High numbers of youth report using prescription opioids in the past year
A new analysis of data from the National Survey on Drug Use and Health finds a surprisingly high prevalence of prescription opioid use among youth. As recently as 2015–2016, 21 percent of adolescents and 32 percent of young adults said they had used these drugs in the past year. Nearly 4 percent and 8 percent, ... Read More about High numbers of youth report using prescription opioids in the past year
Beware probiotics in ICU patients
It’s become common for patients in the intensive care unit (ICU), both children and adults, to receive probiotics. Often, they are started at home to counteract diarrhea caused by antibiotics. There is also interest in using probiotics proactively in the ICU. A large multicenter clinical trial in Canada is testing whether probiotics would prevent ventilator-associated ... Read More about Beware probiotics in ICU patients
Most parents of children with advanced cancer don’t recognize their low chance of cure
End-of-life care for children with advanced cancer is often very intensive, and can cause much suffering. When parents recognize that a cure is unlikely, they often choose to spare their children from aggressive treatments and focus on the quality of their child’s remaining time. But a study published Oct. 4 in the journal Cancer finds ... Read More about Most parents of children with advanced cancer don’t recognize their low chance of cure
Racial differences in response to asthma therapies, and other AsthmaNet lessons
African Americans have higher rates of serious asthma attacks, hospitalizations, and asthma-related deaths than whites. Now, a large multicenter study of African Americans with poorly controlled asthma finds that one size doesn’t fit all when it comes to common asthma treatments. Results appear in The New England Journal of Medicine (NEJM). The randomized study had ... Read More about Racial differences in response to asthma therapies, and other AsthmaNet lessons
Caring for immigrant children in politically contentious times
Facing public outrage, the U.S. Department of Homeland Security recently reversed their decision to end medical deferred action, a program allowing immigrants with serious illnesses to remain in the country while receiving lifesaving medical treatment. Among those most relieved by the reversal was Dr. Lakshmi Ganapathi, pediatric infectious disease specialist at Boston Children’s Hospital and ... Read More about Caring for immigrant children in politically contentious times
Pediatric stroke: Do you believe these three myths?
Think fast: How much do you know about pediatric stroke? If you’re like many clinicians, you may not even realize that kids can have strokes. Yet knowing the signs of stroke in children, as well as when to refer, is crucial for primary care providers as well as specialists. Here, Miya Bernson-Leung, MD, EdM, a ... Read More about Pediatric stroke: Do you believe these three myths?
Improving developmental care for infants in the Cardiac Intensive Care Unit
Infants born with congenital heart disease (CHD) are some of the most fragile patients, often requiring surgery or other interventions in the first few months after birth. They also face a higher risk of developmental delays, learning disabilities, and behavioral problems than children born with a healthy heart. To help mitigate these developmental challenges, a ... Read More about Improving developmental care for infants in the Cardiac Intensive Care Unit
Innovations in transcatheter valve replacement
The Cardiac Catheterization Program at Boston Children’s Hospital has been at the cutting edge of pediatric care for more than 60 years, developing and refining innovative catheterization techniques and procedures. “The program was built on a culture of collaboration, training, and innovation,” says Diego Porras, MD, FAAP, program chief. “We continue to foster new ideas ... Read More about Innovations in transcatheter valve replacement
In surgery for people with sepsis, choice of anesthetic may matter
Sepsis, an extreme immune response to infection, has no specific treatment and is a leading cause of hospital deaths. As part of their care, patients often undergo imaging procedures and surgery to pinpoint and help eliminate the infection. New preclinical findings suggest that the choice of general anesthetic used for these procedures can influence sepsis ... Read More about In surgery for people with sepsis, choice of anesthetic may matter
Four ways to manage the impact of cystic fibrosis on the GI system
Cystic fibrosis, a genetic disorder that affects the lungs and other organs, used to be considered a childhood disease with a very high mortality rate. But today, thanks to improvements in screenings, diagnosis, and treatments, as well as a deeper understanding of the importance of managing nutritional status, people with cystic fibrosis are living into ... Read More about Four ways to manage the impact of cystic fibrosis on the GI system