Cochrane Systematic Review: Videolaryngoscopy versus direct laryngoscopy for tracheal intubation in children (excluding neonates)

intubation pic

Evidence suggests that indirect laryngoscopy, or videolaryngoscopy, leads to prolonged intubation time with an increased rate of intubation failure when compared with direct laryngoscopy (very low-quality evidence due to imprecision, inconsistency, and study limitations). Review authors had difficulty reaching conclusions on adverse haemodynamic responses and other adverse effects of intubation, as only a few children were reported to have these outcomes. Use of indirect laryngoscopy, or videolaryngoscopy, might lead to improved vocal cord view, but marked heterogeneity between studies made it difficult for review authors to reach conclusions on this outcome.

Link to review here

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RCPCH – Stroke in Childhood: Clinical guideline for diagnosis, management and rehabilitation (2017)

Stroke 2017 guidelines

The first clinical guideline on stroke in childhood was published by the Royal College of Physicians (RCP) in 2004. These guidelines may no longer reflect the best and most up-to-date clinical practice, and as such required urgent updating to ensure utilisation of current evidence.

This 2017 iteration of the clinical guideline delivers an update and scope extension, and provides guidance on the identification, diagnosis, management and rehabilitation of children and young people (aged 29 days to 18 years at time of presentation) with arterial ischaemic stroke (AIS) and haemorrhagic stroke (HS).

Link to guidance here

RCPCH State of Child Health short report: Sustainability & Transformation Partnerships

STP report 2017.PNG

Launched on 16 May 2017, the RCPCH Sustainability and Transformation Partnership (STP) report is based on a review of the 44 published STP plans, which reveal major deficiencies – they are failing to take into account the needs of infants, children and young people. STPs are the proposals put together by the NHS and local councils to meet the health needs of the local population in 44 areas of England.

Link to report here

Early administration of inhaled corticosteroids for preventing chronic lung disease in very low birth weight preterm neonates

premature
Image: Pixabay

Chronic lung disease (CLD) remains a common complication among preterm infants. There is increasing evidence that inflammation plays an important role in the pathogenesis of CLD. Due to their strong anti-inflammatory properties, corticosteroids are an attractive intervention strategy. However, there are growing concerns regarding short- and long-term effects of systemic corticosteroids. Theoretically, administration of inhaled corticosteroids may allow for beneficial effects on the pulmonary system with a lower risk of undesirable systemic side effects.

Link to review here

RCPCH Report: Poverty is ‘making children sick’

Poverty and child health RCPCH 2017

Poverty and low income is seriously affecting the health of UK children according to paediatricians – and any new Government must tackle health inequalities or risk storing up health problems for future generations. That’s according to a new report from the Royal College of Paediatrics and Child Health (RCPCH) and Child Poverty Action Group (CPAG) launched today (11 May 2017).

The report looks at a number of areas including food insecurity, poor housing and worry, stress and stigma – and their effect on the health of children.

It reveals that:

  • more than two-thirds of paediatricians surveyed said poverty and low income contribute ‘very much’ to the ill health of children they work with
  • housing problems or homelessness were a concern for two thirds of respondents.
  • more than 60% said food insecurity contributed to the ill health amongst children they treat 3
  • 40% had difficulty discharging a child in the last 6 months because of concerns about housing or food insecurity
  • more than 50% of respondents said that financial stress and worry contribute ‘very much’ to the ill health of children they work with

    Link to report here