Recommedations for Management of Neonatal Purpura Fulminans | Website Bệnh viện nhi đồng 2 - www.benhviennhi.org.vn

... generation HYPERCOAGULABLE STATE Neonatal Purpura Fulminans Typical skin lesions of neonatal purpura fulminans Neonatal Purpura Fulminans Extensive full thickness necrosis of skin Initial treatment ... Therapy and Prevention of Thrombosis, 9th ed: ACCP Guidelines) Thrombolytic therapy • Life-, organ-, limb-threatening condition • Not enough evidence for use in Neonatal Purpura Fulminans Recommendations ... Pediatr 20 16;114 (2) :15 9-1 66) (Antithrombotic Therapy in Neonates and Children Antithrombotic Therapy and Prevention of Thrombosis, 9th ed: ACCP Guidelines) Warfarin • Class I, Level C • 0 .2 - 0.3...

Retractile testes: A review of the current literature | Website Bệnh viện nhi đồng 2 - www.benhviennhi.org.vn

...  La Scala & Ein reviewed 150 boys with 20 5 retractile testes with a 7year follow-up period  23 % of retractile testes eventually becoming an acquired UDT [1]  Agarwal et al a cohort of 122 boys ... with 20 4 retractile testes over years of follow-up: 32% of retractile testes eventually becoming acquired UDT [2]  cord tautness as a risk for ascent  Stec et al looked at the outcome of 1 72 boys ...  Congenital UDT have an increased relative risk of germ cell malignancy that may be approximately 5-1 0 times [5]  Acquired UDT not have an increased risk of malignancy [6]   retractile testis...

Probiotics May Lower Risk for Nosocomial Infections in Hospitalized Children | Website Bệnh viện nhi đồng 2 - www.benhviennhi.org.vn thong tin nhanh

... The incidence of nosocomial infections, predominantly gastrointestinal and respiratory, in children in developed countries is high, ranging from 5% to 44%  Gastrointestinal infections (4.5 22 .6 ... GG administration decreases the risk for nosocomial gastrointestinal and respiratory tract infections in hospitalized children  LGG administration can be recommended as a valid measure for decreasing ... decreasing the risk for nosocomial gastrointestinal and respiratory tract infections in pediatric facilities CONCLUSIONS  However, they suggest that this may not be justified in all hospitalized children...

Medical management of vascular anomalies | Website Bệnh viện nhi đồng 2 - www.benhviennhi.org.vn

... Other MANAGEMENT OF VASCULAR ANOMALIES • Management of vascular malformations is dependent upon the type and location of the malformation as well as its depth • Observation and the use of supportive ... morphological development of the vascular system INTRODUCTION • Vascular tumors are broadly divided into hemangiomas and tumors VASCULAR ANOMALIES Vascular Malfomations Vascular Tumors Aterial ... Society for the Study of Vascular Anomalies (ISSVA) in 1996, divides these lesions into two broad categories: vascular tumors and vascular malformations • Vascular malformations are anomalies which...

Intravenous lipid emulsions and risk of hepatotoxicity ininfants and children: a systematic review and meta-analysis | Website Bệnh viện nhi đồng 2 - www.benhviennhi.org.vn

... intravenous lipid emulsions: Fig Characteristics of commercially available intravenous lipid emulsions used in reported randomized controlled trials (Journal of Pediatric Gastroenterology and Nutrition ... 62 - 5 /20 16 • A systematic review: PubMed, EMBASE, and Cochrane Central Register of Controlled Trials CENTRAL search up to March 20 15 • The primary outcome: incidence of cholestasis • Secondary ... total and conjugated bilirubin and liver enzymes ( ALT, AST, ALP, GGT) after the use of ILE Materials and Methods Fig Flow chart of search results Results Short-term (3 27 days) use in neonates...

Oral Ondansetron for Gastroenteritis in a Pediatric Emergency Department | Website Bệnh viện nhi đồng 2 - www.benhviennhi.org.vn

... After being randomly assigned to treatment with orally disintegrating ondansetron tablets or placebo, the children received oralrehydration therapy according to a standardized protocol The primary ... critical overview of data available in the Cochrane database of systematic reviews showed that children who received oral ondansetron had lower hospital admission rates to ED compared with placebo ... Background Vomiting limits the success of oral rehydration in children with gastroenteritis We conducted a double-blind trial to determine whether a single oral dose of ondansetron, an antiemetic,...

Update on mangement of patent ductus arteriosus in preterm infants | Website Bệnh viện nhi đồng 2 - www.benhviennhi.org.vn

... ? Administering COX inhibitors (indomethacin or ibuprofen) within the first 24 h of life irrespective of the diagnosis of PDA Indomethacin is the best studied with 28 72 babies randomised in 19 ... arteriosus in infants weighing ≤ kg JACC Cardiovasc Interv 20 10; 3: 129 5 2) Percutaneous Patent Ductus Arteriosus (PDA) Closure in Very Preterm Infants: Feasibility and Complications J Am Heart Assoc 20 16; ... comparison of clinical and echocardiographic evaluation of the preterm infant for patent ductus arteriosus. Skelton R1, Evans N, Smythe J JPaediatr Child Health 1994 Oct;30(5):40 6-1 1) Timing of screening...

The Use Of Systemic And Topical Fluoroquinolones | Website Bệnh viện nhi đồng 2 - www.benhviennhi.org.vn

... approved by the FDA ≥ months Ciprofloxacin: Second generation used in children (20 04) - 17 years of age OVERVIEW In 20 06, according to the American Academy of Pediatrics: Parenteral fluoroquinolones: ... ciprofloxacin (2) oral ciprofloxacin with oral cefixime or TMP - SMX No difference to suggest musculoskeletal toxicity with ciprofloxacin potential SAFETY A large cohort of Johnson & Johnson: 25 23 ... norfloxacin, ofloxacin, levofloxacin, moxifloxacin ciprofloxacin, OVERVIEW Generation Drug Names Spectrum 1st Nalidixic acid Gram (-) but not Pseudomonas species 2nd Norfloxacin Ciprofloxacin Enoxacin Ofloxacin...

Manegement of suspected viralencephalitis in children | Website Bệnh viện nhi đồng 2 - www.benhviennhi.org.vn

... continued for 14 -2 1 days (A, II), repeat LP • CSF PCR is still positive for HSV: aciclovir should continue, with weekly CSF PCR until it is negative (B, II) • months- 12 years a minimum of 21 days ... further diagnostic investigations are awaited (A, II) RECOMMENDATION • Dose? 3 months- 12 years 500mg/m2 hourly  > 12 years 10mg/kg hourly reduced in patients with pre-existing renal impairment ... causes: Infectious: viruses, bacteria, parasites and fungi Non- infectious: antibody-mediated RECOMMENDATION • Which clinical features should lead to a suspicion of encephalitis in children? ...

Rapid Effects of Inhaled Corticosteroids in Acute Asthma | Website Bệnh viện nhi đồng 2 - www.benhviennhi.org.vn ICS in ASTHMA

... use of inhaled corticosteroids (ICS) for acute asthma underestimated their early clinical impact Objective: The analysis of the best evidence available on the early (1 to h) clinical impact of ICS ... at ≤ 30 minute intervals (“single-dose” 2 doses at ≤30-minute intervals or ≥1 dose at >30-minute intervals.) -Patients treated with ICS also displayed a faster clinical improvement compared ... used in multiple-dose amounts administered in time intervals of ≤30 minutes (multiple doses of ICS + β-agonists ) Implications for practice and s research -This review clearly supports the use of...

Neonatal Hypoxic – Ischemic Encephalopathy | Website Bệnh viện nhi đồng 2 - www.benhviennhi.org.vn

... et al., 20 09 Mid- long-term outcomes: neurocognitive/behavior scales • 1 2- 30 months: Bayley – (Eicher & al., 20 04; Jacobs & al., 20 11; Shankaran & al., 20 05) • 6-7 years: WPPSI-III / WISC-IV / ... NEPSY / M-ABC – (Marlow & al., 20 05; Shankaran & al., 20 12) • 9-1 0 years: WISC-III / M-ABC / CBCL – (de Veries & Jongmans, 20 10) Childhood outcomes after hypothermia for HIE • Objective – Long ... ;8:335 9- 62 – Reduces the secondary rise in cortical impedance (cytotoxic oedema) • Pediatrics 1998 ;1 02: 109 8-1 106 – Inhibits apoptotic cell death • Neuropathol Appl Neurobiol 1997 ;23 :16 -2 5 Hypothermia...

Symptomatic treatment of the cough inwhooping cough | Website Bệnh viện nhi đồng 2 - www.benhviennhi.org.vn

... in paroxysmal cough in the treatment group compared to the placebo group: MD-0.07 coughs per hour (95% CI -0 . 42 to 0 .27 ; P value = 0.65) 18 Pertussis-specific immunoglobulin 19 20 21 Corticosteroids ... each 24 hour period • There was no evidence of heterogeneity in paroxysmal cough per 24 hours (P value = 0.79) • There was no statistically significant difference in coughing paroxysms: MD -0 .22 coughs ... between the numbers of paroxysms of cough in 24 hours • diphenhydramine group (mean 22 .6, standard deviation (SD) 13.1) • placebo group (mean 20 .7, SD 10 .2; mean difference (MD) 1.90; 95% CI -4 .7...

Pain management in neonate | Website Bệnh viện nhi đồng 2 - www.benhviennhi.org.vn

... furrow SCORE UTILITY Total : 0 -2 1 ≤6 minimal pain > 12 moderate to severe pain Total : 0-1 0 >4 moderate pain >7 severe pain Total: 8–40 17 26 adequate sedation; 27 inadequate sedation/analgesia ... saturation, increase vital signs Total: 0- 12 ≥4 moderate pain requiring Postoperative pain Procedural and postoperative pain Pain and sedation in NICU Procedure Gastric tube insertion Stepwise intervention ... impaired brain development 20 12 American Neurological Association The frequency of painful procedures in neonatal intensive care units in South Korea • The number of painful procedures increased...

Nasal intermittent positive pressure ventilation for preterm neonates after extubation | Website Bệnh viện nhi đồng 2 - www.benhviennhi.org.vn

... hours to seven days post -extubation (typical RR 0.71, 95% CI 0.61 to 0. 82; typical RD -0 . 12, 95% CI -0 .17 to -0 .07) Preventing extubation failure • Both trials used short binasal prongs and binasopharyngeal ... ratio (M-H, fixed, 95% CI) 1.76 [0.77, 4.05] Gastrointestinal perforation 1066 Risk ratio (M-H, fixed, 95% CI) 0.94 [0.60, 1.48] NEC 1147 Risk ratio (M-H, fixed, 95% CI) 0.88 [0.64,1 .20 ] Conclusion ... Background • Preterm infants experience difficulty with spontaneous breathing • NCPAP have shown to be useful method of respiratory support after extubation 25 % failed and require endotracheal...

Ortho-K for myopia contrpl and treatment | Website Bệnh viện nhi đồng 2 - www.benhviennhi.org.vn Ortho K Eng

... OOK: Overnight Ortho Keratology ORTHO- K • MECHANISM: - Contact lens; - Specially shaped design; - Corneal reshaping (6µm # 1 /20 hair thickness # diopter) ORTHO- K • USE: - Nightwear Ortho- K ( 6-8 ... lens - Ortho K - Medication - LASIK ORTHO- K • Ortho- K: OrthoKeratology + CRT: Corneal Refractive Therapy + VST: Vision Shaping Technology + AOK: Accelerated Ortho Keratology + OCR: Overnight ... SIGNS: - Blurry distance vision - Eyestrain - Squinting - Fatigue - Headaches MYOPIA • DIAGNOSIS - Visual acuity test - Retinoscope - Phoropter • MANAGEMENT - Glasses - Contact lens - Ortho K - Medication...

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