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  1. AU="Jalil, Yorschua F"
  2. AU="Barber, M"
  3. AU="Ritt, Luiz Eduardo Fonteles"
  4. AU="Qiu, Jiajing"
  5. AU=Wang Heping
  6. AU="Miyazaki, Masashi"
  7. AU="R Kulkarni"
  8. AU="Braga, D."
  9. AU="Mwenda, Mulenga"
  10. AU="Li, Baohua"
  11. AU="Zhang, Nasen Jonathan"
  12. AU="Scotlandi, Katia"
  13. AU="Thomson, M A"
  14. AU=New Sophie E P
  15. AU="Fenrich, Craig A"
  16. AU="Staehelin, Cornelia"
  17. AU="Akhtar, Suraiya"
  18. AU="Georgel, Philippe"
  19. AU="Gruenewald, Leon D"
  20. AU="Charron, Morgane"
  21. AU="Leona S. Alizadeh" AU="Leona S. Alizadeh"
  22. AU="Soriano, Stéphane"
  23. AU="Lin, Pao-Yen"
  24. AU="Mudali, Gayathri"
  25. AU="McElveen, John T"
  26. AU="Kraimps, Jean-Louis"
  27. AU="Patel, Sheila K"
  28. AU="Zian, Zeineb"
  29. AU="Langley, Jonathan"
  30. AU="Bell, Thomas G."
  31. AU="Harris, Charles"
  32. AU="Lai, Renfa"
  33. AU="Sakane, Tatsuya"
  34. AU="Mirza, I."
  35. AU="Beatriz Amorim Beltrão"
  36. AU="Wildman, D"
  37. AU="Manghi, Manoel"
  38. AU="van Dinther, Maarten"
  39. AU="Adams, Ashley L"
  40. AU="Zhang, Er-Bin"
  41. AU="Diuk-Wasser, Maria A"
  42. AU="Chowdhury, Muhtamim"
  43. AU="Rivas, Manuel A"
  44. AU="Mangelis, Anastasios"
  45. AU="Simpson, Tina Y"
  46. AU="Li, Peirang"
  47. AU="Zhang, Zhao-Liang"
  48. AU="Perner, Sven"
  49. AU=Suwanwongse Kulachanya AU=Suwanwongse Kulachanya
  50. AU="Rose, Jacqueline"
  51. AU="E Lostis"

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  1. Artikel ; Online: Effects of the First Spontaneous Breathing Trial in Children With Tracheostomy and Long-Term Mechanical Ventilation.

    Villarroel-Silva, Gregory / Jalil, Yorschua F / Moya-Gallardo, Eduardo / Oyarzún, Ignacio J / Moscoso, Gonzalo A / Astudillo Maggio, Claudia / Damiani, L Felipe

    Respiratory care

    2023  Band 68, Heft 10, Seite(n) 1385–1392

    Abstract: Background: Weaning and liberation from mechanical ventilation in pediatric patients with tracheostomy and long-term mechanical ventilation constitute a challenging process due to diagnosis heterogeneity and significant variability in the clinical ... ...

    Abstract Background: Weaning and liberation from mechanical ventilation in pediatric patients with tracheostomy and long-term mechanical ventilation constitute a challenging process due to diagnosis heterogeneity and significant variability in the clinical condition. We aimed to evaluate the physiological response during the first attempt of a spontaneous breathing trial (SBT) and to compare variables in subjects who failed or passed the SBT.
    Methods: This was a prospective observational study in tracheostomized children with long-term mechanical ventilation admitted to the Hospital Josefina Martinez, Santiago, Chile, between 2014-2020. Cardiorespiratory variables such as breathing pattern, use of accessory respiratory muscles, heart rate, breathing frequency, and oxygen saturation were registered at baseline and throughout a 2-h SBT with or without positive pressure depending on an SBT protocol. Comparison of demographic and ventilatory variables between groups (SBT failure and success) was performed.
    Results: A total of 48 subjects were analyzed (median [IQR] age of 20.5 [17.0-35.0] months, 60% male). Chronic lung disease was the primary diagnosis in 60% of subjects. Eleven (23%) total subjects failed the SBT (< 2 h), with an average failure time of 69 ± 29 min. Subjects who failed the SBT had a significantly higher breathing frequency, heart rate, and end-tidal CO
    Conclusions: Conducting an SBT to evaluate the tolerance and cardiorespiratory response in tracheostomized children with long-term mechanical ventilation is feasible. Time on mechanical ventilation before the first attempt and type of SBT (with or without positive pressure) could be associated with SBT failure.
    Mesh-Begriff(e) Humans ; Male ; Child ; Infant ; Female ; Respiration, Artificial/methods ; Tracheostomy ; Ventilator Weaning/methods ; Respiration ; Respiratory Rate
    Sprache Englisch
    Erscheinungsdatum 2023-06-13
    Erscheinungsland United States
    Dokumenttyp Observational Study ; Journal Article
    ZDB-ID 603252-7
    ISSN 1943-3654 ; 0098-9142 ; 0020-1324
    ISSN (online) 1943-3654
    ISSN 0098-9142 ; 0020-1324
    DOI 10.4187/respcare.10544
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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    Verfügbar in ZB MED Köln/Königswinter

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  2. Artikel ; Online: Factors Associated With Accidental Decannulation in Tracheostomized Children.

    Villarroel, Gregory S / Faúndez, Macarena / Jalil, Yorschua F / Oyarzún, Ignacio J / Fernandez, Tiziana R / Barañao, Patricio I / Mendez, Mireya P / Muñoz, Sergio R

    Respiratory care

    2022  Band 68, Heft 2, Seite(n) 173–179

    Abstract: Background: Tracheostomy has many benefits for pediatric patients in the ICU, but it is also associated with complications. Accidental decannulation (AD) is a frequent complication and cause of mortality in this population. Our study aimed to determine ... ...

    Abstract Background: Tracheostomy has many benefits for pediatric patients in the ICU, but it is also associated with complications. Accidental decannulation (AD) is a frequent complication and cause of mortality in this population. Our study aimed to determine the factors associated with AD in tracheostomized pediatric subjects.
    Methods: This was a case-control study with 1:2 allocation ratio. Participants were tracheostomized children hospitalized in a prolonged mechanical ventilation hospital between 2013-2018. Each child who experienced decannulation during the study period was included as a case at the time of the event. Controls were obtained from the same population and were defined as subjects without an AD event during the same period.
    Results: One hundred forty patients were hospitalized at Josefina Martinez Hospital at the time, of whom 41 were selected as cases and 82 as controls. Median (interquartile range) age was 20 (12-36) months, being 60% male. The median time from tracheostomy placement to AD event was 364 (167-731) d. Eighty-four percent of subjects were mechanically ventilated. AD mainly occurred by self-decannulation (53.7%). The risk of AD was higher in children who reached the midline in a sitting position (odds ratio 9.5 [95% CI 1.59-53.90]), inner diameter (ID) tracheostomy tube size ≤ 4.0 mm (odds ratio 5.18 [95% CI 1.41-19.06]), and who had been hospitalized in hospital rooms with a low ratio of nursing staff for each subject (1 nurse to 4 subjects) (odds ratio 4.48 [95% CI 1.19-16.80]).
    Conclusions: Factors associated with a higher risk of AD in tracheostomized children included the ability to reach the midline in a sitting position, the use of a smaller tracheostomy tube (≤ 4.0 mm ID), and lower supervision from staff.
    Mesh-Begriff(e) Humans ; Child ; Male ; Infant ; Female ; Case-Control Studies ; Hospitals ; Nursing Staff ; Odds Ratio ; Respiration, Artificial
    Sprache Englisch
    Erscheinungsdatum 2022-12-06
    Erscheinungsland United States
    Dokumenttyp Journal Article
    ZDB-ID 603252-7
    ISSN 1943-3654 ; 0098-9142 ; 0020-1324
    ISSN (online) 1943-3654
    ISSN 0098-9142 ; 0020-1324
    DOI 10.4187/respcare.09673
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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    Verfügbar in ZB MED Köln/Königswinter

    Zs.B 2285: Hefte anzeigen Standort:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 2021: Bestellungen von Artikeln über das Online-Bestellformular
    ab Jg. 2022: Lesesaal (EG)

    Über subito bestellen

    Dieser Service ist kostenpflichtig (siehe Lieferbedingungen von subito). Bestellungen, die einen Artikel nebst Supplementary Material umfassen, werden grundsätzlich wie mehrfache Bestellungen bearbeitet. Gebühren fallen in diesen Fällen für jede einzelne Bestellung an.

  3. Artikel ; Online: Reliability and validity of the revised impact on family scale (RIOFS) in the hospital context.

    Jalil, Yorschua F / Villarroel, Gregory S / Silva, Alejandra A / Briceño, Lilian S / Ormeño, Vanessa Perez / Ibáñez, Nicolas S / Méndez, Paulina A / Canales, Cristina F / Méndez, Mireya A

    Journal of patient-reported outcomes

    2019  Band 3, Heft 1, Seite(n) 28

    Abstract: Background: The lack of formal instruments to measure Burden in primary caregivers of Children in a hospital context is limited because mostly of published instruments are related to cancer survivors, ambulatory environment or general context for ... ...

    Abstract Background: The lack of formal instruments to measure Burden in primary caregivers of Children in a hospital context is limited because mostly of published instruments are related to cancer survivors, ambulatory environment or general context for children with chronic conditions, but none of them adapted property to prolonged hospitalization context. This leaves the rising population of hospitalized chronic children's caregivers without a proper assessment. The aim of this study was to develop a version of the Revised Impact on Family Scale adapted to primary caregivers of chronic hospitalized children. A cross-sectional study with two main stages was conducted. The first one describes the linguistic and contextual adaptation process of the instrument, and the second refers to the psychometric testing and analysis..
    Results: Less than 15% of the participants expressed problems with some adapted items in the scale. Eighty-six caregivers were evaluated at Josefina Martinez Hospital, mostly female (34.2 ± 11.6 years old). Majority of participants were graduated from high school, salaried employee and mothers of the chronic child. The scale exhibits a high level of internal consistency (Cronbach's alpha 0.73), excellent intra-observer reliability (Intraclass Correlation Coefficient 0.9), acceptable empirical evaluation of content validity and low and negative construct validity (Pearson's correlation coefficient - 0.23).
    Conclusions: This adapted version of the Revised Impact on Family Scale to the hospital context is a reliable, valid, self-administered and simple instrument to implement in order to assess the burden of primary caregivers with chronic hospitalized children.
    Sprache Englisch
    Erscheinungsdatum 2019-05-14
    Erscheinungsland Germany
    Dokumenttyp Journal Article
    ISSN 2509-8020
    ISSN (online) 2509-8020
    DOI 10.1186/s41687-019-0118-1
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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