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Management of low systemic blood flow in extremely preterm infants

Couto, Catarina; Proença, Elisa

Extremely preterm infants are at significant risk for low systemic blood flow and inadequate organ perfusion. A comprehensive evaluation of clinical, laboratory, echocardiographic, and end-organ perfusion markers allows for a pathophysiology-based and individualized approach to low blood flow states. The aim of this article was to review the diagnosis and management of low systemic blood flow in extremely prete...


Management of low systemic blood flow in extremely preterm infants

Couto, Catarina; Proença, Elisa

Extremely preterm infants are at significant risk for low systemic blood flow and inadequate organ perfusion. A comprehensive evaluation of clinical, laboratory, echocardiographic, and end-organ perfusion markers allows for a pathophysiology-based and individualized approach to low blood flow states. The aim of this article was to review the diagnosis and management of low systemic blood flow in extremely prete...


The Use of Two or More Courses of Low-Dose Systemic Dexamethasone to Extubate V...

Rocha, Gustavo; Calejo, Rita; Arnet, Vanessa; Lima, Filipa Flôr; Cassiano, Gonçalo; Diogo, Isabel; Mesquita, Joana; Mimoso, Gabriela; Proença, Elisa

Background: Our objective was to determine whether the use of two or more courses of low-dose systemic dexamethasone for extubation of ventilator-dependent preterm infants after the first week of life, as proposed in the DART study, is associated with greater neurodevelopmental harm at two years of corrected age, compared to a single course. Methods: Retrospective review at seven level III neonatal intensive ca...


Terapêutica com surfactante em recém-nascidos prematuros: tendência para uma ab...

Meireles, Daniel; Araújo, Luísa Neiva; Nascimento, Marta; Pinho, Liliana; Freitas, Ana Cristina; Almeida, Alexandra; Carvalho, Carmen; Proença, Elisa

Introdução: A administração de surfactante por técnica minimamente invasiva (MIST) é um procedimento que visa reduzir o número de intubações e riscos associados. O objetivo deste estudo foi comparar a técnica MIST com a técnica INtubation-SURfactant-Extubation (INSURE). Material e métodos: Análise retrospetiva (de janeiro 2015 a junho 2019) de recém-nascidos (RN) pré-termo sob ventilação não invasiva com pressã...


Use of Therapeutic Hypothermia in Sudden Unexpected Postnatal Collapse: A Retro...

Brito, Sara; Sampaio, Isabel; Dinis, Alexandra; Proença, Elisa; Vilan, Ana; Soares, Eunice; Pinto, Filomena; Tomé, Teresa; Graça, André M.

Introduction: Sudden and unexpected postnatal collapse is a rare event with potentially dramatic consequences. Intervention approaches are limited, but hypothermia has been considered after postnatal collapse. The aim of this study was to analyse sudden and unexpected postnatal collapse cases that underwent therapeutic hypothermia in the five Portuguese hypothermia centres. Material and methods: In this multice...


Minimally invasive surfactant therapy in preterm infants: towards less invasive...

Meireles, Daniel; Neiva-Araújo, Luísa; Nascimento, Marta; Pinho, Liliana; Freitas, Ana Cristina; Almeida, Alexandra; Carvalho, Carmen; Proença, Elisa

Introduction: Minimally invasive surfactant therapy (MIST) is a surfactant administration procedure that intends to reduce intubations and associated risks. The aim of this study was to compare MIST with INtubation-SURfactant-Extubation (INSURE) technique. Material and methods: Retrospective analysis (from January 2015 to June 2019) of preterm infants on nasal continuous positive airway pressure (nCPAP) treated...


Use of Therapeutic Hypothermia in Sudden Unexpected Postnatal Collapse: A Retro...

Brito, Sara; Sampaio, Isabel; Dinis, Alexandra; Proença, Elisa; Vilan, Ana; Soares, Eunice; Pinto, Filomena; Tomé, Teresa; Graça, André M.

Introduction: Sudden and unexpected postnatal collapse is a rare event with potentially dramatic consequences. Intervention approaches are limited, but hypothermia has been considered after postnatal collapse. The aim of this study was to analyse sudden and unexpected postnatal collapse cases that underwent therapeutic hypothermia in the five Portuguese hypothermia centres.Material and Methods: In this multicen...

Date: 2021   |   Origin: Acta Médica Portuguesa

Use of therapeutic hypothermia in sudden unexpected postnatal collapse : a retr...

Brito, Sara; Sampaio, Isabel; Dinis, Alexandra; Proença, Elisa; Vilan, Ana; Soares, Eunice; Pinto, Filomena; Tomé, Teresa; Graca, Andre M.

Introduction: Sudden and unexpected postnatal collapse is a rare event with potentially dramatic consequences. Intervention approaches are limited, but hypothermia has been considered after postnatal collapse. The aim of this study was to analyse sudden and unexpected postnatal collapse cases that underwent therapeutic hypothermia in the five Portuguese hypothermia centres. Material and Methods: In this multice...


CEFALOHEMATOMA PROGRESSIVO – UM SINAL DE ALARME A VALORIZAR

de Figueiredo, Catarina Matos; Ferreira, Jorge Abreu; Valpaços, Catarina; Morais, Sara; Lopes, Luísa; Proença, Elisa; Novo, Ana


HEMANGIOMA DO CORDÃO E PERSISTÊNCIA DO ÚRACO: UMA ASSOCIAÇÃO INESPERADA

Lachado, Ana; Barroso, Fábio; Brás, Rafael; Alves, Mariana; Rodrigues, Maria do Céu; Roquete, Pedro; Coelho, Ana; Marinho, Sofia; Carvalho, Fátima


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