Riley Hospital for Children

Clinical Ethics Framework for Last‐Minute Pediatric Refusal of Anesthesia Induction

Induction of anesthesia is one of the most distressing moments for pediatric patients during their perioperative experience. They may consequently refuse induction at the last minute. Anesthesia providers are then placed in a challenging ethical dilemma: they must seek to gain th...

An international multicenter analysis of the outcome of pediatric first variceal hemorrhage

Background & Aims: Management of portal hypertension in children including primary prophylaxis of variceal bleeding is controversial due to limited understanding of mortality risk after first variceal hemorrhage (1VH). This international multicenter study was designed to advance...

The Childhood Liver Disease Research Network's prospective characterization of pediatric primary sclerosing cholangitis.

BACKGROUND: Primary sclerosing cholangitis (PSC) is a rare biliary fibrosing disease that leads to significant morbidity and the need for liver transplantation. The Childhood Liver Disease Research Network is conducting a prospective, observational longitudinal study to define th...

Noise reduction interventions during golden hour admissions: A quality improvement project

Background Exposure to noxious noise increases stress levels and physiologic instability in premature infants and impacts to long-term negative repercussions on the neurodevelopment of this population and unintentionally counteracts the efforts of initial stabilization. Objective...

Variations in diagnosis and management of hemodynamically significant patent ductus arteriosus across neonatal intensive care units in the Children’s Hospitals Neonatal Consortium

Abstract Objective Collate patent ductus arteriosus (PDA) guidelines among Children’s Hospitals Neonatal Consortium (CHNC) centers and identify variations in the diagnosis and management of hemodynamically significant PDA (hsPDA). Study Design: A descriptive survey requesting wri...

Response to Vibration‐controlled transient elastography in pediatric metabolic dysfunction‐associated steatotic liver disease: Considerations for risk stratification and clinical use

The authors declare no conflict of interest. Data sharing is not applicable to this article as no datasets were generated or analyzed during the current study.

Primary Ciliary Dyskinesia: Recent Updates in Its Prevalence and Diagnosis

Primary ciliary dyskinesia (PCD) is a genetic disorder characterized by dysfunction of motile cilia throughout the body. Within the upper and lower airways, this ciliary dysfunction results in impaired mucociliary clearance. Leading to chronic, progressive respiratory disease cul...

Response to “Comment on ‘Pediatric Esophageal Biomechanics and Remodeling: Integrating Distensibility and Compliance Beyond Luminal Diameter’”

Data sharing is not applicable to this article as no datasets were generated or analyzed during the current study.

Derivation of Pediatric Emergency Preparedness Checklist for Urgent Care Centers

OBJECTIVES To develop a consensus-based pediatric emergency preparedness checklist tailored for urgent care centers, addressing policies, procedures, personnel, equipment, and medications necessary to stabilize critically ill or injured children prior to transfer. METHODS A modif...