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Automated Adjustment of the Fraction of Inspired Oxygen (FiO2) and the Time Spe...

Rocha, Gustavo; Soares, Paulo; Flor-de-Lima, Filipa; Amaral, Rita

Introduction: The challenge of maintaining normoxemia in preterm infants undergoing respiratory support and oxygen therapy has led to the development of closed-loop automatic control systems for FiO2. The aim of this study was to assess the effectiveness of these systems in maintaining SpO2 within a target range (90% - 94%) in preterm neonates receiving supplemental oxygen.Methods: We conducted a single-centre ...

Date: 2025   |   Origin: Acta Médica Portuguesa

Caffeine for preterm infants: a narrative review

Rocha, Gustavo

Caffeine is an adenosine receptor antagonist used to prevent or treat apnea of prematurity in the neonatal period and is now the standard of care for very low birth weight infants. Caffeine is a widely used stimulant that has been shown to reduce the duration of assisted ventilation and oxygen therapy in the short term, as well as the rate of treatment for patent ductus arteriosus and bronchopulmonary dysplasia...


Neonatal Resuscitation Practices in Portuguese Delivery Rooms: A Cross-Sectiona...

Alves, Natacha; Rocha, Gustavo; Flor-de-Lima, Filipa; Rosário, Marta; Pissarra, Susana; Mateus, Mário; Azevedo, Inês; Soares, Henrique

Introduction: Data from previous studies have demonstrated inconsistency between current evidence and delivery room resuscitation practices in developed countries. The primary aim of this study was to assess the quality of newborn healthcare and resuscitation practices in Portuguese delivery rooms, comparing current practices with the 2021 European Resuscitation Council guidelines. The secondary aim was to comp...

Date: 2024   |   Origin: Acta Médica Portuguesa

The Red Reflex Test and Leukocoria in Childhood

Santos Oliveira, Joana; Catarino, Sara; Magalhães, Augusto; Rocha, Gustavo; Santos Silva, Renato

The red reflex test, performed using a direct ophthalmoscope, serves as a critical diagnostic tool in identifying various ocular conditions. These conditions encompass retinal anomalies (such as retinoblastoma, Coats disease, retinopathy of prematurity, familial exudative vitreoretinopathy, myelinated nerve fibers, ocular toxocariasis, ocular toxoplasmosis, retinochoroidal coloboma, astrocytic, and combined ham...

Date: 2024   |   Origin: Acta Médica Portuguesa

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...


Scan-to-BIM : Estratégias de Automatização da Modelação Geométrica a partir de ...

Rocha, Gustavo

A metodologia BIM (Building Information Modeling) tem impulsionado mudanças marcantes na gestão de projetos nas áreas de arquitetura, engenharia e construção, promovendo uma melhoria na elaboração de projetos e na redução de custos. No contexto de edifícios existentes, a aplicação do BIM é viabilizada por técnicas avançadas de levantamento arquitetónico, como o varrimento a laser 3D terrestre (VL3DT) e a fotogr...


Decoding the Human Genome

Fernandes da Rocha, Diogo; Rocha, Gustavo; Louro, Pedro

The neonatologist is often the first clinician to identify genetic disorders without prenatal diagnosis. Technological advances in genetics over the past few decades have opened up possibilities never before imagined. Gone are the days when we could offer our patients little more than a peripheral blood karyotype. Newer methods, such as comparative genomic hybridization or Sanger sequencing and next-generation ...



Decoding the Human Genome

Rocha, Diogo Fernandes de; Rocha, Gustavo; Louro, Pedro

The neonatologist is often the first clinician to identify genetic disorders without prenatal diagnosis. Technological advances in genetics over the past few decades have opened up possibilities never before imagined. Gone are the days when we could offer our patients little more than a peripheral blood karyotype. Newer methods, such as comparative genomic hybridization or Sanger sequencing and next-generation ...


Caffeine for preterm infants: a narrative review

Rocha, Gustavo

Caffeine is an adenosine receptor antagonist used to prevent or treat apnea of prematurity in the neonatal period and is now the standard of care for very low birth weight infants. Caffeine is a widely used stimulant that has been shown to reduce the duration of assisted ventilation and oxygen therapy in the short term, as well as the rate of treatment for patent ductus arteriosus and bronchopulmonary dysplasia...


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