paediatrics
paediatrics

Anesthetic-sparing effect of dexmedetomidine during total intravenous anesthesia for children undergoing dental surgery: A randomized controlled trial

Paediatr Anaesth. 2024 Aug 28. doi: 10.1111/pan.14987. Online ahead of print. ABSTRACT BACKGROUND: Dexmedetomidine, an α2-adrenergic agonist, reduces propofol and remifentanil requirements when used as …

Diagnosis and treatment of urosepsis in children

Zhonghua Er Ke Za Zhi. 2024 Aug 28;62(9):902-904. doi: 10.3760/cma.j.cn112140-20240711-00474. Online ahead of print. ABSTRACT 尿脓毒症是泌尿道感染引起的脓毒症,病情凶险,病死率高。儿童泌尿道感染常合并先天性肾脏及泌尿道发育异常,是发生尿脓毒症的高危人群。序贯器官功能衰竭评分、菲尼克斯脓毒症评分以及相关生物标志物检测有利于尿脓毒症早期诊断。有效生命支持、及早启动抗菌药物治疗和外科干预是降低病死率的关键。. PMID:39192454 | DOI:10.3760/cma.j.cn112140-20240711-00474

Comparison of accuracy and speed between plaster casting, high-cost and low-cost 3D scanners to capture foot, ankle and lower leg morphology of children requiring ankle-foot orthoses

J Foot Ankle Res. 2024 Sep;17(3):e70006. doi: 10.1002/jfa2.70006. ABSTRACT BACKGROUND: Traditional plaster-cast fabrication of an ankle-foot orthosis (AFO), although robust, is time-consuming and cumbersome. 3D …

Expert consensus for the management of 5α-reductase deficiency (2024)

Zhonghua Er Ke Za Zhi. 2024 Aug 28;62(9):826-831. doi: 10.3760/cma.j.cn112140-20240401-00232. Online ahead of print. ABSTRACT 5α-还原酶缺乏症(5α-RD)是46,XY性发育异常的常见病因之一,为常染色体隐性遗传病,临床表型谱广泛,从外生殖器完全女性化到基本正常男性外观,典型内分泌激素改变为睾酮/双氢睾酮升高。临床管理的核心在于早期精准诊断和抚养性别判定。临床诊疗中面临的争议多,国内外尚无针对此病的管理共识或指南。为规范5α-RD的临床管理,尽量减少不当诊疗,经多个学组多学科专家共同讨论,并参考国内外的最新研究进展,达成了5α-还原酶-缺乏症临床管理专家共识以供临床医师在实践中参考使用。. PMID:39192439 | DOI:10.3760/cma.j.cn112140-20240401-00232