Abstract:
OBJECTIVE:To present the characteristics of pediatric patients with chronic and irreversible diseases submitted to palliative extubation. METHOD:This is a descriptive analysis of a series of patients admitted to a public pediatric hospital, with chronic and irreversible diseases, permanently dependent on ventilatory support, who underwent palliative extubation between April 2014 and May 2019. The following information was collected from the medical records: demographic data, diagnosis, duration and type of mechanical ventilation; date, time, and place of palliative extubation; medications used; symptoms observed; and hospital outcome. RESULTS:A total of 19 patients with a mean age of 2.2 years were submitted to palliative extubation. 68.4% of extubations were performed in the ICU; 11 patients (57.9%) died in the hospital. The time between mechanical ventilation withdrawal and in-hospital death ranged from 15minutes to five days. Thirteen patients used an orotracheal tube and the others used tracheostomy. The main symptoms were dyspnea and pain, and the main drugs used to control symptoms were opioids and benzodiazepines. CONCLUSIONS:It was not possible to identify predictors of in-hospital death after ventilatory support withdrawal. Palliative extubation requires specialized care, with the presence and availability of a multidisciplinary team with adequate training in symptom control and palliative care.
journal_name
J Pediatr (Rio J)journal_title
Jornal de pediatriaauthors
Affonseca CA,Carvalho LFA,Quinet RPB,Guimarães MCDC,Cury VF,Rotta ATdoi
10.1016/j.jped.2019.07.005subject
Has Abstractpub_date
2020-01-01 00:00:00pages
652-659issue
5eissn
0021-7557issn
1678-4782pii
S0021-7557(19)30363-8journal_volume
96pub_type
杂志文章abstract:OBJECTIVE:To estimate the frequency and describe the clinical characteristics and respective treatments of previous history of wheezing. METHODS:Infants aged 6-23 months with upper respiratory tract complaints and reporting previous wheezing were followed-up retrospectively. Data were registered on a validated standar...
journal_title:Jornal de pediatria
pub_type: 杂志文章
doi:10.2223/JPED.2187
更新日期:2012-07-01 00:00:00
abstract::OBJECTIVE: To determine the prevalence of rotavirus in the etiology of acute diarrhea in children from Natal city, RN, Brazil and investigate the existence or not of a seasonal distribution of this pathogen in our environment.METHODS: Fecal samples from 1,903 children (boys and girls) with ages ranging from 1 month to...
journal_title:Jornal de pediatria
pub_type: 杂志文章
doi:10.2223/jped.6
更新日期:2000-07-01 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 evaluate bone mineral density and bone mineral content of skeleton and lumbar spine of pre-pubertal children and to correlate results thus found with sex, bone age, body weight, height and insulin-like growth factor 1 serum level. METHODS:26 boys and 12 girls aged between 7 and 8 years old, students from ...
journal_title:Jornal de pediatria
pub_type: 杂志文章
doi:10.2223/jped.555
更新日期:1997-07-01 00:00:00
abstract:OBJECTIVE:To present an updated review of the most common upper respiratory infections (URI) in children seen by the pediatrician in outpatient clinics, for better diagnostic and therapeutic decisions. SOURCES:References from Medline database were reviewed. The most relevant articles were selected. SUMMARY OF THE FIN...
journal_title:Jornal de pediatria
pub_type: 杂志文章,评审
doi:10.2223/jped.1002
更新日期:2003-05-01 00:00:00
abstract:OBJECTIVE:The aim of this study was to investigate the effect of different ergonomic desk designs and pencil grip patterns on handwriting performance in children with hemiplegic cerebral palsy and healthy children. METHODS:Twenty-six children with left hemiplegic cerebral palsy and 32 typically developing children wer...
journal_title:Jornal de pediatria
pub_type: 杂志文章
doi:10.2223/JPED.1914
更新日期:2009-07-01 00:00:00
abstract:OBJECTIVE:The incidence of abnormal breathing and its consequences on craniofacial development is increasing, and is not limited to children with adenoid faces. The objective of this study was to evaluate the cephalometric differences in craniofacial structures and head posture between nasal breathing and oral breathin...
journal_title:Jornal de pediatria
pub_type: 杂志文章
doi:10.1016/j.jped.2017.05.007
更新日期:2018-01-01 00:00:00
abstract:OBJECTIVE:To describe the clinical and demographic characteristics of non-Hodgkin's lymphoma patients diagnosed at the Pediatric Oncology Unit at the Instituto Materno-Infantil Professor Fernando Figueira (IMIP) over a 9-year period, and also to describe their survival rates and possible associations between the surviv...
journal_title:Jornal de pediatria
pub_type: 杂志文章
doi:10.2223/JPED.1726
更新日期:2007-11-01 00:00:00
abstract:OBJECTIVE:Assess the maternal socio-demographic factors associated with the frequency of use of child care services by low income families. METHODS:Cross-sectional analysis of 393 children between 12 and 16 months old who participated in a randomized field trial during their first year of life in a program of nutritio...
journal_title:Jornal de pediatria
pub_type: 杂志文章,随机对照试验
doi:10.2223/JPED.1966
更新日期:2010-01-01 00:00:00
abstract::OBJECTIVE: Aiming a better understanding of the distribution of enteropathogens in Brazil, we have investigated the prevalence of enteropathogens in acute infantile diarrhea in children of low economic level from São José do Rio Preto, SP.METHODS: A prospective study with 196 children under age five, all with diarrhea...
journal_title:Jornal de pediatria
pub_type: 杂志文章
doi:10.2223/jped.444
更新日期:1998-07-01 00:00:00
abstract:OBJECTIVES:The aim of the study was to describe the experience with high-frequency oscillatory ventilation (HFOV) in a Portuguese Pediatric Critical Care Unit, and to evaluate whether HFOV allowed improvement in oxygenation and ventilation. METHODS:This was a retrospective observational cohort study of children ventil...
journal_title:Jornal de pediatria
pub_type: 杂志文章
doi:10.1016/j.jped.2013.02.008
更新日期:2013-01-01 00:00:00
abstract:OBJECTIVE:To analyze the evolution of pediatric patients chosen for hepatic transplantation. METHODS:A review was made of the clinical charts of the first 65 children and adolescents with chronic liver disease, aged 5 months to 19 years (X = 6.8%), chosen for liver transplantation during the period of August 1994 to M...
journal_title:Jornal de pediatria
pub_type: 杂志文章
doi:10.2223/jped.511
更新日期:1997-03-01 00:00:00
abstract:OBJECTIVE:To observe the intensity of the inflammatory reaction caused by urine on the intestinal wall of rats. METHODS:Experimental model, using 20 Wistar rats divided into two groups. All the animals were submitted to abdominal puncture at the right inferior quadrant, twice daily for five days. In Group I (control g...
journal_title:Jornal de pediatria
pub_type: 杂志文章
doi:10.2223/jped.1113
更新日期:2003-11-01 00:00:00
abstract:OBJECTIVE:To analyze some factors related to injuries and children and adolescents' hospitalization. METHODS:This is a prospective, descriptive and observational research that took place at Marcio Cunha Hospital, Ipatinga, Minas Gerais, in the period of December 1st, 1999 to November 30th, 2000. The sample included 69...
journal_title:Jornal de pediatria
pub_type: 杂志文章
doi:
更新日期:2004-11-01 00:00:00
abstract:OBJECTIVE:To verify children's acceptance of nasal fiber optic examination in a school setting and to evaluate hypertrophy of adenoid vegetation and to determine its prevalence in this population. METHOD:A survey was performed of a representative (n = 368) sample of school age children at elementary school (aged 6 to ...
journal_title:Jornal de pediatria
pub_type: 杂志文章
doi:10.2223/JPED.1416
更新日期:2005-11-01 00:00:00
abstract:OBJECTIVE:To evaluate the alterations of heart rate, blood pressure, psychological aspects and oxygen saturation after continuous fenoterol inhalation (0.5 mg/Kg) by children with severe acute asthma. METHODS:We studied 30 patients with severe acute asthma who were treated at the pediatric ward of Hospital Universitár...
journal_title:Jornal de pediatria
pub_type: 杂志文章
doi:
更新日期:2002-09-01 00:00:00
abstract::The purpose of the authors in this article was to evaluate the effects of supplementing maternal milk with two different caloric formulas on the growth of premature newborns until they reached 40 weeks of post-conceptional age. Seventy premature infants weighing < 1750g at birth were randomized: 35 adequate for gestat...
journal_title:Jornal de pediatria
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.2223/jped.607
更新日期:1996-05-01 00:00:00
abstract::OBJECTIVE: To review the use of corticosteroids in the treatment of newborns with chronic lung disease, adrenal insufficiency and upper airway edema. SOURCES: Review of the available medical literature on the use of corticosteroids in newborns. SUMMARY OF THE FINDINGS: Although there is evidence of short-term clinical...
journal_title:Jornal de pediatria
pub_type: 杂志文章
doi:10.2223/jped.216
更新日期:2001-07-01 00:00:00
abstract:OBJECTIVE:To evaluate the peak inspiratory pressure and ventilation rate achieved by physicians when using a neonatal self-inflating bag on a lung model. METHODS:Fifteen physicians ventilated full term and preterm infant lung simulators while the outcomes were captured by a ventilation monitor. RESULTS:Median peak pr...
journal_title:Jornal de pediatria
pub_type: 杂志文章
doi:10.2223/JPED.1524
更新日期:2006-09-01 00:00:00
abstract:BACKGROUND:The use of whole-cell pertussis vaccine has led to a significant decline in incidence of the disease among children. This change in the epidemiological profile led to an increased number of cases among teenagers and adults, as a result of loss of immunity to the disease or vaccine after approximately 10 year...
journal_title:Jornal de pediatria
pub_type: 杂志文章,评审
doi:10.2223/JPED.1491
更新日期:2006-07-01 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 describe the antimicrobial activity of β-defensin-2 produced in the mammary gland and secreted in human breast milk. METHODS:The peptide production was performed by DNA cloning. β-defensin-2 levels were quantified in 61 colostrum samples and 39 mature milk samples from healthy donors, by an indirect enzym...
journal_title:Jornal de pediatria
pub_type: 杂志文章
doi:10.1016/j.jped.2014.05.006
更新日期:2015-01-01 00:00:00
abstract::OBJECTIVE: The association between cryptosporidiosis and persistent diarrhea has been studied in many countries. The aim of this study was to verify the incidence of this parasite in children with persistent diarrhea. Children infected or not with protozoan cryptosporidium were compared in relation to laboratory and c...
journal_title:Jornal de pediatria
pub_type: 杂志文章
doi:10.2223/jped.425
更新日期:1998-03-01 00:00:00
abstract:OBJECTIVE:To determine the thyroid stimulating hormone (TSH) secretion in children with Down syndrome (DS), who do not present clinical and laboratory evidence of classical hypothyroidism and concomitant undetectable antibodies. METHODS:Fourteen children with DS with a mean age of 3.4 (+/- 1.8) years were studied. Pat...
journal_title:Jornal de pediatria
pub_type: 杂志文章
doi:
更新日期:2002-07-01 00:00:00
abstract::OBJECTIVE: To present and discuss the indications, the endoscopic and histologic findings and the complications of upper digestive endoscopies carried out in children and adolescents.METHODS: We have done 228 endoscopies in pediatric patients with ages between 3 months to 19 years (x=5.7 y) during a period of 8 months...
journal_title:Jornal de pediatria
pub_type: 杂志文章
doi:10.2223/jped.410
更新日期:1998-01-01 00:00:00
abstract::OBJECTIVES: To assess the implementation and the impact of the Breastfeeding Counselling Course WHO/UNICEF on knowledge and skills of health workers. METHODOLOGY: The implementation of the course was assessed by participant observation; the impact on participants was assessed with an experimental controlled study wher...
journal_title:Jornal de pediatria
pub_type: 杂志文章
doi:10.2223/jped.267
更新日期:1999-03-01 00:00:00
abstract:OBJECTIVE:To investigate the extent to which sexual orientation-based bullying relates to self-reported feelings of loneliness and sleeping difficulty among Brazilian middle school students. METHOD:This is a cross-sectional study using data from the 2015 PeNSE (Pesquisa Nacional de Saúde do Escolar), a survey designed...
journal_title:Jornal de pediatria
pub_type: 杂志文章
doi:10.1016/j.jped.2020.03.005
更新日期:2020-04-15 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 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 assess the carotid intima-media thickness and factors associated with cardiovascular disease in children and adolescents with chronic kidney disease. MATERIAL AND METHODS:Observational, cross-sectional study carried out at the Universidade Federal de São Paulo (chronic kidney disease outpatient clinics) w...
journal_title:Jornal de pediatria
pub_type: 杂志文章
doi:10.1016/j.jped.2018.06.010
更新日期:2019-01-01 00:00:00