Neuromuscular electrical stimulation improves feeding and aspiration status in medically complex children undergoing feeding therapy.

Objectives: Neuromuscular electrical stimulation (NMES) therapy in the head and neck has been effectively used to rehabilitate swallowing in adult patients with acquired dysphagia. Limited data is available for the effectiveness of NMES in medically complex children with dysphagia and aspiration. This study intends to determine the efficacy of NMES as a therapeutic adjunct to improve aspiration and feeding status in medically complex children with severe dysphagia undergoing comprehensive speech and swallow therapy.

Unintentional therapeutic errors involving insulin in the ambulatory setting reported to poison centers.

Background: Adverse drug events in the ambulatory care setting are not uncommon and can cause significant morbidity. Little research has been published on the management of adverse drug events involving insulin in the outpatient setting.

Objective: To analyze data on patients with unintentional therapeutic errors involving insulin managed by 9 regional poison control centers.