Parent-/nurse-controlled analgesia provided effective pain relief in most children <6 yr of age experiencing nonsurgical or postoperative pain. The observed incidence of vomiting and pruritus was similar to that seen in older patients treated with patient-controlled analgesia. However, significant respiratory depression, although uncommon, did occur, thus reinforcing the need for close patient monitoring.

The addition of three doses of ipratropium to an ED treatment protocol for acute asthma was associated with reductions in duration and amount of treatment before discharge.

No abstract

A pediatric teaching hospital developed a comprehensive leadership training program for midlevel nurse leaders with varying levels of management knowledge and experience. Content was based on American Organization for Nursing Leadership nurse manager competencies and data from a comprehensive needs assessment. Learners identified differentiating between leadership and management, influencing behavior, managing change, and communication as areas of increased confidence. This program is applicable to any hospital with multiple midlevel nurse leaders new to the role.

Key Points Question How often and for how long do children and their caregivers miss school or work after critical care hospitalization for acute respiratory failure? Findings In this secondary analysis of the Randomized Evaluation of Sedation Titration for Respiratory Failure clinical trial, more than two-thirds of children missed school after discharge for a median of 9.1 days. Among primary caregivers, more than half missed work after their child’s hospitalization for a median of 2 days. Meaning These findings suggest that children and their caregivers often miss school or work after critical care hospitalization for acute respiratory failure; these children may be at increased risk of lower educational achievement, economic hardship, and poor health outcomes in adulthood.