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Increasing Your Child’s Comfort with Nitrous Oxide

You may be familiar with “laughing gas” as something you find at the dentist’s office but did you know it can also be used when your child is a patient at Swedish? Laughing gas is a mix of nitrous oxide and oxygen, but you might hear your pediatric nurses just call it “nitrous.” In pediatrics, we use it to help a patient relax and feel more comfortable during certain procedures such as IV placement or urinary catheterization.

Once your doctor or nurse has determined that your child is a good candidate for nitrous (without any contraindications such as conditions where air may be trapped in the body, pregnancy, or impaired level of consciousness), your nurses and certified child life specialist (CCLS) will explain the process: Your child will choose a flavor for the inside of their mask used to administer the gas. They will be on a stretcher or bed and have a saturation probe attached to a finger to monitor their oxygenation. One nurse will administer oxygen, then the nitrous, gradually increasing the amount until your child is suitably relaxed for the procedure, while remaining responsive to directions. Another clinician will perform the procedure, e.g., place the IV. A doctor is also available.

As a parent ...

New Year’s Resolutions: Not Just for Adults

Jingle bells may no longer be ringing in your ears, but the constant barrage of New Year’s resolution pressure probably is! Yet for all the commercials that promise the next great way to shed pounds or get more physically active in the New Year, children are left out of the resolution discussion. But that doesn’t necessarily mean that they shouldn’t be involved in setting healthy goals. Why not turn your New Year’s goals into a family affair?

For children, the goal shouldn’t be “pounds lost” but “healthy habits made.” Set an example for your children by not trying every fad diet but instead making a more concerted resolution to live a healthy lifestyle. Here are some fun ideas to involve your kids in your healthful resolutions...

Flu vaccine for children

A lot of parents have questions about the flu vaccine and many parents refuse the vaccine as they feel it does not very effective. Some parents are concerned about vaccines in general and refuse vaccinating their child as they don’t want to administer “another vaccine” to their child. The best way to prevent getting flu is by vaccination.

What is flu (Influenza)?

Flu (influenza) is not just a common cold or a stomach virus as most people think. Influenza usually occurs during the winter in our region although it can occur all year around in other parts of the world. It can be a serious respiratory illness that can lead to complications especially in children and older adults. Symptoms are generally similar to any other common cold infections and can vary from fever, runny nose, nose congestion, cough, body aches and headaches. The body aches and headaches are mostly reported by older children and adults. Children may not be able to explain their symptoms and may just be fussy.

Most children get over the flu without any complications. In some children and adults, however, it can lead to serious complications including pneumonia.

How to prevent the flu:

Influenza is ...

Swedish Pediatrics to Host Annual Holidays at The Hospital Community Event Dec. 2

SEATTLE, Nov. 20, 2012 - Swedish Pediatrics is hosting its third-annual Holidays at The Hospital event for their patients, families, friends and the community at large. This free and festive holiday celebration will be held Sunday, Dec. 2 from 1-4 p.m. in the 1101 Madison Medical Tower lobby on the Swedish/First Hill campus in Seattle.

Urgent Care: When You Need Care Stat!

When you don’t feel good or you get hurt, it often feels like an emergency. You want the pain and discomfort gone…now! But the emergency room may not be the right place for you. So where do you go?

Think of urgent care as the middle ground between the ER and your primary care doctor's office. In other words, urgent care clinics like the one that just opened at Swedish/Redmond are the perfect spot for those “feels like an emergency but isn’t” moments.

Consider urgent care for:

  1. Illness: If you have ...

Hernias: why are some watched while others are repaired?

The most common thing that I see as a pediatric surgeon is a child with a lump that is thought to be a hernia. A hernia is a bulging of tissue through an opening in the muscle layers that isn’t normally present. In children, these openings are usually the result of a developmental process that just didn’t quite reach completion. Some hernias need surgery emergently, while others are observed for years with the expectation that they will close on their own.

Here are some pointers to help understand this wide range of approaches to hernias:

Location is very important in considering how aggressive to be with hernias. Belly button (umbilical) hernias are...

What to do when Seattle gets hot

The area is heating up. The National Weather Service has announced an excessive heat watch for this Thursday and Friday, with temperatures that will rise into the low to mid 90s. When outside temperatures are very high, the danger for heat-related illnesses rises. Older adults, young children, and people with mental illness and chronic diseases are at particularly high risk.

Here are some safety tips to avoid overheating and things to consider for the weekend:

Stay cool:

  • Spend more time in air conditioned places. If you don't have air conditioning, consider visiting a mall, movie theater or other cool public places.

  • Cover windows that receive morning or afternoon sun.

  • Dress in lightweight clothing.

  • Check up on your elderly neighbors and relatives and encourage them to take these precautions, too.

Drink liquids:

  • Drink plenty of water; this is very important. Avoid drinks with caffeine, alcohol and large amounts of sugar because they can actually de-hydrate your body.

  • Have a beverage with you as much as possible, and sip or drink frequently. Don't wait until you're thirsty to drink.

If you go outside:

  • Limit the time you're in direct sunlight.

  • Do not leave infants, children, people with mobility challenges and pets in a parked car, even with the window rolled down.

  • Avoid or reduce doing activities that are tiring, or take a lot of energy.

  • Do outdoor activities in the cooler morning and evening hours.

  • Avoid sunburn. Use a sunscreen lotion with a high SPF (sun protection factor) rating.

  • Wear a hat or use an umbrella for shade.

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