Anales de pediatría : publicación oficial de la Asociación Española de Pediatría (A.E.P.)
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To describe our experience of noninvasive positive-pressure ventilation (NIPPV). ⋯ NIPPV should be considered as a ventilatory support option in the treatment of acute respiratory failure in selected children.
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Case Reports
[Noninvasive ventilation with heliox in an infant with acute respiratory distress syndrome].
Noninvasive ventilation (NIV) combined with heliox therapy (Hx) constitutes a therapeutic option in the management of adult patients with acute exacerbations of chronic obstructive pulmonary disease. Either NIV or Hx alone can also be effective in pediatric patients, but there are no published reports on their combined use. ⋯ A commercially available nCPAP ventilator adapted for heliox use was employed for Hx-nCPAP application. This is the first report of the use of Hx-nCPAP in an infant.
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Immersion accidents are still an important cause of morbidity and mortality in children. We performed a retrospective study to identify the prognostic factors associated with outcome in children who experience near-drowning, which could serve to guide decision-making. Our data were compared with other published data. ⋯ Outcome is closely related to the patient's clinical status on arrival at the hospital. Although data that can serve as a guide to the final outcome of the nearly-drowned patient are available, early models to predict the final clinical results of each case, which could be used to guide initial resuscitation and subsequent treatment, are lacking.
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Multicenter Study
[Acute renal failure in critically-ill children. A preliminary study].
To analyze the characteristics of acute renal failure (ARF) in critically-ill children and develop a protocol for a multicenter study. ⋯ The incidence of ARF in critically-ill children is low but remains a cause of high mortality and prolonged stay in the PICU. Mortality was caused not by renal failure but by multiple organ failure.