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  1. Article ; Online: Material and sedation-analgesia in the neonatal lumbar puncture procedure.

    Jimeno Ruiz, Sara / Riaza Gómez, Mónica / Cárdenas Rebollo, José Miguel / López-Escobar, Alejandro

    Anales de pediatria

    2021  Volume 95, Issue 4, Page(s) 246–252

    Abstract: Introduction: Lumbar puncture (LP) is a frequent procedure during the neonatal period. Correctly performing this technique can avoid many of its complications.: Objective: To evaluate the LP procedure in neonates in Spanish hospitals, studying the ... ...

    Abstract Introduction: Lumbar puncture (LP) is a frequent procedure during the neonatal period. Correctly performing this technique can avoid many of its complications.
    Objective: To evaluate the LP procedure in neonates in Spanish hospitals, studying the type of material and the sedation-analgesia used.
    Material and methods: Cross-sectional study conducted in Spain gathering data through a survey research distributed by email through the Segurneo-SEN Hospital Network and the Spanish Neonatal Society. Data on the LP technique in neonates were collected.
    Results: A total of 301 participants were analysed. Most professionals used a trocar needle with a stylet as the first option (89.7%); however, when the LP failed or was blood-stained, 32.2% changed the type of needle. A total of 143 doctors gave their subjective feeling about the type of needle: they only use trocar needles with stylet (41.3%), the technique is easier using scalp-vein needles (32.2%), there is less probability of a blood-stained LP, or failed using scalp-vein needles (7.7%), they choose the type of needle depending on the size of the newborn (10.5%), indifference when using one type or another needle (8.4%). Almost all (99%) of the surveyed doctors used some type of analgesia. The most widely used measures were topical anaesthetics (90.3%) and sucrose (82.2%).
    Conclusions: Currently, the LP procedure in the neonatal period is mainly performed with a trocar needle with a stylet and with the widespread use of different analgesic measures.
    MeSH term(s) Analgesia ; Cross-Sectional Studies ; Humans ; Infant, Newborn ; Pain ; Pain Management ; Spinal Puncture
    Language English
    Publishing date 2021-09-11
    Publishing country Netherlands
    Document type Journal Article
    ZDB-ID 2830901-7
    ISSN 2341-2879 ; 2341-2879
    ISSN (online) 2341-2879
    ISSN 2341-2879
    DOI 10.1016/j.anpede.2020.07.023
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Material y sedoanalgesia en el procedimiento de punción lumbar neonatal.

    Jimeno Ruiz, Sara / Riaza Gómez, Mónica / Cárdenas Rebollo, José Miguel / López-Escobar, Alejandro

    Anales de pediatria

    2020  

    Abstract: Introduction: Lumbar puncture (LP) is a frequent procedure during the neonatal period. Correctly performing this technique can avoid many of its complications.: Objective: To evaluate the LP procedure in neonates in Spanish hospitals, studying the ... ...

    Title translation Material and sedation-analgesia in the neonatal lumbar puncture procedure.
    Abstract Introduction: Lumbar puncture (LP) is a frequent procedure during the neonatal period. Correctly performing this technique can avoid many of its complications.
    Objective: To evaluate the LP procedure in neonates in Spanish hospitals, studying the type of material and the sedation-analgesia used.
    Material and methods: Cross-sectional study conducted in Spain gathering data through a survey research distributed by email through the Segurneo-SEN Hospital Network and the Spanish Neonatal Society. Data on the LP technique in neonates were collected.
    Results: A total of 301 participants were analysed. Most professionals used a trocar needle with a stylet as the first option (89.7%); however, when the LP failed or was blood-stained, 32.2% changed the type of needle. A total of 143 doctors gave their subjective feeling about the type of needle: they only use trocar needles with stylet (41.3%), the technique is easier using scalp-vein needles (32.2%), there is less probability of a blood-stained LP, or failed using scalp-vein needles (7.7%), they choose the type of needle depending on the size of the new-born (10.5%), indifference when using one type or another needle (8.4%). Almost all (99%) of the surveyed doctors used some type of analgesia. The most widely used measures were topical anaesthetics (90.3%) and sucrose (82.2%).
    Conclusions: Currently, the LP procedure in the neonatal period is mainly performed with a trocar needle with a stylet and with the widespread use of different analgesic measures.
    Language Spanish
    Publishing date 2020-09-27
    Publishing country Spain
    Document type English Abstract ; Journal Article
    ZDB-ID 2830901-7
    ISSN 2341-2879 ; 2341-2879
    ISSN (online) 2341-2879
    ISSN 2341-2879
    DOI 10.1016/j.anpedi.2020.07.026
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Do not do recommendations in different paediatric care settings.

    Arias Constanti, Vanessa / Domingo Garau, Araceli / Rodríguez Marrodán, Belén / Villalobos Pinto, Enrique / Riaza Gómez, Mónica / García Soto, Laura / Hernández Borges, Ángel / Madrid Rodríguez, Aurora

    Anales de pediatria

    2023  Volume 98, Issue 4, Page(s) 291–300

    Abstract: Introduction: There are many initiatives aimed at eliminating health care interventions of limited utility in clinical practice. The Committee on Care Quality and Patient Safety of the Spanish Association of Pediatrics (AEP) has proposed the development ...

    Abstract Introduction: There are many initiatives aimed at eliminating health care interventions of limited utility in clinical practice. The Committee on Care Quality and Patient Safety of the Spanish Association of Pediatrics (AEP) has proposed the development of "DO NOT DO" recommendations (DNDRs) to establish a series of practices to be avoided in the care of paediatric patients in primary, emergency, inpatient and home-based care.
    Material and methods: The project was carried out in 2 phases: a first phase in which possible DNDRs were proposed, and a second in which the final recommendations were established by consensus using the Delphi method. Recommendations were proposed and evaluated by members of the professional groups and paediatrics societies invited to participate in the project under the coordination of members of the Committee on Care Quality and Patient Safety.
    Results: A total of 164 DNDRs were proposed by the Spanish Society of Neonatology, the Spanish Association of Primary Care Paediatrics, the Spanish Society of Paediatric Emergency Medicine, the Spanish Society of Internal Hospital Paediatrics and the Medicines Committee of the AEP and the Spanish Group of Paediatric Pharmacy of the Spanish Society of Hospital Pharmacy. The initial set was limited to 42 DNDRs, and the selection over successive rounds yielded a final set of 25 DNDRs, with 5 DNDRs for each paediatrics group or society.
    Conclusions: This project allowed the selection and establishment by consensus of a series of recommendations to avoid unsafe, inefficient or low-value practices in different areas of paediatric care, which may contribute to improving the safety and quality of paediatric clinical practice.
    MeSH term(s) Humans ; Child ; Pediatrics ; Quality of Health Care ; Neonatology ; Pediatric Emergency Medicine
    Language English
    Publishing date 2023-03-21
    Publishing country Spain
    Document type Journal Article
    ZDB-ID 2830901-7
    ISSN 2341-2879 ; 2341-2879
    ISSN (online) 2341-2879
    ISSN 2341-2879
    DOI 10.1016/j.anpede.2023.02.019
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Factores de riesgo para el desarrollo de hiponatremia precoz en el prematuro. Revisión de nuestra práctica en administración de sodio en los primeros días de vida.

    Pérez-Piaya Moreno, María Rosa / Miranda Alcalde, Belén / Cárdenas Rebollo, José Miguel / Riaza Gómez, Mónica / Carnicer, Hernán / Romera Modamio, Gerardo

    Anales de pediatria

    2019  Volume 92, Issue 6, Page(s) 359–364

    Abstract: Introduction: A retrospective study was conducted in the Neonatal Intensive Care Unit of a tertiary hospital to determine the incidence of early hyponatraemia (first 48hours of life) in preterm infants. Risk and protection factors in this condition were ...

    Title translation Risk factors for the development of early hyponatraemia in the premature infant. A review of the practice of giving sodium in the first days of life.
    Abstract Introduction: A retrospective study was conducted in the Neonatal Intensive Care Unit of a tertiary hospital to determine the incidence of early hyponatraemia (first 48hours of life) in preterm infants. Risk and protection factors in this condition were also examined as a starting point for a change in the medical action when prescribing intravenous fluids.
    Material and methods: The study included a sample of 256 premature babies (gestational age: 23
    Results: Hyponatraemia occurred in 81 patients, 31.64% of the total (up to 50% in<30 weeks of gestational age), and was moderate-severe (<130mmol / l) in 17.3% of the cases. The period of time with the most cases of hyponatraemia was in the first 12hours of life (22.64%). Weight (P=.034), gestational age (P<.001) and respiratory disease (P<.001) were found to be risk factors and, in a multivariate analysis, the latter was independently related to early hyponatremia (P<.01, OR=5.24, 95% CI: 2.79-9.84). Antenatal betamethasone exposure did not show to be a protection factor.
    Conclusion: According to the results of this study, it is considered an advantage to provide sodium in the intravenous fluids prescribed during the first days of life, particularly in preterm infants of lower gestational age and with respiratory disease involvement.
    MeSH term(s) Female ; Fluid Therapy/methods ; Humans ; Hyponatremia/diagnosis ; Hyponatremia/etiology ; Hyponatremia/prevention & control ; Infant, Newborn ; Infant, Premature ; Infant, Premature, Diseases/diagnosis ; Infant, Premature, Diseases/etiology ; Infant, Premature, Diseases/prevention & control ; Infusions, Intravenous ; Intensive Care, Neonatal/methods ; Male ; Protective Factors ; Retrospective Studies ; Risk Factors ; Sodium/therapeutic use
    Chemical Substances Sodium (9NEZ333N27)
    Language Spanish
    Publishing date 2019-08-06
    Publishing country Netherlands
    Document type Journal Article ; Observational Study
    ZDB-ID 2830901-7
    ISSN 2341-2879 ; 2341-2879
    ISSN (online) 2341-2879
    ISSN 2341-2879
    DOI 10.1016/j.anpedi.2019.06.013
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Impact of Gestational COVID-19 on Neonatal Outcomes: Is Vertical Infection Possible?

    Vigil-Vázquez, Sara / Carrasco-García, Itziar / Hernanz-Lobo, Alicia / Manzanares, Ángela / Pérez-Pérez, Alba / Toledano-Revenga, Javier / Muñoz-Chapuli, Mar / Mesones-Guerra, Lara / Martínez-Lozano, Andrea / Pérez-Seoane, Beatriz / Márquez-Isidro, Elena / Sanz-Asín, Olga / Caro-Chinchilla, Gloria / Sardá-Sánchez, Marta / Solaz-García, Álvaro / López-Carnero, Juan / Pareja-León, Marta / Riaza-Gómez, Mónica / Ortiz-Barquero, María Concepción /
    León-Luis, Juan Antonio / Fernández-Aceñero, María Jesús / Muñoz-Fernández, María Ángeles / Catalán-Alonso, Pilar / Muñoz-García, Patricia / Sánchez-Luna, Manuel / Navarro-Gómez, María Luisa

    The Pediatric infectious disease journal

    2022  Volume 41, Issue 6, Page(s) 466–472

    Abstract: Background: The vertical transmission of severe acute respiratory coronavirus-2 (SARS-CoV-2) remains highly debated. Here, we evaluated SARS-CoV-2-transmission in newborns with intrauterine conditions.: Methods: This was a prospective, observational ... ...

    Abstract Background: The vertical transmission of severe acute respiratory coronavirus-2 (SARS-CoV-2) remains highly debated. Here, we evaluated SARS-CoV-2-transmission in newborns with intrauterine conditions.
    Methods: This was a prospective, observational and multicentric study involving 13 Spanish hospitals included in the GEStational and NEOnatal-COVID cohort. Pregnant women with microbiologically confirmed SARS-CoV-2 infection during any trimester of pregnancy or delivery and their newborns were included from March to November 2020. Demographic, clinical and microbiological data were also obtained. Viral loads were analyzed in different maternal and newborn biological samples (placenta, breast milk and maternal blood; urine, meconium and newborn blood).
    Results: A total of 177 newborns exposed to SARS-CoV-2 were included. Newborns were tested by reverse transcriptase-polymerase chain reaction using nasopharyngeal swabs within the first 24-48 hours of life and at 14 days of life. In total 5.1% were considered to have SARS-CoV-2 infection in the neonatal period, with 1.7% considered intrauterine and 3.4% intrapartum or early postnatal transmission cases. There were no differences in the demographic and clinical characteristics of the pregnant women and their newborns' susceptibility to infections in their perinatal history or background.
    Conclusions: Intrauterine transmission of SARS-CoV-2 is possible, although rare, with early postnatal transmission occurring more frequently. Most infected newborns remained asymptomatic or had mild symptoms that evolved well during follow-up. We did not find any maternal characteristics predisposing infants to neonatal infection. All infected newborn mothers had acute infection at delivery.Although there was no presence of SARS-CoV2 in cord blood or breast milk samples, SARS-CoV-2 viral load was detected in urine and meconium samples from infected newborns.
    MeSH term(s) COVID-19/epidemiology ; Female ; Humans ; Infant ; Infant, Newborn ; Infectious Disease Transmission, Vertical ; Pregnancy ; Pregnancy Complications, Infectious/diagnosis ; Pregnancy Complications, Infectious/epidemiology ; Prospective Studies ; RNA, Viral ; SARS-CoV-2
    Chemical Substances RNA, Viral
    Language English
    Publishing date 2022-05-06
    Publishing country United States
    Document type Journal Article ; Multicenter Study ; Observational Study ; Research Support, Non-U.S. Gov't
    ZDB-ID 392481-6
    ISSN 1532-0987 ; 0891-3668
    ISSN (online) 1532-0987
    ISSN 0891-3668
    DOI 10.1097/INF.0000000000003518
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article: Neonatal Infection Due to SARS-CoV-2: An Epidemiological Study in Spain.

    Fernández Colomer, Belén / Sánchez-Luna, Manuel / de Alba Romero, Concepción / Alarcón, Ana / Baña Souto, Ana / Camba Longueira, Fátima / Cernada, María / Galve Pradell, Zenaida / González López, María / López Herrera, M Cruz / Ribes Bautista, Carmen / Sánchez García, Laura / Zamora Flores, Elena / Pellicer, Adelina / Alonso Díaz, Clara / Herraiz Perea, Cristina / Romero Ramírez, Dolores Sabina / de Las Cuevas Terán, Isabel / Pescador Chamorro, Isabel /
    Fernández Trisac, José Luis / Arruza Gómez, Luis / Cardo Fernández, Luis Miguel / García García, Mª Jesús / Nicolás López, Marta / Hortelano López, Miryam / Riaza Gómez, Mónica / Hernández González, Natalio / González Sánchez, Raquel / Zambudio Sert, Sílvia / Larrosa Capacés, Susana / Matías Del Pozo, Vanesa

    Frontiers in pediatrics

    2020  Volume 8, Page(s) 580584

    Abstract: Objective: ...

    Abstract Objective:
    Keywords covid19
    Language English
    Publishing date 2020-10-23
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2711999-3
    ISSN 2296-2360
    ISSN 2296-2360
    DOI 10.3389/fped.2020.580584
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Neonatal Infection Due to SARS-CoV-2

    Fernández Colomer, Belén / Sánchez-Luna, Manuel / de Alba Romero, Concepción / Alarcón, Ana / Baña Souto, Ana / Camba Longueira, Fátima / Cernada, María / Galve Pradell, Zenaida / González López, María / López Herrera, M. Cruz / Ribes Bautista, Carmen / Sánchez García, Laura / Zamora Flores, Elena / Pellicer, Adelina / Alonso Díaz, Clara / Herraiz Perea, Cristina / Romero Ramírez, Dolores Sabina / de las Cuevas Terán, Isabel / Pescador Chamorro, Isabel /
    Fernández Trisac, José Luis / Arruza Gómez, Luis / Cardo Fernández, Luis Miguel / García García, M� Jesús / Nicolás López, Marta / Hortelano López, Miryam / Riaza Gómez, Mónica / Hernández González, Natalio / González Sánchez, Raquel / Zambudio Sert, Sílvia / Larrosa Capacés, Susana / Matías del Pozo, Vanesa

    Frontiers in Pediatrics

    An Epidemiological Study in Spain

    2020  Volume 8

    Keywords covid19
    Publisher Frontiers Media SA
    Publishing country ch
    Document type Article ; Online
    ZDB-ID 2711999-3
    ISSN 2296-2360
    ISSN 2296-2360
    DOI 10.3389/fped.2020.580584
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