RESUMEN
UNLABELLED: The efficacy of an inhaled equimolar mixture of nitrous oxide and oxygen (Entonox/MEOPA) to prevent procedural pain during renal percutaneous biopsies in children was assessed. PATIENTS AND METHODS: One hundred and seven children who underwent 113 renal biopsies during a 17-month period were included in a prospective uncontrolled pediatric study. Efficacy was evaluated using patients' answers to a questionnaire and nurses' observations. RESULTS: Pain was absent in 86.5% of the cases. Mild adverse events were noted in one-third of the procedures, and were always reversible within a few minutes when the inhalation stopped. Acceptability was good. The use of this gas is easy and safe provided a few precautions are observed. CONCLUSION: Inhaled equimolar mixture of nitrous oxide and oxygen prevents procedural pain during renal percutaneous biopsies.
Asunto(s)
Analgesia/métodos , Anestésicos Combinados/uso terapéutico , Biopsia con Aguja/efectos adversos , Enfermedades Renales/patología , Óxido Nitroso/uso terapéutico , Oxígeno/uso terapéutico , Dolor/tratamiento farmacológico , Dolor/etiología , Administración por Inhalación , Factores de Edad , Analgesia/efectos adversos , Anestésicos Combinados/efectos adversos , Anestésicos Combinados/química , Química Farmacéutica , Niño , Mareo/inducido químicamente , Femenino , Humanos , Masculino , Náusea/inducido químicamente , Óxido Nitroso/efectos adversos , Óxido Nitroso/química , Oxígeno/efectos adversos , Oxígeno/química , Dolor/diagnóstico , Dimensión del Dolor , Estudios Prospectivos , Resultado del Tratamiento , Vómitos/inducido químicamenteRESUMEN
Hypertrophic pyloric stenosis is a common affection in infants aged 3-8 weeks and typically does not affect older children. We report a case of pyloric stenosis that occurred recurrently at the ages of 3 and 7 years in a boy with X-linked chronic granulomatous disease. We emphasize the inflammatory origin of such stenosis, whose progression was favorable thanks exclusively to drug treatment with corticosteroids. We note that chronic granulomatous disease can affect the entire digestive tract, similar to inflammatory bowel disease in children.