Anales de pediatría : publicación oficial de la Asociación Española de Pediatría (A.E.P.)
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To study tolerance to transpyloric enteral nutrition (TEN) and the incidence of secondary complications in critically-ill children. ⋯ TEN is a well tolerated method of nutrition in critically-ill children that produces few complications.
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Intermittent mandatory ventilation (IMV) is a mode of ventilation that allows the patient to make spontaneous breaths during the expiratory phase of mandatory ventilator breaths. There are two types of IMV according to whether respirator breaths are synchronized with the patient's respiratory efforts: Non-synchronized IMV and synchronized IMV (SIMV), and according to whether SIMV is volume- or pressure programmed. The main advantage of SIMV is that the respirator delivers the preset ventilator pressure and rate while allowing the patient to breath spontaneously, thus facilitating progressive weaning from mechanical ventilation. It diminishes the risk of barotrauma, produces less hemodynamic com-promise than control ventilation, reduces atrophy of respiratory muscles and the need for sedation and muscle relaxation and can be associated with pressure support ventilation.
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To study the utility and efficacy of transpyloric enteral nutrition (TEN) in critically-ill children by analyzing the factors that determine enteral tolerance. ⋯ TEN is a useful method of nutrition in critically-ill children.
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Case Reports
[Psychological intervention for coping with painful medical procedures in pediatric oncology].
Psychological treatments for procedural distress have shown good results in pediatric oncology and several institutions recommend their implementation to reduce the procedural distress, anxiety and pain associated with painful medical procedures. ⋯ The potential benefits of this kind of intervention are discussed, and some recommendations for future research are proposed.
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To determine the profile of neonatal visits to a pediatric emergency service and to compare this profile with that of other pediatric age groups. ⋯ Most neonatal utilization of emergency services is due to trivial problems that could be solved in primary care. Appropriate training is required to avoid unnecessary tests without overlooking potentially serious conditions.