000			02375na a2200253 4500
999			_c7048 _d7048
003			PC7048
005			20180417112622.0
008			130622s2013 xxx||||| |||| 00| 0 eng d
040			_cH12O
041			_aeng
100			_aInocencio Arocena, Jaime de _91416 _ePediatría
245	0	0	_aSedation for intra-articular corticosteroid injections in juvenile idiopathic arthritis: the views of patients and their parents. _h[artículo]
260			_bEuropean Journal of Pediatrics, _c2013
300			_a172(10):1411-3.
500			_aFormato Vancouver: Casado R, Lumbreras J, de Inocencio J, Remesal A, Merino R, García-Consuegra J. Sedation for intra-articular corticosteroid injections in juvenile idiopathic arthritis: the views of patients and their parents. Eur J Pediatr. 2013 Oct;172(10):1411-3.
501			_aPMID: 23715656
504			_aContiene 5 referencias
520			_aIntra-articular corticosteroid injections (IACI) are one of the mainstays of treatment for children with juvenile idiopathic arthritis. The most important disadvantage of IACI is the pain associated with the procedure. Little is known about the children or parents' perception of this pain. This study was undertaken to determine whether patients and their parents prefer sedation to receive IACI or not and why. A survey form was presented to patients and/or their parents from January to March 2010 to evaluate their choice of anesthesiologist-controlled deep sedation (with sevoflurane) vs. no sedation-no local anesthesia and the reasons for it. All participants had experienced the two options. In addition, there were two visual analog scales (VAS) to evaluate pain associated with blood draws and IACI, respectively. A total of 45 patients and their parents filled out the survey form. There were 34 females; the median age was 10.6 years, and the median duration of the disease was 6.4 years. Median VAS score was 1.3 for pain associated with blood draws, and 6, for IACI. Most children preferred sedation for IACI (26 vs. 15), although four did not show preference for either method. Children who preferred sedation for IACI were younger (p = 0.03) and had a shorter course of disease (p = 0.04). Conclusions: While most children prefer to receive IACI under sedation, a majority of parents prefer to avoid its risks. Children who prefer IACI without sedation are significantly older and have a longer course of disease.
710			_9446 _aServicio de Pediatría-Neonatología
856			_uhttp://pc-h12o-es.m-hdoct.a17.csinet.es/pdf/pc/7/pc7048.pdf _ySolicitar documento
942			_n0 _2ddc _cART