Propofol versus midazolam plus meperidine for sedation during ambulatory esophagogastroduodenoscopy.

Objective: To evaluate the efficacy and safety of propofol and meperidine plus midazolam for sedation during esophagogastroduodenoscopy (EGD) in children.

Methods: Data were collected prospectively and retrospectively from neurologically intact children (0.2-17.

Aspiration: a factor in rapidly deteriorating bronchiolitis in previously healthy infants?

The objective of this study was to evaluate the presence of indicators of aspiration in previously healthy infants with respiratory syncytial viral (RSV) bronchiolitis who experienced rapid deterioration in their respiratory status. Lipid-laden macrophage index (LLMI) was assessed in 6 previously healthy infants with RSV bronchiolitis and no prior history of aspiration, who had a rapid deterioration of their respiratory status requiring mechanical ventilation. Five of 6 infants had a LLMI of more than 100, a level that is very suggestive of aspiration.