The aim of the present study was to evaluate the efficacy of EMLA cream (containing a eutectic mi... more The aim of the present study was to evaluate the efficacy of EMLA cream (containing a eutectic mixture of local anaesthetics) in controlling pain due to arteriovenous fistula cannulation in teenagers undergoing chronic haemodialysis. The study was conducted in two phases, one prospective, the other a blind randomized trial, at the Paediatric Haemodialysis service of the Paediatrics Department of Padua University, Italy. It involved six teenagers, aged 12-18 years. Pain was measured using the visual analogue scale, indirect evaluation by nurses and a four-category verbal rating scale. Results showed that: (1) the visual analogue scale calls for an adequate training period; and (2) the EMLA cream might be effective in controlling cannulation-related pain but emotional factors, such as uncontrolled fear and stress, can interfere with the global efficacy of the analgesic approach. Copyright 1998 European Federation of Chapters of the International Association for the Study of Pain.
Klinički centar Niš, Klinika za fizikalnu medicinu, rehabilitaciju i protetiku, Niš Apstrakt Uvod... more Klinički centar Niš, Klinika za fizikalnu medicinu, rehabilitaciju i protetiku, Niš Apstrakt Uvod. Benigni paroksizmalni tortikolis (BPT) je funkcionalni poremećaj nepoznate etiologije koji se odlikuje epizodama abnormalne rotacije i inklinacije glave na jednu stranu, a javlja se u ranom detinjstvu kod zdrave dece. Prikaz bolesnika. Prikazano je dvoje dece sa BPT. Kod prvog bolesnika prvi napad BPT registrovan je u 20. danu života, a poslednji krajem treće godine. Ukupno je registrovano 10 epizoda BPT, od toga su dve epizode bile praćene povraćanjem, bledilom, uznemirenošću i asimetričnim držanjem trupa. Kod drugog bolesnika prvi napad BPT registrovan je u 15. danu života, a u prvih 12 meseci registrovana su ukupno četiri napada koji su bili praćeni povraćanjem. Deca su imala normalan psihomotorni razvoj. Sve načinjene analize u cilju dijagnostike dale su potpuno normalne rezultate. Zaključak. Prepoznavanjem benignog paroksizmalnog tortikolisa i poznavanjem njegovog kliničkog toka izbegavaju se nepotrebne i neprijatne dijagnostičke i terapijske procedure i umiruje se strah roditelja.
Benign paroxysmal vertigo of childhood (BPV) is a paroxysmal, non-epileptic, recurrent event char... more Benign paroxysmal vertigo of childhood (BPV) is a paroxysmal, non-epileptic, recurrent event characterized by subjective or objective vertigo that occurs in neurologically intact children. We recorded the history and the clinical aspects of 19 cases presenting with neurological problems to the outpatient clinic at the Pediatrics Department of Padova University between 1987 and 1998 and re-examined in 1999. Details were collected on the characteristics of their vertigo: age at onset, mode of onset, trigger factors, duration, frequency and recurrence of episodes, duration of symptoms in time and age at disappearance. An attempt was also made to establish any family history of migraine and kinetosis and the most important data were compared, when possible, with those reported in the literature. Differential diagnosis and pathogenetic hypothesis were also reported. It is worth emphasizing that it is important for pediatricians to be aware of these benign events to ensure a correct diagnostic approach, avoiding the child and family any pointless anxiety or costly and sometimes invasive diagnostic procedures. q
Objectives: Little attention has been paid to the assessment of pain in children with development... more Objectives: Little attention has been paid to the assessment of pain in children with developmental delay. The aim of this study was to explore several methods for assessing pain during venipuncture in this population of children, using classic and modified scales to evaluate the children's response to simplified tools.
The aim of the present study was to evaluate the efficacy of EMLA cream (containing a eutectic mi... more The aim of the present study was to evaluate the efficacy of EMLA cream (containing a eutectic mixture of local anaesthetics) in controlling pain due to arteriovenous fistula cannulation in teenagers undergoing chronic haemodialysis. The study was conducted in two phases, one prospective, the other a blind randomized trial, at the Paediatric Haemodialysis service of the Paediatrics Department of Padua University, Italy. It involved six teenagers, aged 12-18 years. Pain was measured using the visual analogue scale, indirect evaluation by nurses and a four-category verbal rating scale. Results showed that: (1) the visual analogue scale calls for an adequate training period; and (2) the EMLA cream might be effective in controlling cannulation-related pain but emotional factors, such as uncontrolled fear and stress, can interfere with the global efficacy of the analgesic approach. Copyright 1998 European Federation of Chapters of the International Association for the Study of Pain.
Klinički centar Niš, Klinika za fizikalnu medicinu, rehabilitaciju i protetiku, Niš Apstrakt Uvod... more Klinički centar Niš, Klinika za fizikalnu medicinu, rehabilitaciju i protetiku, Niš Apstrakt Uvod. Benigni paroksizmalni tortikolis (BPT) je funkcionalni poremećaj nepoznate etiologije koji se odlikuje epizodama abnormalne rotacije i inklinacije glave na jednu stranu, a javlja se u ranom detinjstvu kod zdrave dece. Prikaz bolesnika. Prikazano je dvoje dece sa BPT. Kod prvog bolesnika prvi napad BPT registrovan je u 20. danu života, a poslednji krajem treće godine. Ukupno je registrovano 10 epizoda BPT, od toga su dve epizode bile praćene povraćanjem, bledilom, uznemirenošću i asimetričnim držanjem trupa. Kod drugog bolesnika prvi napad BPT registrovan je u 15. danu života, a u prvih 12 meseci registrovana su ukupno četiri napada koji su bili praćeni povraćanjem. Deca su imala normalan psihomotorni razvoj. Sve načinjene analize u cilju dijagnostike dale su potpuno normalne rezultate. Zaključak. Prepoznavanjem benignog paroksizmalnog tortikolisa i poznavanjem njegovog kliničkog toka izbegavaju se nepotrebne i neprijatne dijagnostičke i terapijske procedure i umiruje se strah roditelja.
Benign paroxysmal vertigo of childhood (BPV) is a paroxysmal, non-epileptic, recurrent event char... more Benign paroxysmal vertigo of childhood (BPV) is a paroxysmal, non-epileptic, recurrent event characterized by subjective or objective vertigo that occurs in neurologically intact children. We recorded the history and the clinical aspects of 19 cases presenting with neurological problems to the outpatient clinic at the Pediatrics Department of Padova University between 1987 and 1998 and re-examined in 1999. Details were collected on the characteristics of their vertigo: age at onset, mode of onset, trigger factors, duration, frequency and recurrence of episodes, duration of symptoms in time and age at disappearance. An attempt was also made to establish any family history of migraine and kinetosis and the most important data were compared, when possible, with those reported in the literature. Differential diagnosis and pathogenetic hypothesis were also reported. It is worth emphasizing that it is important for pediatricians to be aware of these benign events to ensure a correct diagnostic approach, avoiding the child and family any pointless anxiety or costly and sometimes invasive diagnostic procedures. q
Objectives: Little attention has been paid to the assessment of pain in children with development... more Objectives: Little attention has been paid to the assessment of pain in children with developmental delay. The aim of this study was to explore several methods for assessing pain during venipuncture in this population of children, using classic and modified scales to evaluate the children's response to simplified tools.
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Papers by Giovanna Carli