Archivos argentinos de pediatría
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Arch Argent Pediatr · Oct 2017
Case Reports[Post-intubation laryngeal granuloma: a rare complication of tracheal intubation in pediatrics. Case report].
Laryngeal granulomas are benign lesions located in the posterior third of the glottis, mainly at the level of the vocal apophysis of the arytenoid cartilage. They are typically associated with three etiological factors: endotracheal intubation, inappropriate voice use and/or gastroesophageal reflux. The formation of a post-intubation laryngeal granuloma is a late complication related to intubation injury. ⋯ Treatment consists of surgical removal when the lesion is pediculated or causes respiratory compromise. We present a 14-year-old girl who developed a pediculated laryngeal granuloma after orotracheal intubation of less than 24 hours, which was evidenced 3 months after cardiac surgery. We describe the pathogenesis, clinical manifestations, diagnosis and treatment of this pathology.
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Arch Argent Pediatr · Oct 2017
Implementation of a checklist to increase adherence to evidence-based practices in a single pediatric intensive care unit.
The use of checklists to increase adherence to evidence-based practices is not yet widespread in pediatric intensive care units. The objective of this study was to achieve 90% compliance with studied practices using an ad hoc checklist. ⋯ The implementation of a checklist increased adherence to studied practices and achieved more than 90% compliance over the last 2 months of the study period.