NursPainPrevent: A Prospective Observational Study on Pain During a Bed Bath.

Background: Although bed baths are known to cause pain, the engendered pain frequency and intensity remain poorly studied. This prospective, observational study was undertaken to examine prospectively, on a given day, patients' bed bath-associated pain in the general in-hospital population.

Methods: Eight external investigators observed 166 bed baths given in 23 units in 5 hospitals.

[Using restraint during treatment: Definitions, contexts and benchmarks].

The clinical practice of nursing sometimes leads to physically restraining the patient while carrying out a therapeutic or diagnostic procedure. This laconic observation says little about the many questions raised by the use of restraint on a person during treatment. The questions are professional, institutional, philosophical, ethical, legal and deontological.

[How do parents perceive their child's restraint during emergency care?].

Restraint during care in pediatrics is a professional practice that is beginning to be studied. However, few studies explore this phenomenon from the point of view of the parents of children who are firmly restrained during care. Guided by the caregiver's perspective, care remains a priority for them.

[Measuring the intensity of restraint during care in children: Validation of the Pric scale].

Restraint is used relatively often during pediatric care. However, no scale has yet been validated to assess its intensity. The study presented here did this for the Procedural Restraint Intensity in Children tool in metrological terms (with some limitations).

Multidisciplinary support for ethics deliberations during the first COVID wave.

Background: The first COVID-19 wave started in February 2020 in France. The influx of patients requiring emergency care and high-level technicity led healthcare professionals to fear saturation of available care. In that context, the multidisciplinary thics-upport ell (EST) was created to help medical teams consider the decisions that could potentially be sources of ethical dilemmas.

Integrative Medicine in Interventional Oncology: A Virtuous Alliance.

This review aimed to identify the potential role of integrative medicine in interventional oncology. The music therapy; stress management techniques; guided imagery, including virtual reality; clinical hypnosis; and digital sedation may all be efficient on anxiety and pain during procedures performed in interventional oncology. Beyond pharmacological sedation, the implementation of integrative medicine to interventional oncology may, therefore, improve the support and care of cancer patients, which may further create a virtuous alliance.

Sedation and analgesia in interventional radiology: Where do we stand, where are we heading and why does it matter?

The aims of this review were to describe the rationale and the techniques of sedation in interventional radiology, and to compile the safety and efficacy results available so far in the literature. A systematic MEDLINE/PubMed literature search was performed. Preliminary results from several studies demonstrated the feasibility, the efficacy and the safety of using sedative techniques in interventional radiology.

A simple tool to measure procedural restraint intensity in children: validation of the PRIC (Procedural Restraint Intensity in Children) scale.

Purpose: Restraint is often used when administering procedures to children. However, no metrologically scale to measure the restraint intensity had yet been validated. This study validated the metrological criteria of a scale measuring the restraint intensity, Procedural Restraint Intensity in Children (PRIC), used during procedures in children.

[The dilemma of restraint in paediatric care].

Restraint may be used in paediatrics when it is necessary to perform a technical care procedure on a child who is agitated and refusing to cooperate. Obliged to restrain, caregivers are torn between respecting the child and fulfilling the order to perform the procedure. It is important to explore ways in which professionals can overcome this dilemma by finding alternatives.

Caregivers blinded by the care: A qualitative study of physical restraint in pediatric care.

Background: The phenomenon of forceful physical restraint in pediatric care is an ethical issue because it confronts professionals with the dilemma of using force for the child's best interest. This is a paradox. The perspective of healthcare professional working in pediatric wards needs further in-depth investigations.

[Training in distraction and hypnosis for pain relief in paediatrics].

The use of psychophysical techniques such as distraction and hypnosis for pain relief is becoming more common in order to reduce the pain and anxiety associated with care procedures in paediatrics. A training programme in supporting painful care procedures was implemented in a paediatrics unit. Running since 2013, it has already trained more than 150 caregivers.

[Care in pediatric].

Introduction: pediatric care is a context in which the concept of specific care should be thought over, hereby suggesting a reflection on formalizing the notion of pediatric care.

Context: the concept of care applied to nursing care offers a framework for professionals. Pediatric care presents specificities which lead to adapting the concept of care which is only formalized globally or in specific cases such as neonatology.

EVENDOL, a new behavioral pain scale for children ages 0 to 7 years in the emergency department: design and validation.

Numerous behavioral pain measures have been validated for young children, but none is appropriate to assess pain in emergency departments (EDs), where caregivers need a simple, easily completed scale. Our objective was to elaborate and validate a tool, relevant in any painful situation, with agitation or prostration, and for any age under 7 years. Five items (scored 0 to 3) were developed by pediatric pain and emergency caregivers.

[Premolar anatomy and endodontic treatment].

Endodontic failures on premolars are statistically important. This is mainly due to insufficient knowledge of the typical anatomical diversity shown by premolars. Filling a second root canal is often omitted.

[Classification of premolars as a function of root anatomy and statistics].

The frequent endodontic failures on premolar teeth can be partly attributed to their complicated root canal anatomy. Anatomical studies were initiated almost a century ago by W. Hess, resulting in the actual meticulous classification.

Juvenile distal cerebral ischemia: angiographic features. A study of 55 cases.

This study of juvenile distal cerebral ischaemia is based on 55 patients aged from 18 to 30 years. The authors describe the circumstances of discovery, as well as the clinical features and the course of the disease which may be severe and lead to non-resolutive neurological accidents and sometimes dementia. Paraclinical evaluation includes capillaroscopy, finger and toe pads biopsy (which clearly shows a pathological process with fibrocellular promontories narrowing the lumen of arterioles), and above all angiography which displays two typical signs: arterial narrowness and bands of peripheral ischaemia.