Rev Assoc Med Bras
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To describe the main pathophysiological differences in neurosurgical procedures between children and adults; the main complications and adverse events resulting from pediatric neurosurgery reported in studies; the singularities in anesthetic and intraoperative management in several neurosurgical diseases; the more specific and common complications and their management in the most frequent pediatric neurosurgical procedures, as well as causes and treatment for the main complications found in children undergoing neurosurgery. ⋯ The complexity of neurosurgical procedures in children is increasing, and observation and recognition of complications in pediatric intensive care units are fundamental. Anticipating complications in order to achieve an early treatment and adverse event prophylaxis can contribute to reduced morbidity and mortality and increased patients' safety.
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To evaluate the efficacy of the association of corticosteroids and the standard treatment of bacterial meningitis in pediatric patients. ⋯ There are no benefits in associating corticosteroids with the standard treatment of bacterial meningitis in pediatric patients.