Vacuum bell therapy: A nonsurgical option for chest wall depression (pectus excavatum)
Pectus excavatum is one of the most common chest wall abnormalities, affecting about 1 in 300 children. Physicians at Boston Children’s Hospital helped define early treatments for chest wall problems and continue to develop innovative approaches to pectus excavatum. These innovations include a nonsurgical procedure called vacuum bell therapy. While children with severe pectus excavatum ... Read More
Providing culturally responsive care to refugee and immigrant families
Refugee and immigrant parents and children have unique care needs. They have left their former lives behind, often due to discrimination, poverty, violence, or even ethnic cleansing operations. They may have witnessed or experienced torture or the death of a loved one. Once resettled in the U.S., parents must navigate and adjust to American culture, ... Read More
Vertebral body tethering: Is it an option for my child?
For years, teens and tweens with idiopathic scoliosis had three treatment options: monitoring, bracing, or spinal fusion surgery. A new option emerged in 2019 when the Food and Drug Administration approved a treatment called vertebral body tethering (VBT). Compared to spinal fusion surgery, VBT offers quicker recovery times and the potential for greater spine mobility ... Read More
Inspired by Chinese finger traps, an annuloplasty ring that grows with the child
This post is part of a series on innovations to treat valvular disease in children. Read our prior posts on transcatheter valve replacement and an expandable prosthetic heart valve. Prosthetic annuloplasty rings have improved the durability of heart valve repairs in adults. Implanted at the perimeter of dilated, leaky valves, they help keep the valve ... Read More
Children with severe MIS-C do better with IVIG and steroids as initial therapy
When children started getting sick with multisystem inflammatory syndrome (MIS-C) in the wake of COVID-19, clinicians largely turned to two treatments. Many used immunoglobulin (IVIG) because of MIS-C’s similarities with Kawasaki disease. And many used steroids such as methylprednisolone because of MIS-C’s inflammatory features. Key takeawayIn this large, rigorous national study, initial treatment of MIS-C ... Read More
A successful, low-cost reusable treatment for infant hypothermia
Key Takeaways Infant hypothermia leads to about one million deaths each year, primarily in low- and middle-income countries.A study in rural Rwanda of a non-electric infant warmer developed by Boston Children’s showed it successfully raised infants’ core temperatures and improved survival in preterm infants with hypothermia Infant hypothermia contributes to approximately one million deaths each ... Read More
Beyond HIPAA: Maintaining patient privacy in a big data era
After a prolonged, painful era in which medical data were exchanged mainly by fax, most patients today have electronic health records. But the data within them aren’t as private as they might think, says Kenneth Mandl, MD, MPH. As director of the Computational Health Informatics Program (CHIP) at Boston Children’s Hospital, he’s seen patient data ... Read More
New study ties residual lesion score (RLS) to cardiac surgery outcomes
How well a patient does after surgery for congenital heart disease (CHD) depends on a large number of variables, ranging from patient characteristics to preoperative status to anatomic complexity to perioperative factors. One of the most important predictors of adverse events or reintervention is the presence of residual lesions — structural cardiac abnormalities that remain ... Read More
Suicide prevention in teens: Can we intervene through primary care?
The past year has seen a disturbing rise in suicidal thoughts and attempts among adolescents, with a spike of suicidal teens going to emergency departments (EDs). This adds to a growing trend: From 2007 to 2016, ED visits for deliberate self-harm more than quadrupled nationwide among children age 5 to 17. In a recent review ... Read More
You’re not alone in asking: Five common questions about your baby’s first year
Having a baby often comes with a lot of two things: love and questions. While every infant and family are different, many pediatricians agree that there are common themes in what parents want to know in their child’s first year. We spoke with providers from Briarpatch Pediatrics and Wareham Pediatric Associates of Boston Children’s Primary ... Read More