LIVIVO - The Search Portal for Life Sciences

zur deutschen Oberfläche wechseln
Advanced search

Search results

Result 1 - 10 of total 17

Search options

  1. Article ; Online: Assessing sedation in PICU: clinical scales or BIS analysis?

    Vázquez Martínez, J L

    Minerva anestesiologica

    2012  Volume 78, Issue 3, Page(s) 286–287

    MeSH term(s) Child Behavior ; Conscious Sedation ; Consciousness Monitors ; Drug Overdose/diagnosis ; Female ; Health Status Indicators ; Humans ; Hypnotics and Sedatives/administration & dosage ; Intensive Care Units, Pediatric ; Male ; Respiration, Artificial/psychology ; Stress, Psychological/prevention & control ; Suction/psychology
    Chemical Substances Hypnotics and Sedatives
    Language English
    Publishing date 2012-03
    Publishing country Italy
    Document type Comment ; Editorial
    ZDB-ID 123584-9
    ISSN 1827-1596 ; 0026-4717 ; 0375-9393
    ISSN (online) 1827-1596
    ISSN 0026-4717 ; 0375-9393
    Database MEDical Literature Analysis and Retrieval System OnLINE

    More links

    Kategorien

  2. Article ; Online: Short report - Usefulness of point-of-care ultrasound in pediatric SARS-CoV-2 infection.

    Vazquez Martínez, J L / Pérez-Caballero Macarrón, C / Coca Pérez, A / Tapia Moreno, R / Otheo de Tejada, E

    European review for medical and pharmacological sciences

    2020  Volume 24, Issue 14, Page(s) 7801–7803

    Abstract: SARS-CoV-2 infection in children is uncommon compared to adult population. However, some children required hospital and/or PICU admission. The aim of this short communication is to share our experience with Point-of-Care Ultrasound (POCUS) when managing ... ...

    Abstract SARS-CoV-2 infection in children is uncommon compared to adult population. However, some children required hospital and/or PICU admission. The aim of this short communication is to share our experience with Point-of-Care Ultrasound (POCUS) when managing these patients. Remarkably, all cases presented pleural and pericardial effusions, detected by POCUS, despite showing an adequate urinary output and prior to receiving any kind of fluid resuscitation. Effusions have been described as rare among SARS-CoV-2 infection in adult population. By performing portable chest X-Ray they would have gone unnoticed in our patients. Other POCUS findings consisted of all types of consolidations and coalescent B-line patterns. POCUS was also performed in order to optimize PEEP, checking adequate endotracheal intubation positioning (avoiding the risk of contagiousness related to auscultation in this framework), and to assess volemia status, cardiac performance, and brain neuro-monitoring. There was not cross-infection. In pediatric SARS-CoV-19 effusions are frequent but easily unnoticed unless lung and echo POCUS are performed.
    MeSH term(s) Betacoronavirus ; COVID-19 ; Child ; Coronavirus Infections/diagnostic imaging ; Humans ; Pandemics ; Pericardial Effusion/diagnostic imaging ; Pericardial Effusion/virology ; Pleural Effusion/diagnostic imaging ; Pleural Effusion/virology ; Pneumonia, Viral/diagnostic imaging ; Point-of-Care Systems ; Radiography, Thoracic ; SARS-CoV-2 ; Ultrasonography
    Keywords covid19
    Language English
    Publishing date 2020-08-03
    Publishing country Italy
    Document type Journal Article
    ZDB-ID 605550-3
    ISSN 2284-0729 ; 1128-3602 ; 0392-291X
    ISSN (online) 2284-0729
    ISSN 1128-3602 ; 0392-291X
    DOI 10.26355/eurrev_202007_22284
    Database MEDical Literature Analysis and Retrieval System OnLINE

    More links

    Kategorien

  3. Article: Short report - Usefulness of point-of-care ultrasound in pediatric SARS-CoV-2 infection

    Vazquez Martínez, J L / Pérez-Caballero Macarrón, C / Coca Pérez, A / Tapia Moreno, R / Otheo de Tejada, E

    Eur Rev Med Pharmacol Sci

    Abstract: SARS-CoV-2 infection in children is uncommon compared to adult population. However, some children required hospital and/or PICU admission. The aim of this short communication is to share our experience with Point-of-Care Ultrasound (POCUS) when managing ... ...

    Abstract SARS-CoV-2 infection in children is uncommon compared to adult population. However, some children required hospital and/or PICU admission. The aim of this short communication is to share our experience with Point-of-Care Ultrasound (POCUS) when managing these patients. Remarkably, all cases presented pleural and pericardial effusions, detected by POCUS, despite showing an adequate urinary output and prior to receiving any kind of fluid resuscitation. Effusions have been described as rare among SARS-CoV-2 infection in adult population. By performing portable chest X-Ray they would have gone unnoticed in our patients. Other POCUS findings consisted of all types of consolidations and coalescent B-line patterns. POCUS was also performed in order to optimize PEEP, checking adequate endotracheal intubation positioning (avoiding the risk of contagiousness related to auscultation in this framework), and to assess volemia status, cardiac performance, and brain neuro-monitoring. There was not cross-infection. In pediatric SARS-CoV-19 effusions are frequent but easily unnoticed unless lung and echo POCUS are performed.
    Keywords covid19
    Publisher WHO
    Document type Article
    Note WHO #Covidence: #693476
    Database COVID19

    Kategorien

  4. Article ; Online: Utilidad de la ecografía pulmonar a pie de cama en cuidados intensivos pediátricos.

    Coca Pérez, A / Vázquez Martínez, J L / Pérez Caballero Macarrón, C / Tapia Moreno, R / Stanescu, S

    Anales de pediatria (Barcelona, Spain : 2003)

    2016  Volume 84, Issue 1, Page(s) 57–59

    Title translation Bedside lung ultrasound in paediatric intensive care.
    MeSH term(s) Child ; Critical Care ; Humans ; Intensive Care Units, Pediatric ; Lung/diagnostic imaging ; Ultrasonography
    Language Spanish
    Publishing date 2016-01
    Publishing country Spain
    Document type Letter
    ISSN 1695-9531
    ISSN (online) 1695-9531
    DOI 10.1016/j.anpedi.2015.05.006
    Database MEDical Literature Analysis and Retrieval System OnLINE

    More links

    Kategorien

  5. Article ; Online: Encuesta nacional sobre profilaxis antibiótica de infección de herida quirúrgica en cirugía cardíaca.

    Izquierdo-Blasco, J / Soler-Palacín, P / Campins-Martí, M / Vázquez Martínez, J L / Sanchez-de-Toledo, J

    Anales de pediatria (Barcelona, Spain : 2003)

    2013  Volume 79, Issue 1, Page(s) 26–31

    Abstract: Introduction: No Spanish guidelines for the prevention of surgical wound infection in paediatric cardiac surgery are currently available. The aim of this study was to analyse the nationwide variability in antibiotic prophylaxis use.: Material and ... ...

    Title translation Antibiotic prophylaxis for surgical wound infection in cardiac surgery: results of a Spanish survey.
    Abstract Introduction: No Spanish guidelines for the prevention of surgical wound infection in paediatric cardiac surgery are currently available. The aim of this study was to analyse the nationwide variability in antibiotic prophylaxis use.
    Material and methods: An online questionnaire was distributed to all members of the Cardiology Group of the Spanish Society of Paediatric Intensive Care. Fifteen centres participated in the study.
    Results: In heart surgery with no delayed sternal closure, all 15 centres used a 1st or 2nd generation cephalosporin in paediatric patients, while 3 hospitals used a broader-spectrum antibiotic therapy in neonates. Prophylaxis was maintained for 12-72h in 11 centres and until drainage removal in four. Thirteen centres used delayed sternal closure, eight of which followed the same protocol for these patients as for standard procedures. Prophylaxis was maintained for 12-72h in 6 centres, and until sternal closure at the rest. Five out of 10 centres performing extracorporeal membrane oxygenation (ECMO) maintained the same antibiotic protocol as in standard surgery.
    Conclusions: A wide variability was observed in antibiotic prophylaxis use in high-risk patients. Thus, national protocols need to be standardised.
    MeSH term(s) Antibiotic Prophylaxis/utilization ; Cardiac Surgical Procedures ; Child ; Cross-Sectional Studies ; Humans ; Spain ; Surgical Wound Infection/prevention & control ; Surveys and Questionnaires
    Language Spanish
    Publishing date 2013-07
    Publishing country Spain
    Document type English Abstract ; Journal Article ; Multicenter Study
    ISSN 1695-9531
    ISSN (online) 1695-9531
    DOI 10.1016/j.anpedi.2012.11.018
    Database MEDical Literature Analysis and Retrieval System OnLINE

    More links

    Kategorien

  6. Article: La asistencia al niño crítico con cardiopatía en España.

    Vázquez Martínez, J L / Pérez-Caballero, C / Alvarado Ortega, F / Milano Manso, G / Jaraba Caballero, S / Díaz Soto, R

    Anales de pediatria (Barcelona, Spain : 2003)

    2008  Volume 69, Issue 1, Page(s) 28–33

    Abstract: Introduction: The objective of the present study is to present the organization of the resources of paediatric cardiac critical care in Spain.: Patients and methods: Data were collected through questionnaires sent by e-mail to Spanish PICUs.: ... ...

    Title translation Care of the critically ill child with heart disease in Spain.
    Abstract Introduction: The objective of the present study is to present the organization of the resources of paediatric cardiac critical care in Spain.
    Patients and methods: Data were collected through questionnaires sent by e-mail to Spanish PICUs.
    Results: 22 PICUs were enrolled. The median number of beds were 9.5 (4-18 beds). Total cardiac admissions represented a 20 % of total PICUs admissions per year, firstly for congenital heart defects, and secondly for respiratory problems. Cardiac surgical activities were carried out in 16 centres, centralized in PICU in 10 cases. Mechanical support of the myocardium was performed in 7 PICUs. A total of 10 participating PICUs considered echocardiograph training necessary and also an increase in the amount of activity for better results.
    Conclusions: Paediatric cardiac critical care involves a significant use of resources, including PICUs with no surgical activity. This study is useful for detecting common problems and for improving clinical care.
    MeSH term(s) Adolescent ; Cardiology/methods ; Child ; Child Health Services/organization & administration ; Child, Preschool ; Critical Care/standards ; Critical Care/statistics & numerical data ; Critical Illness ; Female ; Heart Diseases/epidemiology ; Heart Diseases/therapy ; Humans ; Intensive Care Units, Pediatric/statistics & numerical data ; Male ; Patient Admission ; Patient Care/methods ; Prevalence ; Spain/epidemiology ; Surveys and Questionnaires
    Language Spanish
    Publishing date 2008-06-11
    Publishing country Spain
    Document type Journal Article
    ZDB-ID 2102669-5
    ISSN 1695-4033
    ISSN 1695-4033
    DOI 10.1157/13124215
    Database MEDical Literature Analysis and Retrieval System OnLINE

    More links

    Kategorien

  7. Article: Técnicas y tratamientos complementarios. Tratamientos complementarios: óxido nítrico, posición en prono y surfactante.

    Martos Sánchez, I / Vázquez Martínez, J L / Otheo de Tejada, E / Ros, P

    Anales de pediatria (Barcelona, Spain : 2003)

    2003  Volume 59, Issue 5, Page(s) 483–490

    Abstract: The management of hypoxic respiratory failure is based on oxygen delivery and ventilatory support with lung-protective ventilation strategies. Better understanding of acute lung injury have led to new therapeutic approaches that can modify the outcome of ...

    Title translation Techniques and complementary techniques. Complementary treatments: nitric oxide, prone positioning and surfactant.
    Abstract The management of hypoxic respiratory failure is based on oxygen delivery and ventilatory support with lung-protective ventilation strategies. Better understanding of acute lung injury have led to new therapeutic approaches that can modify the outcome of these patients. These adjunctive oxygenation strategies include inhaled nitric oxide and surfactant delivery, and the use of prone positioning. Nitric oxide is a selective pulmonary vasodilator that when inhaled, improves oxygenation in clinical situations such as persistent pulmonary hypertension of the newborn, pulmonary hypertension associated with congenital heart disease, and acute respiratory distress syndrome (ARDS). When applied early in ARDS, prone positioning improves distribution of ventilation and reduces the intrapulmonary shunt. The surfactant has dramatically decreased mortality caused by hyaline membrane disease in premature newborns, although the results have been less successful in ARDS. Greater experience is required to determine whether the combination of these treatments will improve the prognosis of these patients.
    MeSH term(s) Adult ; Child ; Humans ; Hypoxia/drug therapy ; Infant ; Infant, Newborn ; Nitric Oxide/therapeutic use ; Prone Position ; Pulmonary Surfactants/therapeutic use ; Respiratory Distress Syndrome, Adult/therapy ; Respiratory Distress Syndrome, Newborn/complications ; Respiratory Distress Syndrome, Newborn/therapy
    Chemical Substances Pulmonary Surfactants ; Nitric Oxide (31C4KY9ESH)
    Language Spanish
    Publishing date 2003-11
    Publishing country Spain
    Document type Guideline ; Journal Article ; Practice Guideline
    ZDB-ID 2102669-5
    ISSN 1695-4033
    ISSN 1695-4033
    DOI 10.1016/s1695-4033(03)78764-5
    Database MEDical Literature Analysis and Retrieval System OnLINE

    More links

    Kategorien

  8. Article: Ventilación en situaciones especiales. Ventilación mecánica en cardiopatías congénitas e hipertensión pulmonar.

    Vázquez Martínez, J L / Martos Sánchez, I / Alvarez Rojas, E / Pérez-Caballero, C

    Anales de pediatria (Barcelona, Spain : 2003)

    2003  Volume 59, Issue 4, Page(s) 372–376

    Abstract: The cardiovascular and respiratory systems act as a functional unit. Mechanical ventilation modifies pulmonary volumes, which generates changes in autonomic nervous system reactivity and provokes tachy- or brady-cardia (depending on the tidal volume used) ...

    Title translation Ventilation in special situations. Mechanical ventilation in congenital cardiopathies and pulmonary hypertension.
    Abstract The cardiovascular and respiratory systems act as a functional unit. Mechanical ventilation modifies pulmonary volumes, which generates changes in autonomic nervous system reactivity and provokes tachy- or brady-cardia (depending on the tidal volume used). Mechanical ventilation also decreases cardiac filling volumes (pre-load) and alters pulmonary vascular resistances. In addition, intrathoracic pressures are enlarged, which usually produces a decrease in right atrium filling and an increase in right ventricle afterload. If coronary flow is impaired, myocardial contractility is reduced. However, if cardiac failure is present, mechanical ventilation is especially beneficial because it corrects hypoxia and respiratory acidosis, decreases the work of breathing, and improves stroke volume. Mechanical ventilation in congenital heart diseases is indicated either as lifesaving support or as physiopathological treatment to modify the ratio between pulmonary and systemic flow. As a general rule, if excessive pulmonary blood flow is present, the aim of respiratory support is to increase pulmonary vascular resistance by using high levels of airway pressure and even by delivering FiO2<21%. When there is low pulmonary flow, the lowest possible intrathoracic pressures should be used, especially in cases of pulmonary hypertension, which will also require high FiO2. However, mechanical ventilation has adverse effects and consequently it must be stopped as early as possible, once the child is stable and requires minimal cardiopulmonary support. Weaning can even be performed in the operating room, when the surgical procedure is finished. When this is not possible, weaning should be performed in the pediatric intensive care unit. Because there are no criteria for successful withdrawal of mechanical support in congenital heart disease, general pediatric criteria should be used.
    MeSH term(s) Child ; Heart Diseases/congenital ; Heart Diseases/physiopathology ; Heart Diseases/therapy ; Hemodynamics ; Humans ; Hypertension, Pulmonary/physiopathology ; Hypertension, Pulmonary/therapy ; Respiration, Artificial/methods
    Language Spanish
    Publishing date 2003-08-15
    Publishing country Spain
    Document type English Abstract ; Journal Article
    ZDB-ID 2102669-5
    ISSN 1695-4033
    ISSN 1695-4033
    DOI 10.1016/s1695-4033(03)78197-1
    Database MEDical Literature Analysis and Retrieval System OnLINE

    More links

    Kategorien

  9. Article: Estudio comparativo de las complicaciones postoperatorias inmediatas de la toracoscopia frente a la toracotomía en la escoliosis idiopática infantil.

    Pérez-Caballero Macarrón, C / Burgos Flores, J / Martos Sánchez, I / Pérez Palomino, A / Vázquez Martínez, J L / Alvarez Rojas, E / Fernández Pineda, L / Vellibre Vargas, D

    Anales de pediatria (Barcelona, Spain : 2003)

    2006  Volume 65, Issue 6, Page(s) 569–572

    Abstract: Introduction: Thoracoscopic surgery has been used for anterior release, discectomy, and fusion in severe scoliosis or kyphosis. The indications of thoracoscopy for the treatment of pediatric spinal deformity are similar to those of thoracotomy-based ... ...

    Title translation Early postoperative complications of thoracoscopy versus thoracotomy in pediatric idiopathic scoliosis.
    Abstract Introduction: Thoracoscopic surgery has been used for anterior release, discectomy, and fusion in severe scoliosis or kyphosis. The indications of thoracoscopy for the treatment of pediatric spinal deformity are similar to those of thoracotomy-based spinal surgery.
    Objective: We designed a comparative study to observe the immediate complications in the postoperative period after thoracoscopy or thoracotomy for scoliosis in the pediatric population.
    Material and methods: The postsurgical complications of 63 interventions for idiopathic scoliosis over a 10-year period were analyzed. Conventional thoracotomy was used in 37 interventions (59 %) and thoracoscopy was used in 26 (41 %).
    Results: In patients treated with the thoracolumbar endoscopic procedure, oral nutrition was resumed earlier, the mean length of hospital stay was lower, and debit drainage or requirement of surgical drainage were lower.
    Conclusions: Fewer immediate postsurgical complications were observed in scoliosis surgery when thoracoscopy was used.
    MeSH term(s) Adolescent ; Female ; Humans ; Male ; Postoperative Complications/epidemiology ; Postoperative Complications/etiology ; Scoliosis/surgery ; Thoracoscopy/adverse effects ; Thoracotomy/adverse effects ; Time Factors
    Language Spanish
    Publishing date 2006-12-09
    Publishing country Spain
    Document type Comparative Study ; English Abstract ; Journal Article
    ZDB-ID 2102669-5
    ISSN 1695-4033
    ISSN 1695-4033
    DOI 10.1157/13095850
    Database MEDical Literature Analysis and Retrieval System OnLINE

    More links

    Kategorien

To top