We have studied the efficacy of prolonged, continuous paravertebral infusion of bupivacaine for the management of post-thoracotomy pain in 22 infants with a median age of 1.5 weeks (range 1 day to 20.4 weeks). Immediately before chest closure, 0.25% bupivacaine 1.25 mg kg-1 was given into an extrapleural paravertebral catheter, inserted under direct vision. Subsequently, 0.125% bupivacaine with...

The use of oral sucrose has been the most extensively studied pain intervention in newborn care to date. More than 150 published studies relating to sweet-taste-induced calming and analgesia in human infants have been identified, of which 100 (65%) include sucrose. With only a few exceptions, sucrose, glucose, or other sweet solutions reduced pain responses during commonly performed painful pro...

The Cooperative Study of Sickle Cell Disease reported that dactylitis, severe anemia, and leukocytosis in very young children with sickle cell disease (SCD) increased the risk of later adverse outcomes, including death, stroke, frequent pain, and recurrent acute chest syndrome. This model has not been validated in other cohorts. We evaluated its performance in the Dallas Newborn Cohort, a newbo...

The Cooperative Study of Sickle Cell Disease reported that dactylitis, severe anemia, and leukocytosis in very young children with sickle cell disease (SCD) increased the risk of later adverse outcomes, including death, stroke, frequent pain, and recurrent acute chest syndrome. This model has not been validated in other cohorts. We evaluated its performance in the Dallas Newborn Cohort, a newbo...

Newborn circumcision is the most common surgical procedure in the United States. The technique for local anesthesia, dorsal penile nerve block (DPNB), was first described in 1978. Although multiple subsequent studies have reported that DPNB can relieve pain and stress during a newborn's circumcision without any additional morbidity, many practitioners do not employ this technique. A survey of r...

Background – Chronic low back pain is a complex condition produced by multiple factors. This study investigated the psychological aspects of low back pain in a group of patients. Methods – A total of 112 subjects participated in the study. Fifty-six patients (21 females and 35 males) had low back pain and were seeking treatment in two clinics. A control group of 56 subjects (20 females and 36 m...

conclusions it is important to consider tb meningitis in newborns with perinatal ivh and concomitant hydrocephalus particularly when the mother has a history of tb prior to or during pregnancy. introduction congenital tuberculosis is an infrequently encountered condition and only 300 cases were reported in the literature till 1989. there are no specific signs and symptoms pathognomonic for cong...

the aim is the study on the impact of pethedine 4 hours before labor on newborn. data was gathered based on the apgar scores in first and fifth minutes after birth. three groups of mothers were selected: without any use of pethedine, use of pethedine less than 4 hours before labor and use of pethedine more than 4 hours before labor. the data was analyzed by using computer programs. there was no...

 Abstract  Testicular torsion is a medical emergency appearing at any age, the prevalence of  which in the neonatal period comprises 10% of the whole cases occurring at any  point in life. Among all the cases being diagnosed at birth, 70% has occurred in the  prenatal period and 30% in the neonatal period. Generally, the most common symptoms  of testicular torsion during postnatal period includ...