Landscape of Pediatric Endoscopic Ultrasound in a United States Tertiary Care Medical Center.

Background: Endoscopic ultrasound (EUS) is a commonly used radiation-sparing procedure in adult patients for diagnostic sampling of gastrointestinal lesions and fluid collections, gastric variceal hemostasis, biliary/pancreatic duct drainage, and endo-surgical interventions. Integration of EUS in pediatrics is still in its infancy with limited data regarding its use. The present study analyzes utilization, diagnostic and therapeutic roles of pediatric EUS and evolution in these parameters over time.

Neonatal and pediatric perspectives in PICC placement.

The nurse providing care to the acute or critically ill child is all too familiar with the issues surrounding vascular access. Establishing and maintaining the correct access device is an ongoing problem. There are several types of vascular access devices available to the patient.

Use of a prosthetic patch for laparoscopic repair of Morgagni diaphragmatic hernia in children.

Background: Morgagni hernias are well suited to laparoscopic repair. A primary suture closure may result in tension on the repair, thereby predisposing the patient to a recurrence. A prosthetic patch (PP) can be used to provide a tension-free repair.

Experience with 144 consecutive pediatric thoracoscopic lobectomies.

Objective: The early experience with the technique and short-term outcomes after pediatric thoracoscopic lobectomy were independently reported by the authors several years ago. This paper updates their combined experience, evaluating the safety, efficacy, and long-term outcomes.

Methods: From January 1995 to May 2005, 144 consecutive patients underwent a thoracoscopic lobectomy.

Mothers' perceptions of benefits of perinatal loss support offered at a major university hospital.

This qualitative research investigated the perception of mothers regarding hospital support after perinatal loss. Twelve in-depth interviews demonstrated that the mothers recalled the circumstances of the loss. Most identified the hospital's support services and made comments on aspects of hospital support as influential in grief recovery.

A novel laparoscopic technique for the repair of pediatric umbilical and epigastric hernias.

Background/purpose: The aim of this study was to determine whether a novel laparoscopic technique for pediatric umibilical and epigastric hernia repair is safe, quick, effective, durable, and cosmetically acceptable.

Methods: Forty-one consecutive umbilical and 13 epigastric hernias were repaired laparoscopically. Six patients had concomitant epigastric and umbilical hernias repaired during one procedure.