Use of propofol sedation in a pediatric emergency department: a prospective study.

Abstract:

:The purpose of this study was to determine the efficacy and safety of propofol sedation for pediatric procedures in the emergency department. For patients needing painful procedures, propofol was administered intravenously. Vital signs, complications, and time to recovery were recorded. Patient amnesia and parent, patient, and operator satisfaction with sedation were assessed. The mean age was 7.4 years; 65% were male. Most underwent fracture reduction. Mean total dose was 3.3 mg/kg. Thirty percent experienced desaturation. One required assisted ventilation. Most had decreases in blood pressure. Mean recovery time was 18 minutes. Satisfaction with sedation was rated "excellent." Propofol was an effective sedation with minimal complications in the emergency department setting.

journal_name

Clin Pediatr (Phila)

journal_title

Clinical pediatrics

authors

Skokan EG,Pribble C,Bassett KE,Nelson DS

doi

10.1177/000992280104001204

subject

Has Abstract

pub_date

2001-12-01 00:00:00

pages

663-71

issue

12

eissn

0009-9228

issn

1938-2707

journal_volume

40

pub_type

杂志文章
  • A Brief Provider Training Video Improves Comfort With Recommending the Human Papillomavirus Vaccine.

    abstract::The American Academy of Pediatrics California Chapter 3 created a 20-minute training video targeting barriers to strong provider recommendation of the human papillomavirus (HPV) vaccine. The video included clinical vignettes featuring pediatricians modeling counseling techniques with vaccine-hesitant families. Ninety-...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/0009922818805217

    authors: Kumar MM,Boies EG,Sawyer MH,Kennedy M,Williams C,Rhee KE

    更新日期:2019-01-01 00:00:00

  • Helicobacter pylori disease in childhood.

    abstract::Helicobacter pylori (H. pylori) is responsible for one of the most frequently encountered infectious diseases worldwide. H. pylori infection can lead to the development of gastritis and peptic ulcer disease. The presence of H. pylori in the human stomach also represents an increased risk for gastric cancer and gastric...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章,评审

    doi:10.1177/000992289603500401

    authors: Blecker U

    更新日期:1996-04-01 00:00:00

  • Lacunar infarction of the basal ganglia as a complication of hemolytic-uremic syndrome. MRI and clinical correlations.

    abstract::Central nervous system (CNS) complications of hemolytic-uremic syndrome (HUS) commonly consist of alterations in mental status, seizures, and rarely hemiparesis. The authors report the clinical evolution of left hemiparesis and later choreo-athetoid movements in a patient who sustained a right lacunar infarction as a ...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/000992288702601106

    authors: DiMario FJ Jr,Brönte-Stewart H,Sherbotie J,Turner ME

    更新日期:1987-11-01 00:00:00

  • Pediatric-Informed Facilitation of Patient-Centered Medical Home Transformation.

    abstract::Patient-centered medical home (PCMH) transformation has been challenging for pediatric practices, in part because of the National Committee for Quality Assurance (NCQA) PCMH focus on conditions and processes specific to adult patients. Realizing the potential challenges faced by pediatric practices, Vermont supported ...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/0009922816669788

    authors: Harder VS,Long WE,Varni SE,Samuelson J,Shaw JS

    更新日期:2017-06-01 00:00:00

  • Gelastic seizures misdiagnosed as gastroesophageal reflux disease.

    abstract::Gastroesophageal reflux disease can have variable manifestations including regurgitation, irritability, arching, choking, and apnea. The disorder is also frequently mistaken for seizures (Sandifer syndrome). We report 6 patients in whom the opposite phenomenon occurred: their seizures were mistaken for gastroesophagea...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/0009922806295400

    authors: Sweetman LL,Ng YT,Kerrigan JF

    更新日期:2007-05-01 00:00:00

  • Prenatal counseling in heterozygotes for ornithine transcarbamylase deficiency.

    abstract::X-linked ornithine transcarbamylase deficiency (OTCD) often leads to fatal neonatal hyperammonemia in affected males (hemizygotes). In prenatal management of subsequent pregnancies, families carrying female fetuses are often reassured of the low risk of clinically overt disease. We suggest that such reassurance may be...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/000992289403300903

    authors: Fries MH,Kuller JA,Jurecki E,Packman S

    更新日期:1994-09-01 00:00:00

  • The Role of Patient Advocacy and the Declining Rate of Clitoroplasty in 46,XX Patients With Congenital Adrenal Hyperplasia.

    abstract::Prior to the 1990s, most 46,XX infants with clitoromegaly secondary to congenital adrenal hyperplasia were treated with feminizing genitoplasty to make their cosmetic appearance congruent with their genotypic sex. A 2006 consensus statement for the management of intersex disorders accepted input from patient advocates...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/0009922818803407

    authors: Schoer MB,Nguyen PN,Merritt DF,Wesevich VG,Hollander AS

    更新日期:2018-12-01 00:00:00

  • Behavioral Treatment for Headaches in Children: A Practical Guide for the Child Psychologist.

    abstract::Headache is a highly prevalent condition and is the leading cause for school absences. Despite the rich literature supporting behavioral treatments for headache, many child psychologists mistakenly perceive that they lack appropriate training to treat children with headache. Likewise, many physicians feel underprepare...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/0009922816638665

    authors: Benore E,Monnin K

    更新日期:2017-01-01 00:00:00

  • Difficulty in defecation in infants with gastroesophageal reflux treated with smaller volume feeds thickened with rice cereal.

    abstract::We prospectively evaluated the incidence of difficulty in defecation in infants with gastroesophageal reflux who were treated with smaller volume feeds thickened with rice cereal and also assessed the effect of changing the cereal to oatmeal. We evaluated 53 thriving infants with uncomplicated gastroesophageal reflux ...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/000992280504400804

    authors: Mascarenhas R,Landry L,Khoshoo V

    更新日期:2005-10-01 00:00:00

  • Establishing the Need for an Evidence-Based Treatment Algorithm for Peritonsillar Abscess in Children.

    abstract::In this retrospective case series, we report clinical factors associated with pediatric peritonsillar abscess (PTA), with hopes of contributing to the design of an evidenced-based, economic treatment approach. Charts were examined for presenting symptoms and signs. Each of these were analyzed for association with the ...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/0009922818778048

    authors: Grant MC,Raggio B,Barton B,Guarisco JL

    更新日期:2018-10-01 00:00:00

  • Clinical quality improvement for identification and management of overweight in pediatric primary care practices.

    abstract::The purpose of the Pediatric Overweight Quality Improvement Initiative (POWQII) was to demonstrate the feasibility and value of simple interventions for improving pediatric care and to address the additional needs of overweight and obese children. Practices were recruited from around New Mexico, with 16 pediatricians ...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/0009922813480844

    authors: Brandt KL,Booker JM,McGrath J

    更新日期:2013-07-01 00:00:00

  • Neonatal pneumonia caused by members of the Bacteroides fragilis group.

    abstract::Three infants who presented with premature rupture of membranes and neonatal pneumonia caused by organisms belonging to members of the B. fragilis group are reported. In all 3 instances, the organisms were recovered from tracheal aspirates and in 2 from blood cultures as well. Two of the newborns, treated with ampicil...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/000992288001900807

    authors: Brook I,Martin WJ,Finegold SM

    更新日期:1980-08-01 00:00:00

  • Recurrent Cardiology Evaluation for Innocent Heart Murmur: Echocardiogram Utilization.

    abstract::We conducted a retrospective study to identify electrocardiogram (ECG) and echocardiogram utilization among patients presenting for a follow-up cardiology evaluation with innocent heart murmur between 2012 and 2014. The 2014 echocardiogram Appropriate Use Criteria was applied. We observed high rates of ordering ECGs a...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/0009922818787280

    authors: Dalal NN,Dzelebdzic S,Frank LH,Clauss SB,Mitchell SJ,Aljohani OA,Bradley-Hewitt T,Harahsheh AS

    更新日期:2018-10-01 00:00:00

  • The malleability of infant motor development: cautions based on studies of child-rearing practices in Yucatan.

    abstract::Tests with the Bayley Motor Scale were given to 288 infants, equally divided by sex, in Yucatan, Mexico. These were 2 to 54 weeks in age and came from three sociocultural levels. In comparison to USA infants, early acceleration of motor development was followed by a marked downward trend. This phenomenon, if observed ...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/000992287801701106

    authors: Solomons HC

    更新日期:1978-11-01 00:00:00

  • Child Life Reduces Distress and Pain and Improves Family Satisfaction in the Pediatric Emergency Department.

    abstract::This study evaluated the effects of Certified Child Life Specialist (CCLS) intervention on pediatric distress and pain and family satisfaction during routine peripheral intravenous (PIV) line placement in the emergency department (ED). A convenience sample of 78 children (3-13 years) requiring PIV placement for their ...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/0009922818798386

    authors: Sanchez Cristal N,Staab J,Chatham R,Ryan S,Mcnair B,Grubenhoff JA

    更新日期:2018-11-01 00:00:00

  • Time to stop blaming gastroesophageal reflux.

    abstract::OBJECTIVES. Cough, pain, and desaturation episodes in infants are often ascribed to gastroesophageal reflux, and many are empirically treated with acid suppression medications. The authors hypothesize that most of these symptoms are not related to gastroesophageal reflux. METHODS. Retrospective review of 186 combined ...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/0009922811412585

    authors: Garza JM,Nylund CM,Kaul A

    更新日期:2011-12-01 00:00:00

  • Trisomy 8 mosaicism syndrome. Two cases demonstrating variability in phenotype.

    abstract::The paper presents clinical manifestations and results of cytogenetic examination of two patients with trisomy 8 mosaicism syndrome. The findings confirm the extreme phenotype variability of this syndrome. Both the first patient, a mentally retarded child with multiple dysmorphic changes, and the second, a 31-year-old...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/000992288802701109

    authors: Kurtyka ZE,Krzykwa B,Piatkowska E,Radwan M,Pietrzyk JJ

    更新日期:1988-11-01 00:00:00

  • French norms and validation of the Child Development Inventory (CDI): Inventaire du Developpement de l'Enfant (IDE).

    abstract::The aim of this study was to determine the French norms and examine the validity of a parent-report inventory: the Child Development Inventory (CDI), called "Inventaire du Développement de l'Enfant (IDE)" in French. This assesses the general level of a child's development in 8 developmental domains. The norms were det...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/0009922811398390

    authors: Duyme M,Zorman M,Tervo R,Capron C

    更新日期:2011-07-01 00:00:00

  • Test of a Conceptual Model to Explain Television Exposure of Head Start Children.

    abstract::Excessive television (TV) viewing by children can lead to negative health and developmental outcomes. Using structural equation modeling, this study tests a conceptual model to understand social and familial factors associated with TV exposure among a sample of 767 Head Start families with children between the ages of...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/0009922817738340

    authors: Swindle TM,Jarrett D,McKelvey LM,Whiteside-Mansell L,Conners Edge NA,Kraleti S

    更新日期:2018-07-01 00:00:00

  • Piloting group well child visits in pediatric resident continuity clinic.

    abstract:INTRODUCTION:Well child care is taught with individual visits in pediatric residency. Teaching residents how to deliver well child care efficiently is critical. Group well child care brings multiple families together for visits. The authors piloted group visits in pediatric residency clinic. METHODS:The authors conduc...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章,随机对照试验

    doi:10.1177/0009922811417289

    authors: Saysana M,Downs SM

    更新日期:2012-02-01 00:00:00

  • Evaluation of cefotaxime in bacterial infections.

    abstract::Cefotaxime, a third generation cephalosporin antibiotic, was evaluated in 26 infants and children for the treatment of documented or suspected bacterial infections, including pneumonia (10 cases), soft tissue skin infection (13 cases), and urinary tract infection (3 cases). An average daily dose of 60 mg/kg in 3 to 4 ...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/000992288402300406

    authors: Varghese M,Khan AJ,Kumar K,Schaeffer HA,Pierro M,Evans HE

    更新日期:1984-04-01 00:00:00

  • E-cigs . . . Are They Cool? Talking to Teens About E-Cigarettes.

    abstract::Electronic cigarettes, or e-cigarettes as they are commonly called, have gained wide acceptance among adolescents, especially those with sweet flavors such as bubble gum and cheesecake. Although health effects of e-cigarettes have not been well characterized, their use increases a teen's exposure to nicotine and may s...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章,评审

    doi:10.1177/0009922817705188

    authors: Modesto-Lowe V,Alvarado C

    更新日期:2017-09-01 00:00:00

  • Managing referrals for children with receptive language delay.

    abstract::This study investigates relations between language and cognitive scores in children with receptive language (RL) delay and suggests guidelines for referral for cognitive testing. This retrospective review of the test scores of 41 children, ages 17 to 76 months (mean = 37.7 months), focuses on examining associations be...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/0009922808323108

    authors: Fagan MK,Montgomery TR

    更新日期:2009-01-01 00:00:00

  • Chronic and occult stool retention: a clinical tool for its evaluation in school-aged children.

    abstract::A scoring method was developed to assess severity of stool retention using plain abdominal radiographs. To determine whether the technique was clinically valid in identifying chronic stool retention, the method was used to evaluate films taken of children with known stool retention before and after therapy. The method...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/000992287901801103

    authors: Barr RG,Levine MD,Wilkinson RH,Mulvihill D

    更新日期:1979-11-01 00:00:00

  • Changing Health Care Professionals' Attitudes Toward Spanking.

    abstract::Twenty-two pediatric residents and 31 medical students viewed the Play Nicely program. The Play Nicely program is a multimedia program that teaches health care professionals how to counsel parents to use positive parenting and disciplining strategies in response to early childhood aggression. Health care professionals...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/0009922816667313

    authors: Burkhart K,Knox M,Hunter K

    更新日期:2016-10-01 00:00:00

  • The long term benefits of a comprehensive teenage pregnancy program.

    abstract::A comprehensive program was founded in 1982 to provide adolescents with prenatal and family planning care. The program's impact through its first five years of operation on medical aspects of pregnancy course and fetal outcome will be the subject of a separate report. This study examines subsequent maternal and infant...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/000992289103000508

    authors: Rabin JM,Seltzer V,Pollack S

    更新日期:1991-05-01 00:00:00

  • Mycobacterium marinum infection in a 4-year-old child.

    abstract::Infections with Mycobacterium marinum are uncommon in children but should be considered by a physician confronted with chronic, poorly healing skin lesions. A case of such an infection in a 4-year-old child is presented. Presenting signs and symptoms, differential diagnosis, and treatment of these infections are discu...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/000992288502400512

    authors: Fragoso MA,Murray DL

    更新日期:1985-05-01 00:00:00

  • Carving a niche: the general academic pediatrician as consultant. Part II: Academic, financial, and educational concerns.

    abstract::The General Academic Pediatrician (GAP) may act as a consultant to both primary care pediatricians and tertiary care subspecialists. The authors surveyed a consultation service staffed by three GAP's in a tertiary care children's hospital. The service was financially successful and generated new sources of referrals f...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/000992288802701203

    authors: Listernick R,Tanz RR,Davis AT

    更新日期:1988-12-01 00:00:00

  • Isolated low HDL cholesterol emerges as the most common lipid abnormality among obese adolescents.

    abstract::A 12-hour fasting lipid profile was obtained from 88 otherwise healthy obese (BMI > or = 95%) adolescents (age 16 +/- 1 years, BMI 36 +/- 1 kg/m(2), 55 males, 33 females, 57% Hispanic, 23% African American, 19% Caucasian, 1% Asian American). About 56% of the obese adolescents exhibited lipid abnormalities based on cut...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/0009922809341076

    authors: Harel Z,Riggs S,Vaz R,Flanagan P,Harel D

    更新日期:2010-01-01 00:00:00

  • Attention deficit hyperactivity disorder in elementary school children in Rhode Island: associated psychosocial factors and medications used.

    abstract::This study was undertaken to explore psychosocial factors associated with referral for attention deficit hyperactivity disorder (ADHD) evaluation or ADHD diagnosis among elementary school children in Rhode Island, as well as to examine the extent of drug therapy among this population. A survey was distributed to paren...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/000992280304200603

    authors: Harel EH,Brown WD

    更新日期:2003-07-01 00:00:00