necrosis of the femoral head and neck in children represents a challenging problem. Several reconstructive techniques have been described but with disappointing long-term results. Vascularized epiphyseal transfer utilizing the proximal fibula have been successfully used for reconstruction of the proximal humerus and distal radius and only scarcely used for hip reconstruction. This cohort represents the largest reported series of epiphyseal transfer for hip reconstruction following septic necrosis in children...
March 11, 2024: Journal of Pediatric Orthopedics
https://read.qxmd.com/read/38455783/adenocarcinoma-induced-sigmoid-colon-intussusception-and-postoperative-parastomal-evisceration-in-an-elderly-patient-a-case-report-and-literature-review
#16
Jaber Alfaifi, Adeline Germain
Intussusception in adults is less frequent than in children, and it is less commonly seen in the colon than in the intestines. This may be explained by the fixation of the colon to the retroperitoneum. We herein describe a case of sigmoid colon intussusception caused by a sigmoid colon adenocarcinoma. An 81-year-old man presented with abdominal pain and signs and symptoms of gastrointestinal obstruction. CT revealed a "target sign" with a mass in the sigmoid colon. We diagnosed the patient with colonic obstruction secondary to intussusception of the sigmoid colon and performed an emergency transverse colostomy...
February 2024: Curēus
https://read.qxmd.com/read/38451952/pain-management-after-tonsil-surgery-in-children-and-adults-a-national-survey-related-to-pain-outcome-measures-from-the-swedish-quality-register-for-tonsil-surgery
#17
JOURNAL ARTICLE
Maria Roskvist, Fredrik Alm, Pia Nerfeldt, Elisabeth Ericsson
OBJECTIVE: The primary aim of this study was to describe the current practice regarding pain management in relation to tonsil surgery among Ear Nose and Throat (ENT) clinics in Sweden. The secondary aim was to determine the impact of the provider's regime of rescue analgesics on the pain related Patient Reported Outcome Measures (pain-PROMs) from the Swedish Quality Register for Tonsil Surgery (SQTS). MATERIALS & METHODS: A descriptive cross-sectional study originating from a validated web-based questionnaire...
2024: PloS One
https://read.qxmd.com/read/38449485/laparoscopic-treatment-for-median-arcuate-ligament-syndrome-in-children-a-case-report
#18
Trinh-Nguyen Ha Vi, Tran Thanh Tri, Ho Phi Duy, Phan Tuan Kiet, Nguyen Manh Cuong, Ho Xuan Tuan, Nguyen Minh Duc
In median arcuate ligament syndrome (MALS), the median arcuate ligament compresses the celiac trunk and surrounding nerves leading to chronic functional abdominal pain and vague gastrointestinal symptoms. MALS can be effectively treated by dividing the arcuate ligament through open surgery or laparoscopy. This is a rare vascular condition and mostly encountered in adult patients. We hereby report a case of a pediatric patient diagnosed with MALS and treated successfully by laparoscopic approach. An 11-year-old girl presented with severe abdominal cramps for 3 months, accompanied by nonbilious vomiting...
May 2024: Radiology Case Reports
https://read.qxmd.com/read/38447265/the-utility-and-accuracy-of-chatgpt-in-providing-post-operative-instructions-following-tonsillectomy-a-pilot-study
#19
JOURNAL ARTICLE
Sarit Dhar, Dhruv Kothari, Missael Vasquez, Travis Clarke, Andrew Maroda, Wade G McClain, Anthony Sheyn, Robert M Tuliszewski, Dennis M Tang, Sanjeet V Rangarajan
OBJECTIVE: To investigate the utility of answers generated by ChatGPT, a large language model, to common questions parents have for their children following tonsillectomy. METHODS: Twenty Otolaryngology residents anonymously submitted common questions asked by parents of pediatric patients following tonsillectomy. After identifying the 16 most common questions via consensus-based approach, we asked ChatGPT to generate responses to these queries. Satisfaction with the AI-generated answers was rated from 1 (Worst) to 5 (Best) by an expert panel of 3 pediatric Otolaryngologists...
February 29, 2024: International Journal of Pediatric Otorhinolaryngology
https://read.qxmd.com/read/38440415/case-report-robotic-pylorus-preserving-pancreatoduodenectomy-for-periampullary-rhabdomyosarcoma-in-a-3-year-old-patient
#20
Zijian Liang, Menglong Lan, Xiaogang Xu, Fei Liu, Boyuan Tao, Xinxing Wang, Jixiao Zeng
Periampullary neoplasm is rare in pediatric patients and has constituted a strict indication for pancreatoduodenectomy (PD), which is a procedure sporadically reported in the literature among children. Robotic PD has been routinely performed for periampullary neoplasm in periampullary neoplasm, but only a few cases in pediatric patients have been reported. Here, we report the case of a 3-year-old patient with periampullary rhabdomyosarcoma treated with robotic pylorus-preserving PD and share our experience with this procedure in pediatric patients...
2024: Frontiers in Surgery
keyword
keyword
171039
1
2
Fetch more papers »
Fetching more papers... Fetching...
Remove bar
Read by QxMD icon Read
×

Save your favorite articles in one place with a free QxMD account.

×

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"

We want to hear from doctors like you!

Take a second to answer a survey question.