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Biomedical subjects

C M Haberkern

Publications and source records attributed to C M Haberkern.

7 recordsLinked to original sources

Postoperative pain management in children.

Postoperative pain management in children is a topic that has been neglected in the past but is currently an active field of interest and effort. Clearly, the child's cognitive understanding of and emotional response to pain are different than an adult's, and these differences make pain assessment and control more difficult. Ongoing work to develop more accurate techniques of estimating pain intensity in children may have helpful results. The effects of untreated pain in children are similar to those in adults but may have more long-term consequences in children. In the past, postoperative pain treatment in children was often inadequate, but newer techniques, such as continuous infusion of opioids, patient-controlled analgesia, epidural administration of opioids, and regional analgesia, hold promise for improved care in the future.

Analgesia, Epidural

The 'breech head' and its relevance.

Eight infants had scaphocephaly with prominent occipital shelving. This abnormal head shape is identified as a postural deformation associated with breech intrauterine position, and it is noted to resolve during infancy with no apparent residual impairment in most cases. At the same time, the "breech head," as we have designated this unusual head form, may occur in the setting of a primary problem in fetal morphogenesis, and it may be itself a factor contributing to birth injury during vaginal delivery of the breech infant.

Breech Presentation

Eosinophilic gastroenteritis presenting as ileocolitis.

An adolescent girl who presented with clinical and roentgenographic ileocolitis diagnosed as Crohn's disease was found to have histological evidence of eosinophilic gastroenteritis. The potential for colonic involvement in this disease is affirmed.

Adolescent