Allergic dermatitis after knee arthroscopy with repeated exposure to Dermabond Prineo™ in pediatric patients: Two case reports

Pediatric Palliative Care (PPC) addresses children, adolescents, and young adults with a broad spectrum of underlying diseases. A substantial proportion of these patients have irreversible conditions accompanied by Severe Neurological Impairment (SNI). For the treatment of pain and dyspnea, strong opioids are widely used in PPC. Nonetheless, there is considerable uncertainty regarding the opioid-related side effects in pediatric patients with SNI, particularly concerning Opioid-Induced Respiratory Depression (OIRD). Research on pain and OIRD in pediatric patients with SNI is limited. Using scoping review methodology, we performed a systematic literature search for OIRD in pediatric patients with SNI. Out of n = 521 identified articles, n = 6 studies were included in the review. Most studies examined the effects of short-term intravenous opioid therapy. The incidence of OIRD varied between 0.13% and 4.6%; besides SNI, comorbidities, and polypharmacy were the most relevant risk factors. Additionally, three clinical cases of OIRD in PPC patients receiving oral or transdermal opioids are presented and discussed. The case reports indicate that the risk factors identified in the scoping review also apply to adolescents and young adults with SNI receiving low-dose oral or transdermal opioid therapy. However, the risk of OIRD should never be a barrier to adequate symptom relief. We recommend careful consideration and systematic observation of opioid therapy in this population of patients.

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Behavior Management of Pediatric Dental Patients

PEDIATRICS ◽

10.1542/peds.90.4.651b ◽

1992 ◽

Vol 90 (4) ◽

pp. 651-652

Author(s):

◽

Richard D. Krugman ◽

Jan Bays ◽

David L. Chadwick ◽

Carolyn J. Levitt ◽

...

Keyword(s):

Behavior Management ◽

Pediatric Patients ◽

Case Reports ◽

The Other ◽

Behavioral Management ◽

Dental Patients ◽

Bladder Control ◽

Abuse And Neglect ◽

Pediatric Dentists ◽

Special Circumstances

To the Editor.— It has been brought to the attention of The American Academy of Pediatric Committee on Child Abuse and Neglect that some dentists continue to use the hand-over-mouth technique with airway restriction (HOMAR) for behavioral management of pediatric patients. We have received two case reports of children who were adversely affected by this technique. One was left with bruises and petechiae and the other lost consciousness and bladder control. The original literature on the hand over mouth (HOM) technique is alarming as it indicates that "once in a great while a patient's nostrils can be closed until he really needs air, as indicated by his color" and that 19 of 35 pediatric dentists surveyed in 1969 "felt it is permissible to completely close off a child's airway in special circumstances."

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Long-Term Continuous Electrocardiographic Recording in Pediatric Patients

PEDIATRICS ◽

10.1542/peds.36.5.792 ◽

1965 ◽

Vol 36 (5) ◽

pp. 792-797

Author(s):

BEVERLY C. MORGAN ◽

PHILIP G. DEANE ◽

WARREN G. GUNTHEROTH

Keyword(s):

Pediatric Patients ◽

Case Reports ◽

Adult Patients ◽

Infants And Children ◽

Pediatric Use ◽

In Infants And Children

A continuous electrocardiographic system, previously utilized primarily in the evaluation of adult patients has been described as modified for pediatric use. Its usefulness in evaluating arrhythmias in infants and children under a variety of circumstances has been demonstrated with four case reports.

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Methadone-induced Toxic Encephalopathy In Pediatric Patients: Two Case Reports

Journal of Radiology Case Reports ◽

10.3941/jrcr.v13i5.3658 ◽

2019 ◽

Vol 13 (5) ◽

Cited By ~ 3

Author(s):

Siew Ching Tiong ◽

Julian Sau Lian Chieng ◽

Hau Wei Khoo ◽

Chee Hui Ng

Keyword(s):

Pediatric Patients ◽

Case Reports ◽

Toxic Encephalopathy

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Extracranial-Intracranial Vein Graft Bypass for Giant Intracranial Aneurysm Surgery for Pediatric Patients: Two Technical Case Reports

Neurosurgery ◽

10.1227/00006123-200203000-00048 ◽

2002 ◽

Vol 50 (3) ◽

pp. 663-668 ◽

Cited By ~ 5

Author(s):

Y. Jonathan Zhang ◽

Daniel L. Barrow ◽

Arthur L. Day

Keyword(s):

Intracranial Aneurysm ◽

Vein Graft ◽

Pediatric Patients ◽

Case Reports ◽

Aneurysm Surgery ◽

Giant Intracranial Aneurysm

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Pediatric Airway Manifestations of Gastroesophageal Reflux

Annals of Otology Rhinology & Laryngology ◽

10.1177/000348949210100905 ◽

1992 ◽

Vol 101 (9) ◽

pp. 742-749 ◽

Cited By ~ 71

Author(s):

Deborah Mitchell Burton ◽

Seth M. Pransky ◽

Donald B. Kearns ◽

Richard M. Katz ◽

Allan B. Seid

Keyword(s):

Gastroesophageal Reflux ◽

Head And Neck ◽

Chronic Cough ◽

Pediatric Patients ◽

Case Reports ◽

Airway Compromise ◽

Pediatric Airway ◽

Obstructive Apnea ◽

The Common ◽

High Index Of Suspicion

Gastroesophageal reflux (GER) in children may be classified as physiologic or pathologic, depending on its degree and consequences. There are many head and neck complications of GER in pediatric patients, but most numerous are the airway manifestations, including stridor, recurrent croup, exacerbation of subglottic stenosis, laryngeal irritation with or without laryngospasm, chronic cough, and obstructive apnea. Diagnosis may be difficult unless there is a high index of suspicion for GER and awareness of the concept of “silent” GER. We present the common pediatric airway manifestations of GER, illustrated by case reports, and provide a paradigm to assist in the diagnosis and management of children with airway compromise associated with GER.

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Bartonellosis: suggestive case reports in adult and pediatric patients and therapeutic issues

The Brazilian Journal of Infectious Diseases ◽

10.1590/s1413-86702006000600012 ◽

2006 ◽

Vol 10 (6) ◽

Cited By ~ 4

Author(s):

Roberto Manfredi ◽

Sergio Sabbatani

Keyword(s):

Pediatric Patients ◽

Case Reports

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Systematic review of pineal cysts surgery in pediatric patients

Child s Nervous System ◽

10.1007/s00381-020-04792-3 ◽

2020 ◽

Vol 36 (12) ◽

pp. 2927-2938

Author(s):

Joham Choque-Velasquez ◽

Roberto Colasanti ◽

Szymon Baluszek ◽

Julio Resendiz-Nieves ◽

Sajjad Muhammad ◽

...

Keyword(s):

Systematic Review ◽

Progressive Disease ◽

Pediatric Patients ◽

Individual Patient Data ◽

Comprehensive Evaluation ◽

Case Reports ◽

Case Series ◽

Complete Surgical Resection ◽

Observational Series ◽

Last Stage

Abstract Introduction We present a consecutive case series and a systematic review of surgically treated pediatric PCs. We hypothesized that the symptomatic PC is a progressive disease with hydrocephalus at its last stage. We also propose that PC microsurgery is associated with better postoperative outcomes compared to other treatments. Methods The systematic review was conducted in PubMed and Scopus. No clinical study on pediatric PC patients was available. We performed a comprehensive evaluation of the available individual patient data of 43 (22 case reports and 21 observational series) articles. Results The review included 109 patients (72% females). Ten-year-old or younger patients harbored smaller PC sizes compared to older patients (p < 0.01). The pediatric PCs operated on appeared to represent a progressive disease, which started with unspecific symptoms with a mean cyst diameter of 14.5 mm, and progressed to visual impairment with a mean cyst diameter of 17.8 mm, and hydrocephalus with a mean cyst diameter of 23.5 mm in the final stages of disease (p < 0.001). Additionally, 96% of patients saw an improvement in their symptoms or became asymptomatic after surgery. PC microsurgery linked with superior gross total resection compared to endoscopic and stereotactic procedures (p < 0.001). Conclusions Surgically treated pediatric PCs appear to behave as a progressive disease, which starts with cyst diameters of approximately 15 mm and develops with acute or progressive hydrocephalus at the final stage. PC microneurosurgery appears to be associated with a more complete surgical resection compared to other procedures.

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