Abstract:
OBJECTIVE:To review current concepts related to the procedure of tracheal intubation in children. SOURCES:Relevant articles published from 1968 to 2006 were selected from the MEDLINE, LILACS and SciELO databases, using the keywords intubation, tracheal intubation, child, rapid sequence intubation and pediatric airway. SUMMARY OF THE FINDINGS:Airway management in children is related to their physiology and anatomy, in addition to specific factors (inherent pathological conditions, such as malformations or acquired conditions) which have a decisive influence on success. Principal indications are in order to maintain the airway patent and to control ventilation. Laryngoscopy and tracheal intubation cause cardiovascular alterations and affect airway reactivity. The use of tubes with cuffs is not prohibited, as long as the correct size for the child is chosen. A difficult airway can be identified against the Mallampati scale and by direct laryngoscopy. Rapid sequence intubation is being recommended more and more often in pediatrics, since it facilitates the procedure and presents fewer complications. Tracheal intubation should be carried out in an adequate manner in special circumstances (eaten recently, neurological dysfunction, unstable spinal column, upper airway obstruction, laryngotracheal injuries, injuries to the eyeball). Extubation should be meticulously planned, since there is chance of failure and a need for reintubation. CONCLUSIONS:Tracheal intubation of children requires knowledge, skill and experience, since, if the procedure is carried out by inexperienced pediatricians, it can result in life-threatening complications.
journal_name
J Pediatr (Rio J)journal_title
Jornal de pediatriaauthors
Matsumoto T,de Carvalho WBdoi
10.2223/JPED.1626subject
Has Abstractpub_date
2007-05-01 00:00:00pages
S83-90issue
2 Suppleissn
0021-7557issn
1678-4782journal_volume
83pub_type
杂志文章abstract::OBJECTIVE: To present current concepts about the diagnosis of recurrent abdominal pain and to review the basis of the therapeutic approach for this disease in children and adolescents. METHODS: References were obtained from the Medline, from recent review articles, and from personal files. Books and dissertations were...
journal_title:Jornal de pediatria
pub_type: 杂志文章
doi:10.2223/jped.150
更新日期:2000-07-01 00:00:00
abstract:OBJECTIVE:To report the case of two siblings with chronic granulomatous disease. Chronic granulomatous disease is a primary immunodeficiency disorder characterized by abnormal microbicidal activity. Mutations in the p47-phox gene (NCF-1) are present in about 30% of the patients with chronic granulomatous disease; this ...
journal_title:Jornal de pediatria
pub_type: 杂志文章
doi:
更新日期:2004-09-01 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: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::OBJECTIVE: To review current information about congenital and perinatal infections, mainly related to their epidemiology in Brazil, mother-to-infant transmission, diagnosis, treatment and prevention. Particular aspects related to the agents T. pallidum, hepatitis B virus, human immunodeficiency virus, cytomegalovirus ...
journal_title:Jornal de pediatria
pub_type: 杂志文章
doi:10.2223/jped.368
更新日期:1999-07-01 00:00:00
abstract::Spermatic cord torsion is an urologic emergency that requires urgent evaluation and possibly emergency surgical management. In a neonate it occurs during testicular descent and is usually due to an extravaginal torsion, where the testis and sperinatic cord twist. We present a case of intravaginal testicular torsion in...
journal_title:Jornal de pediatria
pub_type: 杂志文章
doi:
更新日期:1996-11-01 00:00:00
abstract::The acute inflammatory demyelinating polyneuropathy (Guillain-Barré Syndrome) might have a severe presentation but a good prognosis in children. It is an immune-mediated and inflammatory disorder of the peripheral nervous system. This retrospective study observed that GBS is frequently complicated by hypertension and ...
journal_title:Jornal de pediatria
pub_type: 杂志文章
doi:10.2223/jped.579
更新日期:1996-01-01 00:00:00
abstract:OBJECTIVE:To evaluate compliance in children with acute lymphoblastic leukemia. METHOD:Compliance was assessed through specific interviews. RESULTS:A total of 73 patients who had concluded the maintenance phase of chemotherapy were enrolled on the study. Eighty-one percent of the interviews were conducted with the pa...
journal_title:Jornal de pediatria
pub_type: 杂志文章
doi:
更新日期:2005-05-01 00:00:00
abstract::OBJECTIVE: This paper examines the main causes of mortality among adolescents ages 10 to 19 in the city of Rio de Janeiro with a focus on mortality prevention. METHODS: Mortality data from 1981 to 1995 were taken from the Mortality Information System of the Brazilian Ministry of Health. Age and sex specific mortality ...
journal_title:Jornal de pediatria
pub_type: 杂志文章
doi:10.2223/jped.325
更新日期:1999-09-01 00:00:00
abstract:OBJECTIVE:To assess the health-related quality of life (HRQoL) of children surviving to pediatric intensive care discharge. METHODS:A prospective evaluation of HRQoL at admission and 6 months later was carried out with children aged 6 years or more, admitted to three tertiary pediatric intensive care units (PICUs) fro...
journal_title:Jornal de pediatria
pub_type: 杂志文章
doi:10.2223/JPED.2151
更新日期:2012-01-01 00:00:00
abstract::OBJECTIVE: To establish the nutritional diagnosis of children living in a low-income community through anthropometric evaluation, detecting insufficient nutrition (low weight-for-age, wasting and stunting) and excessive nutrition (overweight and obesity). METHODS: A community-based survey identified children below 11 ...
journal_title:Jornal de pediatria
pub_type: 杂志文章
doi:10.2223/jped.236
更新日期:2001-07-01 00:00:00
abstract:OBJECTIVE:To develop a predictive model capable of identifying which premature infants have the greatest probability of presenting bronchopulmonary dysplasia (BPD), based on assessment at the end of their first week of life. METHODS:Data were collected retrospectively from January 1998 to July 2001, and prospectively ...
journal_title:Jornal de pediatria
pub_type: 杂志文章
doi:10.2223/JPED.1599
更新日期:2007-03-01 00:00:00
abstract:OBJECTIVE:To verify the concurrent validity and interobserver reliability of the Alberta Infant Motor Scale (AIMS) in premature infants followed-up at the outpatient clinic of Instituto Fernandes Figueira, Fundação Oswaldo Cruz (IFF/Fiocruz), in Rio de Janeiro, Brazil. METHODS:A total of 88 premature infants were enro...
journal_title:Jornal de pediatria
pub_type: 杂志文章
doi:10.2223/JPED.1836
更新日期:2008-09-01 00:00:00
abstract:OBJECTIVE:To describe the main undesirable side effects of glucocorticoid therapy, mechanisms of action and the necessary measures to minimize side effects. SOURCES:Author's experience, supplemented with papers published in MEDLINE. SUMMARY OF THE FINDINGS:The principles for minimizing undesirable side effects of glu...
journal_title:Jornal de pediatria
pub_type: 杂志文章,评审
doi:10.2223/JPED.1713
更新日期:2007-11-01 00:00:00
abstract:OBJECTIVES:To evaluate the association between the genetic polymorphism of the tumor necrosis factor-alpha (TNF-α) gene and the development of sepsis and septic shock in Thai pediatric patients and to investigate the clinical impacts of TNF-α polymorphisms in this population. METHODS:To perform this genetic associatio...
journal_title:Jornal de pediatria
pub_type: 杂志文章
doi:10.2223/JPED.2216
更新日期:2012-09-01 00:00:00
abstract:OBJECTIVE:To analyze the parents' perception of their infants hospitalization in a neonatal intensive care unit (NICU) and suggest a more humane and individualized care in this highly stressful environment. METHODS:We recorded and analyzed the interview of 20 young, low socioeconomic class couples having their first b...
journal_title:Jornal de pediatria
pub_type: 杂志文章
doi:10.2223/jped.543
更新日期:1997-09-01 00:00:00
abstract::OBJECTIVE: To study plasma levels of IL-1beta and IL-6 in order to distinguish the presence of bacterial infection in newborn infants with fever. METHODS: A cohort of 117 newborn infants with postnatal age equal to or less than 5 days, with no previous use of antibiotic therapy, and with clinical suspicion of bacteria...
journal_title:Jornal de pediatria
pub_type: 杂志文章
doi:10.2223/jped.253
更新日期:1999-01-01 00:00:00
abstract::Having the purpose of identifying those newborn who have suffered from abnormal intrauterine growth, a standard of intrauterine growth has been drawn at the maternity ward of Hospital Regional da Asa Sul (HRAS-FHDF-Brasília), by studying the variables of weight, length, cephalic perimeter, weight of the placenta (with...
journal_title:Jornal de pediatria
pub_type: 杂志文章
doi:10.2223/jped.696
更新日期:1995-01-01 00:00:00
abstract:OBJECTIVE:Our aim was to determine whether endogenous mononuclear leukocyte DNA strand is a target of phototherapy. METHODS:The study included 65 term infants aged between 3-10 days that had been exposed to intensive (n = 23) or conventional (n = 23) phototherapy for at least 48 hours due to neonatal jaundice, and a c...
journal_title:Jornal de pediatria
pub_type: 杂志文章
doi:10.2223/JPED.1765
更新日期:2008-03-01 00:00:00
abstract:OBJECTIVES:To rescue medical genetics concepts that are necessary to understand the advances in the genetic-molecular characterization of primary immunodeficiencies, to help in the understanding and adequate interpretation of their results. SOURCE OF DATA:Non-systematic literature review, searching for articles since ...
journal_title:Jornal de pediatria
pub_type: 杂志文章,评审
doi:10.1016/j.jped.2020.09.007
更新日期:2020-10-26 00:00:00
abstract:OBJECTIVE:To study the etiology of exanthema cases, with or without fever, in children seen in the emergency room of a hospital located in a region where dengue is endemic. METHODS:Enrollment took place between 21/09/2001 and 20/09/2002 and included 95.9% (71/74) of children presenting with exanthema at the emergency ...
journal_title:Jornal de pediatria
pub_type: 杂志文章
doi:10.2223/JPED.1522
更新日期:2006-09-01 00:00:00
abstract::The objective of this study is evaluate the pulmonary function in full term newborn infants, comparing classic with non-invasive techniques. We describe the pulmonary function laboratory and software developed at Instituto Fernandes Figueira. We studied 10 healthy full-term newborn infants (birthweight 3.260 g + - 460...
journal_title:Jornal de pediatria
pub_type: 杂志文章
doi:10.2223/jped.772
更新日期:1994-05-01 00:00:00
abstract:OBJECTIVE:To investigate the immune response of preterm infants to hepatitis B vaccination. METHODS:Three doses of recombinant hepatitis B vaccine (5 micro g dose) were administered to 35 preterm and 21 full-term infants within 24 hours after birth and at one and six months of postnatal age. RESULTS:A protective anti...
journal_title:Jornal de pediatria
pub_type: 临床试验,杂志文章
doi:
更新日期:2004-03-01 00:00:00
abstract::OBJECTIVE: Neonatal tetanus is an infection with high mortality, constituting a problem in underdeveloped countries, where there is faulty prenatal attendance. In spite of this and of the decreasing incidence of the disease in the state of Rio Grande do Sul, we report a case of neonatal tetanus identified in 1997. MET...
journal_title:Jornal de pediatria
pub_type: 杂志文章
doi:10.2223/jped.80
更新日期:2000-09-01 00:00:00
abstract:OBJECTIVE:To compare the use of intravenous vs. oral antibiotic therapy. METHODS:All febrile neutropenic patients younger than 18 years old with low risk of complications and receiving chemotherapy were selected. The study was conducted from 2002 to 2005 at the Pediatric Oncology Unit of Hospital de Clínicas de Porto ...
journal_title:Jornal de pediatria
pub_type: 杂志文章,随机对照试验
doi:10.2223/JPED.1956
更新日期:2009-11-01 00:00:00
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 in...
journal_title:Jornal de pediatria
pub_type: 杂志文章,多中心研究
doi:
更新日期:2004-09-01 00:00:00
abstract:OBJECTIVE:To describe the current scientific knowledge on the effects of physical exercise on the growth of children and adolescents since intrauterine life. SOURCE OF DATA:A search was carried out in the Medline, Embase, Scielo, and Cochrane databases of studies published from 1990 to 2018. The authors included studi...
journal_title:Jornal de pediatria
pub_type: 杂志文章,评审
doi:10.1016/j.jped.2018.11.003
更新日期:2019-01-01 00:00:00
abstract:OBJECTIVE:To assess pulmonary function in children and adolescents subjected to correction of rheumatic valve disease in order to quantify changes caused by factors inherent to surgery and rheumatic heart disease. METHODS:This was a longitudinal and quantitative intervention study, undertaken at a children's hospital ...
journal_title:Jornal de pediatria
pub_type: 杂志文章
doi:10.2223/JPED.1462
更新日期:2006-03-01 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 describe the characteristics of macrophage activation syndrome associated with juvenile idiopathic arthritis. DESCRIPTION:This is a retrospective study involving 462 patients with juvenile idiopathic arthritis. Seven (1.5%) of those patients suffered from systemic onset juvenile idiopathic arthritis and d...
journal_title:Jornal de pediatria
pub_type: 杂志文章
doi:
更新日期:2004-11-01 00:00:00