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- Laszlo Vutskits (Switzerland)
- Jurgen C. De Graaff (Netherlands)
COMPLICATIONS DURING ANESTHESIA IN CHILDREN AND NEONATES; RESULTS OF THE APRICOT AND NECTARINE
- Nicola Disma (Italy)
Abstract
Abstract Body
APRICOT and NECTARINE are large prospective cohort studies promoted by ESAIC.
UPDATE IN ANESTHESIA IN CHILDHOOD AND NEURODEVELOPMENTAL OUTCOME
- Laszlo Vutskits (Switzerland)
TREATMENT OF HYPERTENSIVE CRISIS IN CHILDREN: NITROPRUSSIDE VS. NIDCARDIPINE
- Hanneke Bakker (Netherlands)
Abstract
Background and Aims
Background and aims
Hypertensive crisis in the pediatric intensive care unit can lead to severe morbidity and mortality. Currently, the optimal treatment for hypertensive crisis in children is not well known. Recent studies in adults suggest that nicardipine might be more beneficial compared to nitroprusside. The aim of this study is to evaluate the therapeutic use and effectiveness of nitroprusside and nicardipine in hypertensive crisis in children.
Methods
Methods
A single-center retrospective study was done in a tertiary hospital on the pediatric intensive care unit. Between July 2017 and February 2021, 80 children were treated with nitroprusside and 10 children were treated with nicardipine. Medical records were reviewed for therapy indications, prescription of other antihypertensive drugs and therapeutic effectiveness.
Results
Results
Treatment indication of nitroprusside and nicardipine was severe hypertension in all patients. Etiology of hypertension was divers, the majority of the patients had a secondary cause of hypertension. Of the 10 children treated with nicardipine, 9 children were previously treated with nitroprusside without adequate therapeutic response. Preliminary analyses show that treatment with nicardipine had better therapeutic response in these children. In both medications, no severe side effects were observed.
Conclusions
Conclusions
The preliminary results of this study suggest that nicardipine might be more effective in lowering blood pressure in hypertensive crisis in children compared to nitroprusside. Larger prospective studies are needed to evaluate this hypothesis.
CONSTRUCTION AND VALIDATION OF THE 2D DIGITAL BRAZILIAN VERSION OF THE CHILDREN`S ANXIETY QUESTIONNAIRE
- Marla Andréia G. Garcia De Avila (Brazil)
Abstract
Background and Aims
The Children`s Anxiety Questionnaire (CAQ), was created in Sweden and contained four items with four images of facial expressions (happy/content, calm/relaxed, tense/nervous, and worried/afraid) with three response options, each representative of a different level of emotional intensity (a little=1, some=2, and a lot=3). The CAQ in Brazilian Portuguese was recently validated and demonstrated satisfactory results among professionals and children. To develop and validate the Brazilian printed version of the CAQ in a 2D digital format.
Methods
Study multicentric conducted in Brazil involved the validation by a committee of 51 nurses. A content validity index (CVI) was used to measure the proportion or percentage of nurses’ agreement.
Results
Content validity indices were 0.96 and is available at www.enfermagemeduca.com.br. The CAQ was successfully validated and considered suitable and user-friendly by nurses. The next step is the validate with children.
Conclusions
This study has implications for nursing practice, providing a user-friendly tool that can facilitate humanized care, improve communication, Identify anxiety in children, and corroborate the paediatric care plan.