Subject(s)
Intracranial Pressure , Transducers, Pressure , Transducers , Evaluation Studies as Topic , Humans , Infant , Infant, NewbornABSTRACT
La inyeccion intraarterial accidental de penicilina benzatina puede causar intensa vasoconstriccion arterial distal y esto puede complicarse de trastornos neurologicos como pie equino y de necrosis de artejos. Se informan dos casos de este problema denominado sindrome de Nicolau
Subject(s)
Child, Preschool , Humans , Male , Female , Penicillin G Benzathine , Vasoconstriction , Injections, IntramuscularABSTRACT
Se registro la presion intracraneal a traves de la fontanela anterior en 20 recien nacidos y lactantes menores que acudieron al Instituto Nacional de Pediatria, con un sensor de silicon desarrollado en nuestro hospital por uno de nosotros (JDM) con objeto de encontrar un metodo accesible a nuestro medio, capaz de registrar la presion intracraneal en forma no invasiva.Las determinaciones de presion intracraneal fueron evaluadas en 6 diferentes posiciones y comparado el registro de una de ellas con raquimanometria en pacientes donde este ultimo procedimiento estaba indicado por razones diagnosticas. El coeficiente de correlacion obtenido entre ambas determinaciones fue de 0,80, demostrandose un franco incremento registrado con el dispositivo en la posicion de Trendelenburg. Los resultados preliminares de este estudio pueden ser la pauta para estudios subsecuentes que permitan registrar la presion intracraneal en pacientes con fontanela anterior permeable
Subject(s)
Infant, Newborn , Infant , Humans , Male , Female , Intracranial Pressure , TransducersABSTRACT
The authors present their experience with correct placement of an endotracheal tube. Thirty children were intubated for different indications following the same method. The correct position of the tube was confirmed by chest films. The method included: 1. Tracheal tube introduction by direct laryngoscopy. 2. Deliberate tube displacement to the main right bronchus. 3. Auscultatory carina detection while giving positive pressure ventilation with ambu, when the respiratory murmur appears in the left hemithorax. 4. Tube withdrawal a distance equal to the patient's little finger length, leaving off the tracheal tube tip at an appropriate distance from the carina. The placement was found correct in 29 cases.
Subject(s)
Intubation, Intratracheal/methods , Adolescent , Child , Child, Preschool , HumansABSTRACT
The study included ten patients with severe metabolic acidosis (pH under 7.0) and clinical signs of shock. In four of them assisted ventilation was indicated as an urgency. In the other six patients assisted ventilation was used since the beginning, simultaneously with reposition of blood volume and administration of sodium bicarbonate. There were much better results with the latter management, with faster correction of the acidosis, without any complications and good survivorship.
