Jornal de pediatria
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Jornal de pediatria · Nov 2011
Staff workload and adverse events during mechanical ventilation in neonatal intensive care units.
To investigate a possible association between the intensity of staff workload and intermediate adverse events, such as accidental extubation, obstruction of the endotracheal tube, and accidental disconnection of the ventilator circuit, during neonatal mechanical ventilation in high-risk neonatal units. ⋯ The workload of NICU professionals seems to interfere with the intermediate results of neonatal care and thus should be taken into consideration when evaluating NICU outcomes.
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Jornal de pediatria · Nov 2011
Review Comparative StudyIsotonic saline solution as maintenance intravenous fluid therapy to prevent acquired hyponatremia in hospitalized children.
This review aims to evaluate if the use of hypotonic saline solutions as maintenance intravenous fluid therapy in hospitalized children increases the risk of hyponatremia, if the administration of isotonic fluids is able to protect against acquired hyponatremia and if the isotonic solutions increase the risks of deleterious effects such as hypernatremia or fluid overload. ⋯ The evidence found indicates that the traditional recommendation of Holliday and Segar to use maintenance fluid therapy for sick and hospitalized children deserves to be reconsidered due to the adverse effects found to arise from it, apart from the better results obtained by using isotonic solutions.
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Jornal de pediatria · Nov 2011
ReviewRisk factors and preventive measures for catheter-related bloodstream infections.
To review the risk factors of central venous catheter-related bloodstream infection and the recommendations for its prevention. ⋯ The control of risk factors may lead to a reduction of 40% or greater in the incidence of catheter-related bloodstream infection. Insertion surveillance and special attention to central venous catheter in pediatric populations should guide the standardization of healthcare routines to achieve standards for comparisons within and between institutions.