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Performance of prognostic markers in pediatric sepsis

Tonial,Cristian Tedesco; Costa,Caroline Abud Drumond; Andrades,Gabriela Rupp Hanzen; Crestani,Francielly; Bruno,Francisco; Piva,Jefferson Pedro

Abstract Objective To evaluate the prognostic performance of the Pediatric Index of Mortality 2 (PIM2), ferritin, lactate, C-reactive protein (CRP), and leukocytes, alone and in combination, in pediatric patients with sepsis admitted to the pediatric intensive care unit (PICU). Methods A retrospective study was conducted in a PICU in Brazil. All patients aged 6 months to 18 years admitted with a diagnosis of se...

Data: 2021   |   Origem: Oasisbr

End-of-life practices in patients admitted to pediatric intensive care units in...

Furtado,Roiter de Albernaz; Tonial,Cristian Tedesco; Costa,Caroline Abud Drumond; Andrades,Gabriela Rupp Hanzen; Crestani,Francielly; Bruno,Francisco

Abstract Objective: To determine the prevalence of life support limitation (LSL) in patients who died after at least 24 h of a pediatric intensive care unit (PICU) stay, parent participation and to describe how this type of care is delivered. Methods: Retrospective cohort study in a tertiary PICU at a university hospital in Brazil. All patients aged 1 month to 18 years who died were eligible for inclusion. The ...

Data: 2021   |   Origem: Oasisbr

Comparison of nursing workload in a Pediatric Intensive Care Unit estimated by ...

Velozo,Kelly Dayane Stochero; Costa,Caroline Abud Drumond; Tonial,Cristian Tedesco; Crestani,Francielly; Andrades,Gabriela Rupp Hanzen

ABSTRACT Objective: To compare the nursing workload using the Nursing Activities Score (NAS), Therapeutic Intervention Scoring System-28 (TISS-28) and Nine Equivalents of Nursing Manpower Use Score (NEMS) instruments in children admitted to a Pediatric Intensive Care Unit in a university hospital. Method: A prospective cohort study performed in a Pediatric Intensive Care Unit, with a sample formed of all childr...

Data: 2021   |   Origem: Oasisbr

Septic shock in pediatrics: the state-of-the-art

Garcia,Pedro Celiny Ramos; Tonial,Cristian Tedesco; Piva,Jefferson Pedro

Abstract Objective Review the main aspects of the definition, diagnosis, and management of pediatric patients with sepsis and septic shock. Source of data A search was carried out in the MEDLINE and Embase databases. The articles were chosen according to the authors' interest, prioritizing those published in the last five years. Synthesis of data Sepsis remains a major cause of mortality in pediatric patients. ...

Data: 2020   |   Origem: Oasisbr

Rapid diagnosis of respiratory distress syndrome by oral aspirate in premature ...

Ribeiro,Manoel Antonio da Silva; Fiori,Humberto Holmer; Luz,Jorge Hecker; Garcia,Pedro Celiny Ramos; Fiori,Renato Machado

Abstract Objective: The stable microbubble test on gastric aspirate and on amniotic fluid has been used for the diagnosis of respiratory distress syndrome in the newborn. However, no study has performed this test on oral aspirates from premature infants. The objective of this study was to evaluate the performance of the stable microbubble test on oral aspirates from preterm newborns to predict respiratory distr...

Data: 2019   |   Origem: Oasisbr

Tradução e adaptação transcultural para o Brasil do Pediatric Confusion Assessm...

Molon,Marizete Elisa; Castro,Roberta Esteves Vieira de; Foronda,Flávia Andrea Krepel; Magalhães-Barbosa,Maria Clara; Robaina,Jaqueline Rodrigues

RESUMO Objetivo: Traduzir e adaptar transculturalmente para o português do Brasil o instrumento Pediatric Confusion Assessment Method for the Intensive Care Unit para detecção de delirium em unidades de terapia intensiva pediátrica, incluindo algoritmo e instruções. Métodos: Utilizou-se a abordagem universalista para tradução e adaptação transcultural de instrumentos de aferição em saúde. Um grupo de especialis...

Data: 2018   |   Origem: Oasisbr

Redução da desnutrição em pacientes pediátricos gravemente enfermos

Costa,Caroline Abud Drumond; Garcia,Pedro Celiny Ramos; Cabral,Daiane Drescher; Tonial,Cristian Tedesco; Bruno,Francisco; Enloft,Paulo Roberto

RESUMO Objetivo: Comparar a prevalência de desnutrição em dois momentos de uma unidade de terapia intensiva pediátrica. Métodos: Estudo transversal retrospectivo, com pacientes internados na unidade de terapia intensiva pediátrica de um hospital universitário em dois períodos de 1 ano com intervalo de 4 anos. A avaliação nutricional foi realizada a partir do peso e da estatura aferidos no momento da internação....

Data: 2018   |   Origem: Oasisbr

Scores TISS-28 versus NEMS to size the nursing team in a pediatric intensive ca...

Velozo,Kelly Dayane Stochero; Garcia,Pedro Celiny Ramos; Piva,Jefferson Pedro; Fiori,Humberto Holmer; Cabral,Daiane Drescher; Einloft,Paulo Roberto

ABSTRACT Objective: To estimate the workload and size the nursing team using the scales TISS-28 and NEMS in a pediatric intensive care unit. Methods: An observational prospective study with a quantitative approach was conducted at the pediatric intensive care unit of a university hospital from Jan 1st, 2009 to Dec 31st, 2009. All children who remained hospitalized for more than 8 hours were included, with lengt...

Data: 2017   |   Origem: Oasisbr

Comparison of two maintenance electrolyte solutions in children in the postoper...

Valadão,Maria Clara da Silva; Piva,Jefferson Pedro; Santana,João Carlos Batista; Garcia,Pedro Celiny Ramos

ABSTRACT OBJECTIVE: To compare two electrolyte maintenance solutions in the postoperative period in children undergoing appendectomy, in relation to the occurrence of hyponatremia and water retention. METHODS: A randomized clinical study involving 50 pediatric patients undergoing appendectomy, who were randomized to receive 2,000 mL/m2/day of isotonic (Na 150 mEq/L or 0.9% NaCl) or hypotonic (Na 30 mEq/L NaCl o...

Data: 2015   |   Origem: Oasisbr

Progressos e perspectivas na síndrome do desconforto respiratório agudo em pedi...

Rotta,Alexandre Tellechea; Piva,Jefferson Pedro; Andreolio,Cinara; Carvalho,Werther Brunow de; Garcia,Pedro Celiny Ramos

RESUMOA síndrome do desconforto respiratório agudo é uma patologia de início agudo, marcada por hipoxemia e infiltrados na radiografia de tórax, acometendo tanto adultos quanto crianças de todas as faixas etárias. Ela é causa importante de insuficiência respiratória em unidades de terapia intensiva pediátrica associada a significativa morbidade e mortalidade. Apesar disso, até recentemente, as definições e os c...

Data: 2015   |   Origem: Oasisbr

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