Unintentional Pediatric Ingestion of Electronic Cigarette Nicotine Refill Liquid Necessitating Intubation.

Liquid nicotine used in electronic cigarette devices is highly concentrated, unreliably packaged, and poorly regulated. We present a case report of a 6-year-old female who developed severe toxicity and required intubation after an unintentional oral ingestion of approximately 703 mg (35 mg/kg) of liquid nicotine, with accompanying serum and urine concentrations of nicotine and its metabolites. Analysis of the ingested liquid suggests a nicotine concentration of 140.

Prognostic value of a simplified anatomically based nomenclature for fetal nuchal lymphatic anomalies.

Objective: To propose an anatomic classification for fetal nuchal lymphatic anomalies that will be clinically useful and to evaluate the classification's value in predicting chromosomal abnormalities, pregnancy outcomes, other associated fetal anomalies, and spontaneous resolution of these lesions.

Study Design: Retrospective cohort study.

Setting: Tertiary academic hospital and affiliated tertiary children's hospital.

Improved airway visualization during direct laryngoscopy using self-retaining laryngeal retractors: a quantitative study.

Objective: To measure the degree to which the Lindholm laryngeal distending forceps improve visualization during direct laryngoscopy in selected pediatric patients.

Study Design: Case series with chart review.

Setting: Pediatric hospital.