Related Experiment Video
Updated: Dec 7, 2025
11:19
Guidelines for Elective Pediatric Fiberoptic Intubation
Published on: January 17, 2011
18.1K
Distilling the Key Elements of Pediatric Appendicitis Clinical Practice Guidelines
Martha-Conley Ingram1, Courtney J Harris1, Abbey Studer1
1Division of Pediatric Surgery, Department of Surgery, Northwestern University, Feinberg School of Medicine, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, Illinois.
The Journal of Surgical Research
|October 3, 2020
Summary
Clinical practice guidelines (CPGs) for pediatric appendicitis improve patient outcomes. This review identified 16 key elements for evidence-based CPGs, focusing on consistent recommendations for simple cases and areas needing further standardization.
Area of Science:
- Pediatric Surgery
- Evidence-Based Medicine
- Clinical Practice Guidelines
Background:
- Clinical practice guidelines (CPGs) are crucial for reducing care delays, optimizing resources, and enhancing patient outcomes.
- A systematized review was performed to identify essential components for evidence-based CPGs in pediatric appendicitis.
Purpose of the Study:
- To identify key decision points and content areas for evidence-based clinical practice guidelines (CPGs) in pediatric appendicitis.
- To synthesize findings from CPGs developed between 2000 and 2019.
Main Methods:
- A systematized review of 27 clinical practice guidelines (CPGs) for pediatric appendicitis.
- Content analysis to identify key decision points and areas of consensus or heterogeneity.
Main Results:
- Sixteen key elements were identified, covering triage to postoperative care.
- High consensus exists on laparoscopic surgery and delayed postoperative imaging for abscess screening.
- Heterogeneity noted in antibiotic choices for perforated appendicitis and diagnostic utility of postoperative labs.
Conclusions:
- Developing evidence-based CPGs for pediatric appendicitis requires focusing on specific key elements.
- Implementation of CPGs is linked to improved patient outcomes in pediatric appendicitis care.
Related Concept Videos
01:22Appendicitis-I: Introduction
1.5K
The appendix, a small, narrow, blind tube extending from the inferior part of the cecum, is widely regarded as a vestigial organ, having lost much of its original function through evolution. Despite its diminished role, the appendix can become inflamed, a condition known as appendicitis.
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
1.5K
01:29Appendicitis-II: Diagnostic Studies and Management
308
Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
308
01:30Acute Pancreatitis II: Clinical Manifestations and Management
545
Acute pancreatitis presents a complex medical emergency characterized by rapid onset inflammation of the pancreas, demanding timely diagnosis and management to prevent complications. The condition primarily manifests through severe upper abdominal pain that often radiates to the back. This pain intensifies following the consumption of fatty foods. Accompanying symptoms such as nausea, vomiting, abdominal distention, fever, dyspnea, cyanosis, and jaundice can vary in intensity but significantly...
545
01:26Endoscopic Procedures V: ERCP
1.8K
Endoscopic Retrograde Cholangiopancreatography (ERCP) is a diagnostic procedure that combines endoscopy and fluoroscopy to diagnose and treat conditions related to the bile ducts, pancreatic ducts, and gallbladder. This procedure is beneficial for identifying and addressing blockages, gallstones, strictures, and tumors within the biliary or pancreatic systems. ERCP is both diagnostic and therapeutic, offering the ability to visualize and treat identified problems in one session.
Patient...
Patient...
1.8K
01:26Esophageal Strictures-II: Clinical Features and Management
289
Patients with esophageal strictures often experience a range of symptoms. Initially, they may have difficulty swallowing solid foods, which can progress to include liquids. Additional symptoms may involve chest pain or discomfort, regurgitating food and fluids, heartburn, unintentional weight loss, coughing or choking during meals, and hoarseness.
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
289
01:28Peptic Ulcer Disease III: Clinical Manifestations and Diagnostic Studies
391
Peptic ulcer disease (PUD) presents with diverse symptoms depending on the location and severity of the ulcer. Clinical manifestations of peptic ulcer include dull pain and a burning sensation in the mid-epigastric region.
Few clinical manifestations differentiate gastric ulcers from duodenal ulcers. Distinctions in the location, timing, and pain relief are crucial for healthcare providers in differentiating between gastric and duodenal ulcers during clinical assessments.
Few clinical manifestations differentiate gastric ulcers from duodenal ulcers. Distinctions in the location, timing, and pain relief are crucial for healthcare providers in differentiating between gastric and duodenal ulcers during clinical assessments.
391