Challenging echocardiographic pictures of aortic arch: when heart murmur leads to a rare diagnosis.

We describe the case of a 2-week-old boy referred for systolic murmur. His echocardiography showed challenging pictures of the aortic arch, which led to the rare diagnosis of arterial tortuosity syndrome.

Management of parapneumonic pleural effusion in children: Is there a role for corticosteroids when conventional nonsurgical management fails? A single-center 15-year experience.

Objective: Description of the use of corticosteroids for the management of parapneumonic pleural effusion in children.

Methods: Retrospective single-center observational study of all children hospitalized with a diagnosis of parapneumonic pleural effusion during a 15-year period.

Results: We documented 97 cases of parapneumonic effusion during the study period, with a median age (interquartile range [IQR]) of 43 (33-61) months.

How 217 Pediatric Intensivists Manage Anemia at PICU Discharge: Online Responses to an International Survey.

Objective: To describe the management of anemia at PICU discharge by pediatric intensivists.

Design: Self-administered, online, scenario-based survey.

Setting: PICUs in Australia/New Zealand, Europe, and North America.

"Idiopathic" pulmonary arterial hypertension in early infancy: Excluding NFU1 deficiency.

NFU1 deficiency is a rare metabolic disorder affecting iron-sulfur cluster synthesis, an essential pathway for lipoic acid-dependent enzymatic activities and mitochondrial respiratory chain complexes. It is a little-known cause of pulmonary arterial hypertension (PAH), while PAH is a prominent feature of the disease. We herein report on a female infant diagnosed as having idiopathic PAH since 1 month of age, who did not respond to bosentan plus sildenafil.

Efficacy of treatment with belladonna in children with severe pallid breath-holding spells.

Unlabelled: IntroductionPallid breath-holding spells are common and dramatic forms of recurrent syncope in infancy. They are very stressful despite their harmless nature and sometimes require treatment.

Objective: The objective of this study was to evaluate the efficacy of belladonna in severe breath-holding spells.

Pediatric pre-hospital emergencies in Belgium: a 2-year national descriptive study.

Unlabelled: This study aims to describe the pediatric physician-staffed EMS missions at a national level and to compare the pediatric and the adult EMS missions. Using a national database, we analyzed 254,812 interventions including 15,294 (6 %) pediatric emergencies. Less children than adults received an intravenous infusion (52.

Non-invasive ventilation is useful in paediatric intensive care units if children are appropriately selected and carefully monitored.

Unlabelled: Non-invasive ventilation (NIV) is commonly used in paediatric intensive care units (PICUs) for respiratory failure. This review aims to improve paediatricians' understanding of NIV, by specifying technical or practical considerations, giving advice about selecting patients and presenting pertinent published data about NIV in different circumstances.

Conclusion: NIV is useful in PICUs if children are appropriately selected and carefully monitored.