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10.834  Articles
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Ventilación mecánica domiciliaria en pediatría. Presentación de un caso / Mechanical ventilation at home in pediatrics. A case reportVentilación mecánica domiciliaria en pediatría. Presentación de un caso / Mechanical ventilation at home in pediatrics. A case reportIntroducción: el sistema de apoyo ventilatorio domiciliario es una alternativa para el tratamiento de los pacientes con insuficiencia respiratoria crónica grave. Objetivo: presentar un escolar de 6 años de edad, con una enfermedad de Werding Hoffman, con asistencia respiratoria artificial desde los 5 meses de edad y hace 2 años con ventilación mecánica domiciliaria. Método: se revisa y actualiza la bibliografía sobre ventilación mecánica domiciliaria en edades pediátricas y enfermedad de Werding Hofman. Se presenta un niño varón: de 6 años de edad que ingresa a los 5 meses de edad, en el servicio de Cuidados intensivos del Hospital pediátrico provincial docente «Pepe Portilla» de Pinar del Río con una insuficiencia respiratoria crónica, el cual requiere ventilación mecánica, durante 4 años en el hospital, sin complicaciones y desde hace 2 años en su hogar con ventilación domiciliaria. Discusión: La ventilación domiciliaria es un método seguro y necesario para niños con insuficiencia respiratoria crónica de carácter grave, esto ha beneficiado la evolución favorable de este niño al que se le asigna una enfermera de cuidados intensivos durante 8 horas diarias, además se entrena a la madre como cuidadora en los procederes necesarios para mantener en su hogar la ventilación.Palabras clave: RESPIRACIÓN ARTIFICIAL/clasificación, INSUFICIENCIA RESPIRATORIA/diagnóstico, NIÑOS CON DISCAPACIDAD.ABSTRACTIntroduction: ventilatory Support System at home is an alternative to treat patients with severe chronic respiratory failure. Objective: to present a 6 year-old school boy suffering from Werdnig Hoffman Disease, with artificial ventilation since he was 5 months old and for the last 2 years with mechanical ventilation at home. Patient and method: medical literature on home mechanical ventilation in pediatric patients and Werdnig Hoffman Disease is updated and reviewed. A 6 year old male child was admitted at 5 months of age in the intensive care unit at "Pepe Portilla" Children Provincial Hospital in Pinar del Rio with chronic respiratory failure, requiring mechanical ventilation for 4 years in the hospital, without complications, and during 2 years at home with ventilation. He was assigned an intensive care nurse for 8 hours; his mother was also trained as a caregiver in the necessary procedures to maintain ventilation at home.Key words: ARTIFICIAL RESPIRATION/classification, RESPIRATORY INSUFFICIENCY/diagnosis, DISABLED CHILDREN.

Objetivo: presentar un escolar de 6 años de edad, con una enfermedad de Werding Hoffman, con asistencia respiratoria artificial desde los 5 meses de edad y hace 2 años con ventilación mecánica domiciliaria. Método: se revisa y actualiza la bibliografía so... see more

Background: Presence of multiple fractures suggests child abuse. Skull fractures rarely occurred but posterior rib fractures are commonly found and have high specificity as a radiological finding in child abuse. A respiratory failure can occur as a result... see more

Objective: To evaluate the feasibility and outcomes of protocol-driven noninvasive mechanical ventilation in patients with acute respiratory failure (ARF) after cardiac surgery.Methods: From 2001 to 2004, a total of 2428 cardiac surgery patients admitted ... see more

The systemic vasculitides are multifocal diseases characterized by the presence of blood vessel inflammation in multiple organ systems. Their clinical presentation is variable extending from self-limited illness to critical complications including diffuse... see more

BACKGROUNDAcute respiratory failure (ARF) is a common problem encountered by the emergency physicians. Patients may need ventilatory support when pharmacological measures fail to correct the pathophysiologic derangements. Noninvasive positive pressure ven... see more

We report a case of a 40-day-old patient admitted to the neonatal and paediatric intensive care unit for severe cardiovascular failure with an initial sinus rhythm. The first diagnostic hypothesis was septic shock, thus antibiotics, fluid resuscitation, i... see more

Introdução: A ventilação mecânica (VM) é utilizada em unidades de terapia intensiva pediátrica e neonatal em todo o mundo, com pacientes que apresentam insuficiência respiratória aguda ou crônica. O desmame da VM é o processo de transição da ventilação ar... see more

Introdução: O suporte ventilatório invasivo e não invasivo constitui um dos pilares terapêuticos da Unidade de Terapia Intensiva (UTI), se mostrando como uma das principais ferramentas no tratamento de pacientes graves, em especial, os que apresentam insu... see more

Duchenne muscular dystrophy (DMD) is the most common and one of the most serious childhood diseases. It is an X – linked recessive neuromuscular disease, caused by mutations in the dystrophin gene, primarily resulting in skeletal and heart muscle abnormal... see more

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