Therapy

Utility of Nebulized Hypertonic Saline in the Treatment of Viral Bronchiolitis

Author Name(s):
Howard Topol, MD
Reviewer Name:
Chris Feudtner, MD, PhD, MPH
Clinical Question:

Should 3% nebulized hypertonic saline be used to treat infants hospitalized with viral bronchiolitis?

Atrovent and Asthma Beyond the Emergency Department

Author Name(s):
Javier J. Lasa, MD and Amy Cohen, MD
Reviewer Name:
Angela Ellison, MD
Clinical Question:

Does nebulized ipratropium bromide (Atrovent) have a clinically significant effect in treating moderate to severe asthma exacerbations in hospitalized pediatric patients?

Does early initiation of parenteral nutrition improve the outcomes of critically ill neonates?

Author Name(s):
Annie Giaccone, MD, Tawia Apenteng, MD
Reviewer Name:
Samir S. Shah, MD, MSCE
Clinical Question:

Are there benefits to starting TPN early in critically ill neonates?

To use or not to use IV magnesium sulfate for severe asthmatics

Author Name(s):
Melissa Lerman MD, Calies Sauk-Schubert MD, Joanne Smith MD, Steve Standage MD
Reviewer Name:
Ronald C. Rubenstein, MD, PhD
Clinical Question:

What is the utility of intravenous magnesium sulfate in improving clinical symptoms or reducing admission in pediatric patients suffering from acute asthma?

DVT Therapy in Children

Author Name(s):
Adam Himebauch, MD, Jasmine Karalakulasingam, MD, and Neera Goyal, MD
Reviewer Name:
James Guevara, MD, MPH
Clinical Question:

What is the efficacy of anti-coagulation therapy for acute and recurrent venous thromboembolism (VTE) in children?
What is the evidence that prophylactic anticoagulation in pediatric patients for those at high risk for VTE is safe and effective?

ESBL-Producing Bacteria and Third Generation Cephalosporins: Implications for Empiric Therapy and Formulary Changes

Author Name(s):
Grace Lee, MD; Allison Wahl, MD, MPH
Reviewer Name:
Ron Keren, MD, MPH
Clinical Question:

1. Does the restricted usage of ceftazidime result in reduced third-generation cephalosporin resistance?
2. Does the replacement of third generation cephalosporins with cefepime for empiric treatment of bacterial infection result in improved clinical outcomes?

Timing of Transition to Oral Antibiotics for Acute Hematogenous Osteomyelitis

Author Name(s):
David Barrett, MD, PhD; Antonella Cianferoni, MD, PhD
Reviewer Name:
David Rubin, MD, MSCE
Clinical Question:

When can a transition from initial IV antibiotic therapy to oral antibiotics be made in the treatment of uncomplicated acute hematogenous osteomyelitis?

Corticosteroids in upper airway obstruction due to non-croup infections

Author Name(s):
Cheryl Clarkin, MD
Reviewer Name:
James Guevara, MD
Clinical Question:

Are corticosteroids useful in preventing upper airway obstruction due to peritonsillar abscess, retropharyngeal abscess or infectious mononucleosis?

Role of H2 antagonists in Treating Patients with Acute Hypersensitivity Reactions

Author Name(s):
Lisa Nash, MD; Kavita Parikh, MD; Halden Scott, MD
Reviewer Name:
Joseph Zorc, MD
Clinical Question:

Does the addition of H2 antagonists to standard therapy improve the resolution of acute hypersensitivity symptoms in children who present to the emergency department?

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