Abstract：
OBJECTIVE:To describe intubation procedures in two pediatric and two neonatal intensive care units in the city of Porto Alegre. METHODS:Cross-sectional study divided into a retrospective and a prospective phase. All intubations performed in these units during a 6-month period were considered. Data were collected by interviewing the physician responsible for the procedure and reviewing the patients' charts, including drugs administered, sedation status, number of attempts, difficulties and complications during the procedure. Data were analyzed using the t test and the Mann-Whitney test for continuous variables and the chi-square test for categorical variables, considering a p < 0.05. RESULTS:Sedatives were administered in 89.5% of the 134 pediatric procedures and 24% of the 116 neonatal procedures (p < 0.001). Muscle relaxants were prescribed for 3% of the children and 0.9% of the neonates. Only 53.7% of the children and 31.9% of the neonates were considered as adequately relaxed. The children who were inadequately relaxed had more intubations attempts (2.4-/+1.3 vs 1.7-/+1.2 p = 0.001), became more hypoxemic (20.9 vs 5.5% p = 0.015) and were more difficult to intubate (54.8 vs 25% p < 0.001). There were more urgent cases and more intubations attempts (2-/+1.2 vs 1.5-/+0.9 p = 0.036) among the inadequately relaxed neonates. Difficulties and complications occurred in 38.8 and 28.3% of the pediatric cases and 29 and 12% of the neonatal cases, respectively. CONCLUSIONS:There was no established routine for intubation procedures in the units studied, and the use of muscle relaxants was not usual. The absence of adequate muscle relaxation is associated with more intubation attempts, difficulties and hypoxemia during the intubation procedure.
journal_name
J Pediatr (Rio J)journal_title
Jornal de pediatriaauthors
Bonow FP,Piva JP,Garcia PC,Eckert GUkeywords:
subject
Has Abstractpub_date
2004-09-01 00:00:00pages
355-62issue
5eissn
0021-7557issn
1678-4782journal_volume
80pub_type
杂志文章,多中心研究abstract：OBJECTIVE:Duchenne muscular dystrophy, an X-linked genetic disease, leads to progressive muscle weakness mainly in the lower limbs. Motor function tests help to monitor disease progression. Can low-cost, simple assessments help in the diagnostic suspicion of Duchenne muscular dystrophy? The authors aim to define the se...
journal_title：Jornal de pediatria
pub_type： 杂志文章
doi：10.1016/j.jped.2019.02.003
更新日期：2020-01-01 00:00:00
abstract：OBJECTIVES:To assess adequacy of vitamin C intake in HIV-infected children and adolescents; to evaluate serum levels of vitamin C and indicators of oxidative stress; to compare with the uninfected group; to correlate serum vitamin C with oxidative stress and associate them according to the reference values. METHODS:Co...
journal_title：Jornal de pediatria
pub_type： 杂志文章
doi：10.2223/JPED.2141
更新日期：2011-11-01 00:00:00
abstract：OBJECTIVE:To determine the prevalence of celiac disease in patients with myocarditis and dilated cardiomyopathy. METHODS:Fifty-six patients between 1 and 18 years old with dilated cardiomyopathy or myocarditis were evaluated and followed up at Instituto de Medicina Integral Professor Fernando Figueira. Patients with p...
journal_title：Jornal de pediatria
pub_type： 杂志文章
doi：10.2223/JPED.2219
更新日期：2012-09-01 00:00:00
abstract：OBJECTIVE:The objective of this review of genetic counseling (GC) is to describe the current concepts and philosophical and ethical principles accepted by the great majority of countries and recommended by the World Health Organization, the stages of the process, its results and the psychological impact that a genetic ...
journal_title：Jornal de pediatria
pub_type： 杂志文章,评审
doi：10.2223/JPED.1782
更新日期：2008-08-01 00:00:00
abstract：OBJECTIVE:To investigate risk factors for anemia in infants assisted by public health services. METHODS:In a cross-sectional study carried out in Viçosa, state of Minas Gerais, Brazil, 205 children from 6 to 12 months were evaluated. Socioeconomic, environmental and biological data were collected, as well as informati...
journal_title：Jornal de pediatria
pub_type： 杂志文章
doi：10.2223/JPED.1603
更新日期：2007-03-01 00:00:00
abstract：:This prospective trial was realized in 371 children previously vaccinated with BCG in the first month of life in whom the Mantoux tuberculin test was done and read 48-72 hours afterwards. Among 371 BCG-vaccinated children, 106 (28.57%) were Mantoux reactive, 10 of whom with clinical tuberculosis. There was no statisti...
journal_title：Jornal de pediatria
pub_type： 杂志文章
doi：10.2223/jped.728
更新日期：1994-03-01 00:00:00
abstract：OBJECTIVE:Evaluate the prevalence of retinopathy of prematurity (ROP) in very low birthweight infants (birthweight<1500 g). METHOD:A prospective examination was conducted on 102 neonates with very low birthweight admitted to the BAM-HC (FMUSP) between 01/01/92 and 12/31/93. The mapping of the retina with scleral depre...
journal_title：Jornal de pediatria
pub_type： 杂志文章
doi：10.2223/jped.564
更新日期：1997-11-01 00:00:00
abstract：OBJECTIVE:This study investigates the nutritional factors that determine the absence of anemia in infants from families with a low socioeconomic background submitted to a nutrition intervention program, as well as iron intake according to recommendations. METHODS:The study included 369 children from a cohort of inhabi...
journal_title：Jornal de pediatria
pub_type： 杂志文章,随机对照试验
doi：10.2223/JPED.1577
更新日期：2007-01-01 00:00:00
abstract：OBJECTIVE:A review article was carried out, addressing the clinical and epidemiological characteristics of immune system deficiencies, which are associated with or predispose to recurrent infectious processes, autoimmune diseases, auto inflammatory diseases, or neoplasms, and which are classified as inborn errors of im...
journal_title：Jornal de pediatria
pub_type： 杂志文章,评审
doi：10.1016/j.jped.2020.10.009
更新日期：2020-11-22 00:00:00
abstract：OBJECTIVES:To determine if the number of involved anatomic areas can modify the standard risk groups in pediatric Hodgkin's lymphoma, identifying children who would benefit from a reduction in treatment intensity. METHODS:Retrospective study evaluating age, sex, histology, Ann-Arbor stage, presence of B symptoms, numb...
journal_title：Jornal de pediatria
pub_type： 杂志文章
doi：10.2223/JPED.1891
更新日期：2009-05-01 00:00:00
abstract：OBJECTIVE:The aim of this paper is to review existing literature on the subject and to report on and discuss a case of Marcus Gunn Phenomenon. DESCRIPTION:A five year-old female, otherwise a healthy patient, while still a few months old, was seen by a pediatrician who detected a disorder of the right eye, initially be...
journal_title：Jornal de pediatria
pub_type： 杂志文章,评审
doi：
更新日期：2004-05-01 00:00:00
abstract：OBJECTIVE:To analyze the quality of life of children with stomas according to the children and mothers' point of view; to compare the results related to quality of life in both groups, and to verify the statistical associations between those aspects and children's demographic and clinical data. METHODS:After fulfillin...
journal_title：Jornal de pediatria
pub_type： 杂志文章
doi：
更新日期：2003-01-01 00:00:00
abstract：:OBJECTIVE: To determine the presence of antimeasles antibodies in children perinatally infected with HIV and properly immunized. METHODS: A retrospective cohort study conducted in Belo Horizonte by the Universidade Federal de Minas Gerais, between 1995 and 1996. Twenty one children perinatally infected with HIV and 29...
journal_title：Jornal de pediatria
pub_type： 杂志文章
doi：10.2223/jped.360
更新日期：2001-11-01 00:00:00
abstract：OBJECTIVE:To investigate the determinants of dyslipidemia in preschoolers. METHODS:A total of 227 preschoolers residing in an urban area of the city of Diamantina, Minas Gerais, Brazil were evaluated at age 5 years, using a cross-sectional design. Dietary intake from a food frequency questionnaire, anthropometric/bioc...
journal_title：Jornal de pediatria
pub_type： 杂志文章
doi：10.1016/j.jped.2013.02.020
更新日期：2013-09-01 00:00:00
abstract：OBJECTIVES:To identify the prevalence of iron deficiency in the population studied, as well as verifying if such deprivation is associated with vitamin A deficiency. METHODS:One hundred seventy-nine children, > or = 24 months and < 72 months of age, with no diarrhea and/or fever at collection were studied. Vitamin A d...
journal_title：Jornal de pediatria
pub_type： 杂志文章
doi：
更新日期：2005-03-01 00:00:00
abstract：OBJECTIVE:To investigate how well the parents of children on cow's milk free diets perform at recognizing whether or not expressions describe and foods contain cow's milk proteins. METHODS:Interviews were conducted with 24 parents of children on cow's milk and by-products exclusion diets and 23 parents of children wit...
journal_title：Jornal de pediatria
pub_type： 杂志文章
doi：10.2223/JPED.1697
更新日期：2007-09-01 00:00:00
abstract：OBJECTIVE:To present an up-to-date and critical review regarding food allergies, focusing mainly on treatment and prevention. SOURCES:Review of published literature searched on MEDLINE database; those data which were the most up-to-date and representative were selected (2000-2006). The search included the European Soc...
journal_title：Jornal de pediatria
pub_type： 杂志文章,评审
doi：10.2223/JPED.1587
更新日期：2007-01-01 00:00:00
abstract：:OBJECTIVES: To identify rubella prevalence in different ages and population groups and rubella susceptibility of pregnant and postpartum women according to age, number of children and spontaneous abortion. METHODS: Cross-sectional study of sero-survey type. Children and students were selected in day-care centers and s...
journal_title：Jornal de pediatria
pub_type： 杂志文章
doi：10.2223/jped.470
更新日期：1998-11-01 00:00:00
abstract：OBJECTIVE:To describe the association between electronic devices in the bedroom with sedentary time and physical activity, both assessed by accelerometry, in addition to body mass index in children from São Caetano do Sul. METHODS:The sample consisted of 441 children. The presence of electronic equipment (television, ...
journal_title：Jornal de pediatria
pub_type： 杂志文章
doi：10.1016/j.jped.2015.01.009
更新日期：2015-11-01 00:00:00
abstract：OBJECTIVE:To analyze the available evidence regarding the efficacy of interventions on parents whose children were aged 2-5 years to promote parental competence and skills for children's healthy lifestyles. SOURCE:Articles published in English and Spanish, available at PubMed, Psycinfo, CINAHL, Web of Science, Eric, a...
journal_title：Jornal de pediatria
pub_type： 杂志文章,评审
doi：10.1016/j.jped.2017.07.019
更新日期：2018-01-01 00:00:00
abstract：:OBJECTIVE: Describe the hemodynamic response with rebound of pulmonary hypertension after withdrawal of inhaled nitric oxide (NO) in a pediatric patient with acute respiratory distress syndrome (ARDS). METHODS: Case report of a child with ARDS and pulmonary hypertension evaluated through ecocardiografic with dopller, ...
journal_title：Jornal de pediatria
pub_type： 杂志文章
doi：10.2223/jped.59
更新日期：2000-03-01 00:00:00
abstract：OBJECTIVES:To draw skinfold (SF) reference curves (subscapular, suprailiac, biceps, triceps) and to determine SF cutoff points for predicting the risk of metabolic syndrome (MetS) in children aged 6-10 years old. METHODS:This was a cross-sectional study with a random sample of 1480 children aged 6-10 years old, 52.2% ...
journal_title：Jornal de pediatria
pub_type： 杂志文章
doi：10.1016/j.jped.2016.11.013
更新日期：2017-01-01 00:00:00
abstract：:OBJECTIVE: To review and discuss different contraceptive methods currently used by adolescents, and also discuss adolescent pregnancy, including the associated risks and the importance of prenatal care. METHODS: Review of literature and clinical experience with different contraceptive methods and with adolescent pregn...
journal_title：Jornal de pediatria
pub_type： 杂志文章
doi：10.2223/jped.305
更新日期：2001-11-01 00:00:00
abstract：OBJECTIVE:To compare two groups of school age girls from different social strata were compared in terms of their perception and knowledge about breastfeeding. METHODS:A structured questionnaire was applied to all 346 4th to 8th grade girls attending two schools, a private one, whose students belonged to the upper clas...
journal_title：Jornal de pediatria
pub_type： 杂志文章
doi：
更新日期：2003-03-01 00:00:00
abstract：OBJECTIVE:To identify the relationship between admission hyperglycemia and outcome in children with severe brain injury at hospital discharge and 6 months later. METHOD:A retrospective analysis of blood glucose levels was conducted in 61 children with severe brain injury admitted to the Pediatric Intensive Care Unit b...
journal_title：Jornal de pediatria
pub_type： 杂志文章
doi：10.2223/JPED.2097
更新日期：2011-07-01 00:00:00
abstract：OBJECTIVE:To review the main causes of new bronchopulmonary dysplasia and the strategies utilized to decrease its incidence in extremely low birth weight infants. SOURCES OF DATA:For this review a MEDLINE search from 1966 to October 2004, the Cochrane Database, abstracts from the Society for Pediatric Research and rec...
journal_title：Jornal de pediatria
pub_type： 杂志文章,评审
doi：10.2223/1304
更新日期：2005-03-01 00:00:00
abstract：OBJECTIVE:To characterize the deaths of 193 children with sickle cell disease screened by a neonatal program from 1998 to 2012 and contrast the initial years with the final years. METHODS:Deaths were identified by active surveillance of children absent to scheduled appointments in Blood Bank Clinical Centers (Hemomina...
journal_title：Jornal de pediatria
pub_type： 杂志文章
doi：10.1016/j.jped.2014.08.006
更新日期：2015-05-01 00:00:00
abstract：OBJECTIVE:To measure the main risk factors associated with the occurrence of accidental injuries in children aged 4-5 years. METHODS:The study included a prospective cohort of children whose parents filled in a diary recording accidents and injuries during a period of one-month. The children represented a systematic s...
journal_title：Jornal de pediatria
pub_type： 杂志文章
doi：
更新日期：2002-03-01 00:00:00
abstract：OBJECTIVE:To evaluate the prevalence of intestinal parasitoses in Native Brazilian children from 2 to 9 years old. METHODS:A search for ova and parasites was conducted in the stools of children between 2 to 9 years old living in six indigenous villages located in the Middle and Lower Xingu River, to wit: Pavuru, Moygu...
journal_title：Jornal de pediatria
pub_type： 杂志文章
doi：10.2223/JPED.2036
更新日期：2010-11-01 00:00:00
abstract：:OBJECTIVES: The aims of this review are to present research data about aerosoltherapy and to discuss the optimization of this form of drug administration.METHOD: Review of the literature, covering some of the most important studies about aerosoltherapy, inhaler devices, pharmacokinetics and pharmacodynamics of inhaled...
journal_title：Jornal de pediatria
pub_type： 杂志文章
doi：10.2223/jped.428
更新日期：1998-05-01 00:00:00
