While nonocclusive mesenteric ischemia (NOMI) has been reported in a significant percentage of adults who were resuscitated after cardiac arrest, it is rare in children. This report presents the first known Japanese case of pediatric NOMI after return of spontaneous circulation following cardiac arrest. A 16-month-old boy experienced cardiac arrest due to asphyxiation from foreign bodies in the airway. After receiving 10 doses of adrenaline, with a maximum arrest time of 95 minutes, the patient achieved return of spontaneous circulation. However, 40 hours after onset, the patient developed NOMI, resulting in refractory hypotensive shock with decreased blood pressure, distended abdomen, and increased intravesical pressure. The patient was successfully rescued with two laparotomies and was discharged. Although NOMI is uncommon in children, appropriate treatment can be lifesaving.
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Intestinal necrosis due to nonocclusive mesenteric ischemia in a child with Mycoplasma pneumoniae pneumonia: a case report Xuejing Li, Tingting Lin, Ken Chen, Danli Wang, Jiahui Yu, Lei Wu, Lanfang Tang BMC Infectious Diseases.2025;[Epub] CrossRef
Objective The practice of allowing parental presence during invasive procedures in children varies depending on setting and individual provider preference. We aim to understand the attitudes, preferences, and practices of physicians and nurses with regard to parental presence during invasive pediatric emergency procedures in an Asian cultural context.
Methods We surveyed physicians and nurses in the pediatric emergency department of a large tertiary hospital using separate self-administered questionnaires over three months. The data collected included the demographics and clinical experience of interview respondents. Each provider was asked about their attitude and preference regarding parental presence during specific invasive procedures.
Results We surveyed 90 physicians and 107 nurses. Most physicians in our context preferred to perform pediatric emergency procedures without parental presence (82, 91.1%). Forty physicians (44.4%) reported that parental presence slowed down procedures, while 75 (83.3%) felt it increased provider stress. Most physicians made the decision to allow parents into the procedure room based on parental attitude (69, 76.7%) and the child’s level of cooperation (64, 71.1%). Most nurses concurred that parental presence would add to provider stress during procedures (69, 64.5%). We did not find a significant relationship between provider experience (P=0.26) or age (P=0.50) and preference for parental presence.
Conclusion In our cultural context, most physicians and nurses prefer to perform procedures for children in the absence of parents. We propose that this can be changed by health professional training with role play and simulation, adequate supervision by experienced physicians, and clear communication with parents.
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Strengthening the parental role: parents’ experiences of family presence during invasive procedures in pediatric and neonatal intensive care units Laia Ventura Expósito, Esperanza Zuriguel-Pérez, Jesús Corrionero Alegre, Antonia Arreciado Marañón Intensive and Critical Care Nursing.2026; 93: 104279. CrossRef
“Being There”: An Empirical Logic Model for Family Presence During Resuscitation and Invasive Procedures Margo A. Halm, Halley Ruppel, Jessica Sexton American Journal of Critical Care.2025; 34(4): 302. CrossRef
Nurses' views on the presence of family members during invasive procedures in hospitalised children: A questionnaire survey Laia Ventura Expósito, Antonia Arreciado Marañón, Mireia Gomà Tous, Mercè Ferrerons Sánchez, Esperanza Zuriguel‐Pérez Journal of Clinical Nursing.2024; 33(10): 3979. CrossRef
ENA Clinical Practice Guideline Synopsis: Family Presence During Resuscitation and Invasive Procedures Judith Young Bradford, Alison Camarda, Lisa Gilmore, Ann E. Horigan, Janet Kaiser, Robin MacPherson-Dias, Andrea Perry, Andrew Slifko, Andrea Slivinski, Kathy Van Dusen, Jessica Bishop-Royse, Altair M. Delao Journal of Emergency Nursing.2024; 50(3): 463. CrossRef
A presença dos pais durante procedimentos pediátricos invasivos: depende de quê? Laura Palomares González, Iván Hernández Caravaca, Carmen Isabel Gómez García, Manuel Sánchez-Solís de Querol Revista Latino-Americana de Enfermagem.2023;[Epub] CrossRef
Presencia de los padres durante procedimientos pediátricos invasivos: ¿De qué depende? Laura Palomares González, Iván Hernández Caravaca, Carmen Isabel Gómez García, Manuel Sánchez-Solís de Querol Revista Latino-Americana de Enfermagem.2023;[Epub] CrossRef
Parental presence during invasive pediatric procedures: what does it depend on? Laura Palomares González, Iván Hernández Caravaca, Carmen Isabel Gómez García, Manuel Sánchez-Solís de Querol Revista Latino-Americana de Enfermagem.2023;[Epub] CrossRef
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