 |
|
|
|
January 20th, 2014
11:18 AM ET
'Routine' tonsillectomies not so routineWhen Jahi McMath suffered severe complications following a tonsillectomy, and doctors declared her brain dead, many parents were shocked. More than 500,000 tonsillectomies are performed each year on children in the United States; it's the second most common pediatric surgery. But how routine are these procedures really? Not so much, a new study published Monday in the scientific journal Pediatrics suggests. Researchers found the quality of care before, during and after a tonsillectomy varies greatly depending on the hospital. When routine surgeries go wrong "We were surprised at the degree of variation between hospitals in the use of medications ... and revisits to hospitals after the surgery for complications," said lead study author Dr. Sanjay Mahant. Researchers analyzed data from the Pediatric Health Information System, looking specifically at 139,155 low-risk children who underwent tonsillectomies between 2004 and 2010 at 36 children's hospitals across the United States. Guidelines from the American Academy of Otolaryngology-Head and Neck Surgery recommend doctors administer dexamethasone on the day of a tonsillectomy. Dexamethasone is used to reduce nausea and pain after surgery. The guidelines do not recommend administering antibiotics because previous studies have shown that antibiotics do not help in preventing bleeding, pain or infection after a tonsillectomy. In addition to looking at whether hospital staff followed these guidelines, Mahant and his team also calculated the number of patients who returned to the hospital in the 30 days after surgery for bleeding, vomiting/dehydration, pain, infection and/or respiratory problems. The results Close to 70% of patients received dexamethansone on the day of their surgery. Nearly a third received antibiotics. A total of 10,868 children - about 7.8% - returned to the hospital after being discharged, most for bleeding and vomiting/dehydration. Those who came in with vomiting tended to return one to two days after being discharged. Those who returned with bleeding were most likely to come in six to seven days after. Older children were more likely to suffer from bleeding problems while younger kids were more likely to experience nausea. Trends The researchers also looked at dexamethasone and antibiotic use over time, as well as the revisit rate during the study period. Dexamethasone use did not change between 2004 and 2010, but the use of antibiotics dropped significantly. The hospital revisit rate remained fairly stagnant. Mahant and his team have held webinars with hospital administrators to educate them about the study results. "There is definitely more work that needs to be done to understand how to reduce revisits to hospital for complications," Mahant told CNN. "One way to investigate this is by studying and learning from high-performing hospitals." Keeping your kid safe Parents and doctors should discuss the risks and benefits of any surgery, Mahant said. For some children, a tonsillectomy is the necessary, or sensible option. However, he said, there are many unanswered questions regarding the the benefits of tonsillectomies for treating certain issues, such as sleep apnea. "Parents should educate themselves about their child’s condition and treatment options, and ask questions so they feel comfortable about their decisions," he said. soundoff (2,279 Responses)« Previous 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 Next »Leave a Reply to 카지노사이트
Next entry »Guns in home increase suicide, homicide risk
« Previous entry5 studies you may have missed
|
  About this blog
Get a behind-the-scenes look at the latest stories from CNN Chief Medical Correspondent, Dr. Sanjay Gupta, Senior Medical Correspondent Elizabeth Cohen and the CNN Medical Unit producers. They'll share news and views on health and medical trends - info that will help you take better care of yourself and the people you love.
 |
|
|
|
Social network traffic Facebook likes Twitter Followers Instagram Followers and much more
https://bit.ly/3iVO2Vh
https://www.wattpad.com/user/babiesclam22
Social network traffic Facebook likes Twitter Followers Instagram Followers and much more
https://bit.ly/2Hnl7vE
Огромное тебе СПАСИБО
_________________
pin up bet обзор – https://kazinopinup.realtopmoneygames.xyz, pin up bet официальный сайт зеркало.
This web site truly has all the information and facts I wanted concerning this subject and didnÃt know who to ask.
https://manchesterclopedia.win/wiki/What_is_the_Real_Advantage_of_Participating_in_Holdem_poker
Wow
https://dutchevita.livejournal.com/
http://www.ligeramente.com/index.php?qa=user&qa_1=nicflute6
Excellent beat ! I wish to apprentice even as you amend your web site, how could i subscribe for a weblog web site?
The account helped me a appropriate deal. I have been tiny bit acquainted of this your broadcast provided bright transparent idea
magnificent publish, very informative. I ponder why the exact opposite specialists with this sector don't understand
this. You must continue your writing. I'm sure,
you have a massive readers' base already!
Visit my web page; EdwardNZukor
Hi would you mind letting me know which hosting company you're using? I've loaded your blog in 3 completely different browsers and I must say this blog loads a lot faster then most. Can you recommend a good hosting provider at a reasonable price? Cheers, I appreciate it!
https://linkw88moinhat.com/
thank you for this post
https://itsmyurls.com/wietzaadjes
Do you have a spam issue on this website; I also am a blogger, and I was wondering your situation; we have created some nice methods and we are looking to swap techniques with others, why not shoot me an email if interested.
http://www.sdmnapoli.it/index.php?option=com_k2&view=itemlist&task=user&id=535251
Way cool! Some very valid points! I appreciate you writing this write-up and the rest of the site is really good.
http://www.sicipiscine.it/index.php?option=com_k2&view=itemlist&task=user&id=865801
Годнота
_________________
скачать пин ап на айфон – https://kazinopinup.playrealmoneygames.xyz, пин ап скачать бесплатно.
Hello there, just changed into alert to your blog through Google, and
located that it is truly informative. I'm gonna watch
out for brussels. I'll be grateful in the event you proceed this in the future.
Many people may be benefited from your writing. Cheers!
Also visit my page ... GeraldSPorat
I have been surfing online greater than three hours these days, yet I by no means discovered any interesting article like yours. It’s lovely value enough for me. In my opinion, if all website owners and bloggers made just right content material as you probably did, the web will be much more helpful than ever before.
http://maps.google.by/url?q=http://payprodeal.com
https://spamdb.science/wiki/Down_sides_of_Gambling
Hello there! I could have sworn I챠ve been to this website before but after browsing through many of the articles I realized it챠s new to me. Anyhow, I챠m definitely happy I found it and I챠ll be book-marking it and checking back frequently!
http://xn--h1aaidx.xn--p1ai/user/l3lnxob789
http://www.opencart.com.tr/member.php?action=profile&uid=56812
That is a very good tip particularly to those new to the blogosphere. Brief but very accurate informationÖ Appreciate your sharing this one. A must read post!
https://blogfreely.net/fatmist27/a-few-tips-about-playing-pai-cow
https://www.electricpercolatorcoffeepot.com/10-top-coffee-bloggers/
Hey, you used to write magnificent, but the last several posts have been kinda boring¡K I miss your tremendous writings. Past several posts are just a little bit out of track! come on!
https://www.electricpercolatorcoffeepot.com/10-top-coffee-bloggers/
Did you know these facts on CBD OIL and Full Spectrum CBD Hemp Oil? Cannabinoids are separated from hemp utilizing supercritical CO2 extraction. Thanks to modern technology, the resulting service is tidy, without unnecessary waxes and heavy metals, naturally present in the plant, and the drawn liquid has a common, oily consistency. CBD oil includes cannabidiol as a base component and may consist of only trace amounts of tetrahydroxycannabidiol (THC). Functions as a memory enhancer, improving concentration and coordination of movements, getting rid of swelling and frequent infections. It improves the conduction of stimuli in the course of autoimmune diseases (several sclerosis, amyotrophic sclerosis). It is suggested by doctors and pharmacists as an antioxidant and substance that obstructs the action of proinflammatory cytokines (proteins), e.g. in Crohn's disease or ulcerative intestinal tract. RSO oil has a low CBD material, while high THC. Of course, the key task of RSO is to trigger a psychoactive impact, although it can also stimulate "ill" brain structures. It deserves knowing that supplementation of this type is primarily utilized by individuals to whom basic therapy does not bring relief in disease. The synergistic (enhancing) action of CBD and THC relative to each other is utilized here. Both cannabinoids can do much more together than when utilized individually. In addition, they collectively promote the division of inactive afferent neuron, nourish the fatty envelope of the nerves, and prevent myelin inflammation that causes loss of function in some autoimmune diseases. There are likewise stories where marijuana in its natural form softened spasticity, decreased the frequency of seizures and convulsions, and reduced unpleasant scrapie in Parkinson's disease. This is where the concept of receiving RSO, meant just for chronically ill people, stemmed . Both marijuana oil type CBD and RSO likewise consist of other cannabinoids, such as cannabichromene (CBC) and cannabigerol (CBG). The trick is not, nevertheless, that CBD frequently has a structure broadened to include flavones, flavonoids, terpenes, terpenoids, amino acids and omega acids. The difference is primarily due to intentions guiding mankind to utilize one or the other product. CBD medical cannabis oil is a rather advantageous mix of cannabinoids, developed to secure against 21st century illness. It's best to utilize all of these substances together, as nature produced them and enclosed in cannabis inflorescences. Oil of cannabis in a sort of pastime APR contains percentages of CBD, balanced by the existence of THC. Makers concentrate on the synergistic effect of one compound relative to the other, while deserting the presence of CBC and CBG. Why such a choice? – Modern scientific research reveals that CBD + THC cope with major autoimmune diseases, while CBC or CBG reveal very little activity in the existence of both substances, much like flavonoids, terpenes or flavones, for that reason their material in the option seems to be unneeded. In addition, the cannabis strain from which THC and CBD are derived consist of negligible amounts of other cannabinoids. RSO oil is entirely unlawful in Poland, which is why it can not be acquired in any legally running store on the market. Naturally, there are a number of amateur techniques for acquiring it, however it's excellent to understand that substances gotten synthetically in house labs doubt, untested, and the effect unknown. The solvent for the production of home RSO is typically gasoline, alcohol and even kerosene, which instead of curing, poison. Alcohols and their like impair cannabinoids, and so in reality, they don't bring anything new to the medical world. Marijuana oil has already marked a new period in which guy ceased to fear what is unknown, and began to find what our forefathers had already noticed and use the significant potential, in the beginning look, a little bizarre relationships, associated generally with pathology. Medical marijuana, contrary to its name, does not imply fermented female inflorescences and leaves consisting of psychoactive substances coiled in so-called "Joints", but an advantageous oil without psychoactive THC. A basic individual, after taking doses of medicinal cannabis and achieving the appropriate state of cannabinoids in the blood, can enjoy increased resistance, reduced vulnerability to cancer, postponed aging and minimized threat of stroke or cardiac arrest. CBD oil consists of cannabidiol as a base component and might include just trace amounts of tetrahydroxycannabidiol (THC). RSO oil has a low CBD content, while high THC. Both marijuana oil type CBD and RSO likewise consist of other cannabinoids, such as cannabichromene (CBC) and cannabigerol (CBG). CBD medical cannabis oil is a rather advantageous mix of cannabinoids, created to safeguard against 21st century disease. Oil of cannabis in a kind of pastime APR contains small amounts of CBD, stabilized by the presence of THC.
https://www.laweekly.com/best-cbd-for-anxiety-which-cbd-product-is-best-for-stress-and-anxiety/
I just like the valuable info you provide in your articles. I’ll bookmark your weblog and test once more right here regularly. I am fairly certain I will be told a lot of new stuff proper right here! Best of luck for the next!
https://spamdb.science/wiki/How_to_Get_Microsoft_Office_2019_for_mac_Product_Key_at_cheap_Rate
https://kinofront.ru/user/h4emwnt070
I blog often and I genuinely appreciate your information. This great article has really peaked my interest. I am going to take a note of your site and keep checking for new information about once per week. I opted in for your Feed as well.
http://183.almatybala.kz/user/l2jqbqm689
Fantastic post but I was wanting to know if you could write a litte more on this subject? I'd be very thankful if you could elaborate a little bit further. Cheers!
https://video.ultra-zone.net/watch?v=udKQjeVq1oA
Along with almost everything which seems to be developing throughout this particular area, a significant percentage of perspectives happen to be quite refreshing. On the other hand, I beg your pardon, because I can not subscribe to your entire strategy, all be it stimulating none the less. It appears to everyone that your comments are generally not completely justified and in simple fact you are generally your self not even wholly confident of the assertion. In any event I did appreciate examining it.
http://haiamerika.com/author/grapecoast22/
https://www.wattpad.com/user/sharkdebt56
http://beloter.com/index.php?qa=user&qa_1=goldfreeze8
Heya are using WordPress for your blog platform? I'm new to the blog world but I'm trying to get started and create my own. Do you require any coding knowledge to make your own blog? Any help would be really appreciated!
http://opensocialfactory.com/submit
http://docprobe.de/mybb/member.php?action=profile&uid=61316
I love reading through an article that can make people think. Also, thanks for allowing for me to comment!
http://musikayf.ru/user/pinesyrup89/
ItÃs hard to find knowledgeable people for this subject, however, you sound like you know what youÃre talking about! Thanks
http://ask.digitalskillsbd.com/index.php?qa=user&qa_1=templedust84
http://www.0510365.com/home.php?mod=space&uid=3298667
I am very happy to read this. This is the type of manual that needs to be given and not the accidental misinformation that is at the other blogs. Appreciate your sharing this greatest doc.
http://bfstoneage.com/bbs/home.php?mod=space&uid=537960
My wife and i were now fulfilled when Louis managed to round up his studies through your precious recommendations he grabbed through your blog. It's not at all simplistic to simply be freely giving steps that some people may have been trying to sell. And we also discover we now have the blog owner to be grateful to for that. All of the explanations you have made, the simple blog navigation, the friendships you will give support to foster – it's most superb, and it's helping our son and our family do think this idea is amusing, and that's extraordinarily indispensable. Thank you for all!
https://yarnhail1.tumblr.com/post/641834928716251137/its-the-side-of-extreme-moving-to-florida-rarely
http://www.newsdiffs.org/article-history/?url=https://mt-heaven.com/
Having read this I thought it was very enlightening. I appreciate you spending some time and energy to put this information together. I once again find myself personally spending a lot of time both reading and leaving comments. But so what, it was still worth it!
http://drpetepublishing.com/members/fathub60/activity/157635/
That is a good tip particularly to those fresh to the blogosphere. Short but very precise informationÖ Thank you for sharing this one. A must read post!
https://blogfreely.net/fatkidney11/a-crazy-eight-card-game
The next time I read a blog, I hope that it won't fail me as much as this one. I mean, Yes, it was my choice to read through, however I really believed you would probably have something useful to talk about. All I hear is a bunch of moaning about something you can fix if you were not too busy looking for attention.
https://www.blackplanet.com/perchronald10/message/22912102
Your manner of addressin this topic is both fantastic and also motivating.
https://www.sfweekly.com/sponsored/cbd-dog-treats-cbd-for-pets-the-ultimate-guide-for-pet-owners/
Excellent blog you have got here.. ItÃs hard to find good quality writing like yours nowadays. I truly appreciate people like you! Take care!!
https://www.spreaker.com/user/13849640
Having read this I believed it was extremely enlightening. I appreciate you taking the time and energy to put this content together. I once again find myself spending a lot of time both reading and posting comments. But so what, it was still worth it!
http://detailkitten45.jigsy.com/entries/general/The-Way-Swedish-Massage-Therapy-Assists-in-Anxiety-Relief
https://telegra.ph/The-Benefits-of-Shiatsu-Massage-01-27
Thank you for your whole work on this website. My daughter really likes setting aside time for investigation and it is simple to grasp why. A number of us notice all about the dynamic way you offer important thoughts through this web blog and in addition invigorate response from other ones on this article then my girl is learning a lot of things. Take pleasure in the remaining portion of the new year. You're carrying out a useful job.
https://www.google.nu/url?q=https://www.youtube.com/embed/2jlzWBPfSjQ&t
I love it when people get together and share opinions. Great blog, continue the good work!
https://www.evernote.com/shard/s716/sh/c1d2d822-57f6-d01e-84a0-1ed6ba792947/2738d14633759cdb7bf4c3be72a579d1
I used to be able to find good information from your blog articles.
https://www.openlearning.com/u/agendapush92/blog/TheWayToPlaySlots
I would like to thank you for the efforts you've put in penning this website. I'm hoping to see the same high-grade blog posts from you later on as well. In fact, your creative writing abilities has motivated me to get my own blog now 😉
https://postheaven.net/pandaroof71/varieties-of-tournament-and-invitation-greeting-cards-intcg
What an outstanding way of looking at things.
https://www.sfweekly.com/sponsored/cbd-dog-treats-cbd-for-pets-the-ultimate-guide-for-pet-owners/