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Sedation and analgesia in children with cerebral palsy:a narrative review

World Journal of Pediatrics 2019年第5期15卷 432-440页

作者： ingrid rabach Francesca Peri Marta Minute Emanuela Aru Marianna Lucafò Alberto Di Mascio Giorgio Cozzi Egidio Barbi Institute for Maternal and Child Health IRCCS'Burlo Garofolo'Via dell'Istria 65/134100 TriesteItaly University of Trieste TriesteItaly Department of Medicine Surgery and Health SciencesUniversity of TriesteTriesteItaly

Background Patients with cognitive impairment due to cerebral palsy experience pain more often than healthy peers and frequently require diagnostic and therapeutic painful *** and procedural sedation outside the operating room are often required,but they may not adequately be provided because of the inability to accurately recognize and classify the state of pain and for the perceived higher risk of *** sources We reviewed the available literature to highlight the specific risk factors and area of criticism,that should be further *** searched the Cochrane Library,Medline,Pubmed from 1987 to September 2018 using key words such as'cerebral palsy and children and pain'or'sedation and cerebral palsy and children'.Results While different pain scales are useful in recognizing pain expressions,anxiety scales are not ***,studies on non-pharmacological techniques do not always have comparable *** risk factors,from anatomic abnormalities to liver and kidney functioning,should be kept in mind before proceeding with *** Large trials are needed to assess the impact of non-pharmacological techniques and to evaluate which pain control strategy(pharmacological and non-pharmacological)should be used in different settings.

关键词： Analgesia Cerebral palsy Intellectual disability Pain Procedural sedation

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Neonatal acute scrotum:do not forget Amyand hernia

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World Journal of Pediatric Surgery 2020年第2期3卷 34-35页

作者： Edoardo Guida Irene Del Rizzo Francesca Galdo Flora Maria Murru Jurgen Schleef Francesco Maria Risso Egidio Barbi ingrid rabach Department of Pediatric Surgery IRCCS Materno Infantile Burlo GarofoloTriesteFriuli-Venezia GiuliaItaly Clinical Department of Medical Surgical and Health Sciences University of TriesteTriesteFriuli-Venezia GiuliaItaly Department of Neonatology and Neonatal Intensive Care Unit IRCCS Materno Infantile Burlo GarofoloTriesteFriuli-Venezia GiuliaItaly Department of Pediatric Radiology IRCCS Materno Infantile Burlo GarofoloTriesteFriuli-Venezia GiuliaItaly Pediatric Department IRCCS Materno Infantile Burlo GarofoloTriesteFriuli-Venezia GiuliaItaly

A 15-day old full-term newborn was admitted to the emergency department for right scrotal swelling,irritability and poor feeding that started 12 hours earlier,without fever or *** reported that his last defecation occurred 3 days before *** examination was remarkable for a swollen,erythematous and tender right hemiscrotum(figure 1).

关键词： admitted vomiting hernia

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