549 research outputs found
Can pain assessment tools accurately measure pain experience of disabled individuals?
Peer Reviewedhttps://deepblue.lib.umich.edu/bitstream/2027.42/147096/1/dmcn14033_am.pdfhttps://deepblue.lib.umich.edu/bitstream/2027.42/147096/2/dmcn14033.pd
Pain score guided morphine titration is risky and inappropriate
Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/106691/1/pan12367.pd
Response to: comments on attention-deficit/hyperactivity disorders and anesthesia
Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/79269/1/j.1460-9592.2010.03392.x.pd
Reply to Engelhardt, Thomas; Wolf, Andy, regarding their comment âSurveys and all â the role of pediatric anesthetic societiesâ
Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/115909/1/pan12779.pdfhttp://deepblue.lib.umich.edu/bitstream/2027.42/115909/2/pan12779_am.pd
Survey research: it's just a few questions, right?
Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/111977/1/pan12680.pd
Reply to Nielsen, Dominic; Visram, Anil, regarding their comment â Comment on Tait AR, Bickham R, OâBrien LM, Quinlan M, Voepelâ Lewis T. The STBUR questionnaire for identifying children at risk for sleepâ disordered breathing and postoperative opioidâ related adverse events â potential confoundersâ
Peer Reviewedhttps://deepblue.lib.umich.edu/bitstream/2027.42/136311/1/pan13090_am.pdfhttps://deepblue.lib.umich.edu/bitstream/2027.42/136311/2/pan13090.pd
Postsurgical behaviors in children with and without symptoms of sleep-disordered breathing
Abstract
Background
Although some children undergo formal preoperative testing for obstructive sleep apnea, it is likely that many children present for surgery with undetected sleep-related disorders. Given that these children may be at increased risk during the perioperative period, this study was designed to compare postoperative behaviors between those with and without symptoms of sleep-disordered breathing (SDB).
Methods
This study represents a secondary analysis of data from a study examining the effect of SDB on perioperative respiratory adverse events in children. Parents of children aged 2â14 years completed the Sleep-Related Breathing Disorder (SRBD) subscale of the Pediatric Sleep Questionnaire prior to surgery. Children were classified as having SDB if they had a positive score (âĽ0.33) on the SRBD subscale. Seven to ten days following surgery, the SRBD subscale was re-administered to the parents who also completed the Childrenâs Post Hospitalization Behavior Questionnaire. Children were classified as exhibiting increased problematic behaviors if their postoperative behaviors were considered to be âmore/much moreâ relative to normal.
Results
Three hundred thirty-seven children were included in this study. Children with SDB were significantly more likely to exhibit problematic behaviors following surgery compared with children without SDB. Logistic regression identified adenotonsillectomy (OR 9.89 [3.2â30.9], Pâ<â0.01) and posthospital daytime sleepiness (OR 2.8 [1.3â5.9], Pâ<â0.01) as risk factors for postoperative problematic behaviors.
Conclusions
Children presenting for surgery with symptoms of SDB have an increased risk for problematic behaviors following surgery. These results are potentially important in questioning whether the observed increase in problematic behaviors is biologically grounded in SDB or simply a response to poor sleep habits/hygiene.http://deepblue.lib.umich.edu/bitstream/2027.42/109540/1/13741_2014_Article_36.pd
Pain outcomes in children who received intrathecal vs intravenous opioids for pain control following major urologic surgery: a retrospective review
Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/115913/1/pan12781_am.pdfhttp://deepblue.lib.umich.edu/bitstream/2027.42/115913/2/pan12781.pd
Sedation failures in children undergoing MRI and CT: is temperament a factor?
Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/73396/1/j.1460-9592.2000.00510.x.pd
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