Albuterol via metered-dose inhaler in children: Lower doses are effective, and higher doses are safe.

Background: The ideal dosing of albuterol via metered-dose inhalers for acute childhood asthma is not well established. We hypothesized that greater doses of albuterol would result in less time in the hospital and lower admission rates.

Methods: This was a randomized controlled double-blind multicenter study, conducted in emergency rooms (ER).

Accident involving a 2-year-old child and Lonomia obliqua venom: clinical and coagulation abnormalities.

Poisons of caterpillars have different effects on inflammatory and coagulation systems. This is a case report of a 2-year-old child that accidentally came in contact with several caterpillars of the species Lonomia obliqua. At first, the patient's exams presented abnormal coagulation and decreased fibrinogen, but the patient did not evolve to active bleeding or acute renal failure.