Anales españoles de pediatría
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Comparative Study
[Treatment of status asthmaticus. Experience of intravenous beta-adrenergic bronchodilator therapy in 71 cases].
A retrospective study of the patients admitted during the last 8 years with status asthmaticus is reported. We compare the requirement of mechanical ventilation with the beta-agonist therapy received and the type of asthma. About 71 patients admitted, 67% were IgE dependent asthmatic (EDA) children and 31% no-IgE dependent asthmatic (nEDA) ones. ⋯ We found isoproterenol to be more effective than hexoprenalina in the treatment of status asthmaticus. Similar results were obtained with the nEDA group. The Downes score was showed to be a good predictor-index scoring system in many cases.
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We have done a prospective study of the emergencies that arrived to a Children's Hospital from 8 to 15 hours in labour day 987 enquires were filled, which represents 53.53% of those who came. Males were predominant and also the younger ones with 24.58% less than 1 year of age, and progressively diminishing with age. Frequency was higher on Mondays, Thursdays and Fridays, with a significant reduction on Tuesdays. ⋯ The socioeconomic status was slightly higher than that of the Madrid Community in which the hospital is situated. Our data show that the majority of children that come to the emergency department present problems that could have been solved in another level of care. We also found indirect signs, may evidentiate that the family members are conscious in many cases that they are making an unjustified use of this level of care.
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Fifteen patients with diabetic ketoacidosis treated at ICU in the last eight years with low-dose intravenous insulin infusion are retrospectively revised. Diabetic ketoacidosis was the initial presentation of diabetes in 12 children. Mild infections were the usual starting factor. ⋯ The average of glycemia correction (less than or equal to 250 mg/dl) was 5 h with a rate of 120 mg/dl/h. None of children had complications in the course of the treatment, except for one of them who presented cerebral edema. This procedure is a safe and efficacious treated for diabetic ketoacidosis in children.