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            "itemType": "journalArticle",
            "title": "Sedation with nitrous oxide compared with no sedation during catheterization for urologic imaging in children",
            "creators": [
                {
                    "creatorType": "author",
                    "firstName": "Judith L",
                    "lastName": "Zier"
                },
                {
                    "creatorType": "author",
                    "firstName": "Kathryn A",
                    "lastName": "Kvam"
                },
                {
                    "creatorType": "author",
                    "firstName": "Stephen C",
                    "lastName": "Kurachek"
                },
                {
                    "creatorType": "author",
                    "firstName": "Marsha",
                    "lastName": "Finkelstein"
                }
            ],
            "abstractNote": "BACKGROUND\n\nVarious strategies to mitigate children's distress during voiding cystourethrography (VCUG) have been described. Sedation with nitrous oxide is comparable to that with oral midazolam for VCUG, but a side-by-side comparison of nitrous oxide sedation and routine care is lacking.\n\n\nOBJECTIVE\n\nThe effects of sedation/analgesia using 70% nitrous oxide and routine care for VCUG and radionuclide cystography (RNC) were compared.\n\n\nMATERIALS AND METHODS\n\nA sample of 204 children 4-18 years of age scheduled for VCUG or RNC with sedation or routine care were enrolled in this prospective study. Nitrous oxide/oxygen (70%/30%) was administered during urethral catheterization to children in the sedated group. The outcomes recorded included observed distress using the Brief Behavioral Distress Score, self-reported pain, and time in department.\n\n\nRESULTS\n\nThe study included 204 patients (99 nonsedated, 105 sedated) with a median age of 6.3 years (range 4.0-15.2 years). Distress and pain scores were greater in nonsedated than in sedated patients (P < 0.001). Time in department was longer in the sedated group (90 min vs. 30 min); however, time from entry to catheterization in a non-imaging area accounted for most of the difference. There was no difference in radiologic imaging time.\n\n\nCONCLUSION\n\nSedation with nitrous oxide is effective in reducing distress and pain during catheterization for VCUG or RNC in children.",
            "publicationTitle": "Pediatric Radiology",
            "publisher": "",
            "place": "",
            "date": "Jul 2007",
            "volume": "37",
            "issue": "7",
            "section": "",
            "partNumber": "",
            "partTitle": "",
            "pages": "678-684",
            "series": "",
            "seriesTitle": "",
            "seriesText": "",
            "journalAbbreviation": "Pediatr Radiol",
            "DOI": "10.1007/s00247-007-0508-z",
            "citationKey": "",
            "url": "http://www.ncbi.nlm.nih.gov/pubmed/17564739",
            "accessDate": "2011-11-23T22:12:21Z",
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            "shortTitle": "",
            "language": "",
            "libraryCatalog": "NCBI PubMed",
            "callNumber": "",
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            "extra": "PMID: 17564739",
            "tags": [
                {
                    "tag": "Adolescent",
                    "type": 1
                },
                {
                    "tag": "Chi-Square Distribution",
                    "type": 1
                },
                {
                    "tag": "Child",
                    "type": 1
                },
                {
                    "tag": "Child, Preschool",
                    "type": 1
                },
                {
                    "tag": "Conscious Sedation",
                    "type": 1
                },
                {
                    "tag": "Female",
                    "type": 1
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                {
                    "tag": "Humans",
                    "type": 1
                },
                {
                    "tag": "Male",
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                },
                {
                    "tag": "Nitrous Oxide",
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            "creators": [
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                    "creatorType": "author",
                    "firstName": "J",
                    "lastName": "Macguire"
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            ],
            "abstractNote": "The first paper set out the 10 principles which formed the basis on which primary nursing has been introduced in an acute elderly care ward. This paper explores the problems of expressing these principles in terms which make it possible to demonstrate that changes in the way nurses approach their patients and their work have really taken place and suggests some of the research strategies which might be appropriate.",
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                    "firstName": "B",
                    "lastName": "McCormack"
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            "abstractNote": "The research describes how nursing staff on a general surgical ward in a district general hospital perceived the delivery method of nursing care in practice. The study design was based on ethnographic methods and data were collected by diary keeping and semi-structured interviews. An organizational method based on the principles of primary nursing had been implemented on the ward for 2 years prior to the study commencing. As well as talking in general terms about primary nursing, the nursing staff talked at some length about specific issues related to their practice.",
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            "abstractNote": "It is argued in this paper that since practice is context bound, there can be no `blueprint' offered through a formal educational programme for primary nursing. It is suggested that what may be needed is support on a much broader basis to help nurses to move from the relative safety of traditional approaches to work to the much riskier independent professional model of practice implicit in primary nursing. Three key areas have been identified which could be incorporated within an educational programme, namely development of self as an independent practitioner with the requisite skills of self-directed learning, the ability to accept responsibility discriminatingly and to account for practice through a well-established knowledge base; development of interpersonal skills required for the close personal nurse/client relationships required of primary nurses alongside appropriate support mechanisms; an understanding of the context in which practice occurs in order that the broad principles of primary nursing can be adapted to local needs. In this way, people may be helped to move from a dependency on central control and decision-making to become independent creative practitioners who are able to develop a local organisational model which suits their personal situation.",
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