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  1. Article: So, What About Acute Respiratory Distress Syndrome in Immunocompromised Pediatric Patients?

    Marraro, Giuseppe A / Chen, Yun-Feng / Spada, Claudio

    Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies

    2024  Volume 25, Issue 4, Page(s) 375–377

    MeSH term(s) Child ; Humans ; Respiratory Distress Syndrome ; Immunocompromised Host
    Language English
    Publishing date 2024-04-04
    Publishing country United States
    Document type Editorial
    ZDB-ID 2052349-X
    ISSN 1947-3893 ; 1529-7535
    ISSN (online) 1947-3893
    ISSN 1529-7535
    DOI 10.1097/PCC.0000000000003448
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: Tracheostomy: Shortcut or Real Necessity?

    Marraro, Giuseppe A

    Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies

    2020  Volume 21, Issue 6, Page(s) 603–604

    MeSH term(s) Emotions ; Quality of Life ; Tracheostomy
    Language English
    Publishing date 2020-07-30
    Publishing country United States
    Document type Letter ; Comment
    ZDB-ID 2052349-X
    ISSN 1947-3893 ; 1529-7535
    ISSN (online) 1947-3893
    ISSN 1529-7535
    DOI 10.1097/PCC.0000000000002334
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: Selective bronchial intubation for one-lung ventilation and independent-lung ventilation in pediatric age: state of the art.

    Marraro, Giuseppe A

    Zhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatrics

    2020  Volume 22, Issue 6, Page(s) 543–554

    Abstract: ... For children of this age, a specific DLT for ILV was developed (Marraro Paediatric Endobronchial Bilumen Tube® ...

    Abstract Selective bronchial intubation (SBI) to ventilate a single lung (one-lung ventilation, OLV) or to apply separate lung ventilation (independent-lung ventilation, ILV) can be frequently required under general anesthesia in pediatrics, mainly in video assisted thoracoscopy surgery, in the postoperative care of cardio-thoracic surgery, and for the treatment of lung pathologies with unilateral prevalence in intensive care. In children over 6-8 years of age SBI, OLV and ILV can be performed using marketed double-lumen tubes (DLTs). In neonates, infants and younger children the application of ILV is limited due to the lack of DLTs. For children of this age, a specific DLT for ILV was developed (Marraro Paediatric Endobronchial Bilumen Tube®) but is currently available only as a special product. The DLT represents the device of choice for OLV and ILV while the use of bronchial blocker is suggested as an alternative to achieve the SBI and the OLV when suitable DLTs are not available. Different catheters types can be used as bronchial blocker. If SBI is not possible using DLT or bronchial blocker, a conventional single-lumen tube of adequate length can allow SBI in all pediatric ages. Using the bronchial blocker and single lumen tube it is possible to perform OLV but it is impossible to apply ILV. The main complications of SBI and DLT are largely due to limited operator experience. Airway trauma, dislodgment and obstruction of the devices are quite frequent and can lead to severe hypoxia if not recognized and treated early.
    MeSH term(s) Child ; Humans ; Infant ; Infant, Newborn ; Intubation, Intratracheal ; Lung ; One-Lung Ventilation ; Thoracic Surgical Procedures
    Language English
    Publishing date 2020-06-23
    Publishing country China
    Document type Journal Article
    ISSN 1008-8830
    ISSN 1008-8830
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Weaning and the Suitability of Retrospective Cohort Studies.

    Marraro, Giuseppe A / Spada, Claudio

    Critical care medicine

    2020  Volume 49, Issue 2, Page(s) 369–372

    MeSH term(s) Humans ; Respiration, Artificial ; Retrospective Studies ; Ventilator Weaning ; Weaning
    Language English
    Publishing date 2020-12-21
    Publishing country United States
    Document type Editorial ; Comment
    ZDB-ID 197890-1
    ISSN 1530-0293 ; 0090-3493
    ISSN (online) 1530-0293
    ISSN 0090-3493
    DOI 10.1097/CCM.0000000000004798
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article: Consideration of the respiratory support strategy of severe acute respiratory failure caused by SARS-CoV-2 infection in children.

    Marraro, Giuseppe A / Spada, Claudio

    Zhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatrics

    2020  Volume 22, Issue 3, Page(s) 183–194

    Abstract: The recent ongoing outbreak of severe pneumonia associated with a novel coronavirus (SARS-CoV-2), currently of unknown origin, creates a world emergency that has put global public health institutions on high alert. At present there is limited clinical ... ...

    Abstract The recent ongoing outbreak of severe pneumonia associated with a novel coronavirus (SARS-CoV-2), currently of unknown origin, creates a world emergency that has put global public health institutions on high alert. At present there is limited clinical information of the SARS-CoV-2 and there is no specific treatment recommended, although technical guidances and suggestions have been developed and will continue to be updated as additional information becomes available. Preventive treatment has an important role to control and avoid the spread of severe respiratory disease, but often is difficult to obtain and sometimes cannot be effective to reduce the risk of deterioration of the underlining lung pathology. In order to define an effective and safe treatment for SARS-CoV-2-associated disease, we provide considerations on the actual treatments, on how to avoid complications and the undesirable side effects related to them and to select and apply earlier the most appropriate treatment. Approaching to treat severe respiratory disease in infants and children, the risks related to the development of atelectasis starting invasive or non-invasive ventilation support and the risk of oxygen toxicity must be taken into serious consideration. For an appropriate and effective approach to treat severe pediatric respiratory diseases, two main different strategies can be proposed according to the stage and severity of the patient conditions: patient in the initial phase and with non-severe lung pathology and patient with severe initial respiratory impairment and/or with delay in arrival to observation. The final outcome is strictly connected with the ability to apply an appropriate treatment early and to reduce all the complications that can arise during the intensive care admission.
    MeSH term(s) Betacoronavirus ; COVID-19 ; Child ; Coronavirus Infections/complications ; Humans ; Pneumonia, Viral/complications ; Respiratory Insufficiency/etiology ; SARS-CoV-2
    Keywords covid19
    Language English
    Publishing date 2020-06-25
    Publishing country China
    Document type Journal Article
    ISSN 1008-8830
    ISSN 1008-8830
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: The Challenge of Conducting Research in the Neonatal and Pediatric Age and of Translating Results Into Clinical Practice.

    Marraro, Giuseppe A / Cotroneo, Rosy / Spada, Claudio

    Critical care medicine

    2021  Volume 50, Issue 1, Page(s) 165–168

    MeSH term(s) Child ; Humans ; Infant, Newborn ; Translating
    Language English
    Publishing date 2021-12-16
    Publishing country United States
    Document type Editorial ; Comment
    ZDB-ID 197890-1
    ISSN 1530-0293 ; 0090-3493
    ISSN (online) 1530-0293
    ISSN 0090-3493
    DOI 10.1097/CCM.0000000000005192
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Treatment Appropriateness: Is Manual Ventilation With Current Modalities Appropriate?

    Marraro, Giuseppe A / Yu, Rongrong / Zeng, Yiming

    Critical care medicine

    2020  Volume 48, Issue 9, Page(s) 1395–1397

    MeSH term(s) Child ; Critical Illness ; Humans ; Respiration, Artificial
    Language English
    Publishing date 2020-08-21
    Publishing country United States
    Document type Editorial ; Comment
    ZDB-ID 197890-1
    ISSN 1530-0293 ; 0090-3493
    ISSN (online) 1530-0293
    ISSN 0090-3493
    DOI 10.1097/CCM.0000000000004478
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Non-Invasive Ventilation to Prevent Pediatric Endotracheal Intubation? Misinterpretation of Two Different Methods.

    Marraro, Giuseppe A / Chen, Yun-Feng / Spada, Claudio

    Critical care medicine

    2020  Volume 48, Issue 10, Page(s) 1544–1547

    MeSH term(s) Child ; Humans ; Intubation, Intratracheal ; Noninvasive Ventilation
    Language English
    Publishing date 2020-09-13
    Publishing country United States
    Document type Editorial ; Comment
    ZDB-ID 197890-1
    ISSN 1530-0293 ; 0090-3493
    ISSN (online) 1530-0293
    ISSN 0090-3493
    DOI 10.1097/CCM.0000000000004532
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Administrative Database and Empiric Therapy Are Always Useful for Appropriate Treatment of Pediatric Patients?

    Marraro, Giuseppe A / Spada, Claudio / Zeng, Yiming

    Critical care medicine

    2020  Volume 48, Issue 3, Page(s) 438–440

    MeSH term(s) Child ; Data Management ; Humans ; Sepsis ; United States
    Language English
    Publishing date 2020-02-10
    Publishing country United States
    Document type Editorial ; Comment
    ZDB-ID 197890-1
    ISSN 1530-0293 ; 0090-3493
    ISSN (online) 1530-0293
    ISSN 0090-3493
    DOI 10.1097/CCM.0000000000004175
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Has the Time Come to Reconsider the Indication for Tracheostomy in the Early Pediatric Age, Especially in the First 3 Years?

    Marraro, Giuseppe A / Chen, Yun-Feng / Spada, Claudio

    Critical care medicine

    2020  Volume 48, Issue 2, Page(s) 268–270

    MeSH term(s) Child ; Child, Preschool ; Humans ; Retrospective Studies ; Tracheostomy
    Language English
    Publishing date 2020-01-14
    Publishing country United States
    Document type Editorial ; Comment
    ZDB-ID 197890-1
    ISSN 1530-0293 ; 0090-3493
    ISSN (online) 1530-0293
    ISSN 0090-3493
    DOI 10.1097/CCM.0000000000004146
    Database MEDical Literature Analysis and Retrieval System OnLINE

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