We aimed to evaluate the potential impact of a cataract surgery programme at the Good Shepherd Hospital, Siteki, Swaziland, on the care of orphans and vulnerable children in Swaziland. We studied consecutive patients aged 50 years and older undergoing surgery for age-related cataract who reported having children living in their household. Of 131 subjects recruited, 65 (49.6%) were the primary c...

PURPOSE Autologous iliac crest bone grafting is an integral part of many orthopaedic surgical procedures. Several studies have documented morbidity and prolonged pain following iliac crest bone graft harvesting in adults; however, in children there is a paucity of information. The purpose of the present study was to quantify the degree of pain and morbidity associated with anterior iliac crest ...

OBJECTIVE To determine the incidence, risk factors and outcomes of acute kidney injury in children undergoing cardiac surgery for congenital heart disease. METHODS We enrolled 208 patients undergoing cardiac surgery for congenital heart disease during January 2012 to March 2013. Acute kidney injury was defined as per Acute Kidney Injury Network criteria. RESULTS Twenty patients had Acute ki...

Purpose To report indications, outcomes and complications of instrumented cervical spinal fusion in a consecutive series of children at major university hospitals. Methods A retrospective, single surgeon series identified 35 consecutive children with a mean follow-up (FU) of 2.5 years undergoing instrumented cervical spinal fusion between 2005 and 2015. Results The main indications were ske...

Sir,—I refer to the recent review by Phillips, Daborn and Hatch [1]. Between 1991 and 1993 the Department of Anaesthetics in Newcastle examined the problem of preoperative fasting intervals for children presenting for routine surgery. An initial audit revealed that many children were undergoing prolonged fasts before anaesthesia. After reviewing the literature [2], 8 clear fluid fast of 2 h was...

Sir,—I refer to the recent review by Phillips, Daborn and Hatch [1]. Between 1991 and 1993 the Department of Anaesthetics in Newcastle examined the problem of preoperative fasting intervals for children presenting for routine surgery. An initial audit revealed that many children were undergoing prolonged fasts before anaesthesia. After reviewing the literature [2], 8 clear fluid fast of 2 h was...

background: conduct of cardiopulmonary bypass (cpb) due to the higher volume of priming solution in comparison to the total blood volume in children requires careful consideration. recently attention has been focused on the potential risk of hyperkalemia in these patients. given its significant effects on cardiac rhythm, hyperkalemia is considered a medical emergency. in this cross-sectional st...

BACKGROUND Allergic rhinitis (AR) is a morbid condition in children with chronic rhinosinusitis. The study goal was to determine whether children with AR who are undergoing endoscopic sinus surgery (ESS) will have a poor outcome. METHODS The study population consisted of 141 patients who underwent ESS between January 1994 and December 2002. The outcome of ESS was measured at least 1 year afte...

Background: Conduct of cardiopulmonary bypass (CPB) due to the higher volume of priming solution in comparison to the total blood volume in children requires careful consideration. Recently attention has been focused on the potential risk of hyperkalemia in these patients. Given its significant effects on cardiac rhythm, hyperkalemia is considered a medical emergency. In this cross-sectional st...

QUESTION Many children suffer from chronic and painful illnesses. Hypnosis was found to be effective for analgesia in adults. Is it effective for managing pain in children? ANSWER Children can be easier to hypnotize than adults. Studies have shown clinical hypnosis and self-hypnosis to be effective as adjunct treatments for children in pain. Examples include painful medical procedures, such a...