RESUMO
Los globos de látex de caucho natural y los guantes de examinación del mismo material inflados como globos, que se entregan a los pacientes para aliviar el estrés de la atención sanitaria en las instituciones de salud tanto públicas como privadas, pueden provocar reacciones de hipersensibilidad de tipo I y son una de las causas más comunes de aspiración fatal. La suelta de globos contaminan el ambiente y agravan la extinción de la fauna y de la vida marina. Los pacientes sensibilizados o alérgicos al látex que participan en los festejos donde se utilizan globos de látex corren el riesgo de una reacción anafiláctica, potencialmente fatal. Aconsejarles no concurrir a dichos eventos, implica impedirles el disfrute de las actividades recreativas que es un derecho de la infancia manifestado en la Declaración de los Derechos del Niño. Muchos hospitales de países desarrollados ya cuentan con una política de prohibición de los globos de látex en sus instituciones, que podría replicarse en nuestro medio por las ventajas que conlleva y su muy bajo costo de implementación (AU)
Natural rubber latex balloons and examining gloves of the same material blown up as balloons to entertain patients to alleviate the stress of care at public and private health institutions, may cause reactions of type-1 hypersensitivity and are the most common cause of fatal asphyxia. Balloons that are released up into the air contaminate the environment and aggravate the extinction of fauna and marine life. Patients who are sensitized or allergic to latex and participate in celebrations in which latex balloons are used are at risk of a potentially fatal anaphylactic reaction. To advise them not to participate in these events means to stop them from enjoying recreational activities which is a right manifested in the Declaration of the Rights of the Child. In many hospitals in developed countries a policy of prohibition of latex gloves is already in place. This prohibition may be replicated in our environment considering its advantages and very low cost of implementation (AU)
Assuntos
Humanos , Lactente , Pré-Escolar , Asfixia , Defesa da Criança e do Adolescente , Riscos Ambientais , Corpos Estranhos , Instalações de Saúde/legislação & jurisprudência , Hipersensibilidade ao Látex , Látex/toxicidadeRESUMO
La obstrucción de las fosas nasales en el neonato es un cuadro potencialmente fatalpor su respiración nasal obligada. La causa principal es inflamatoria o infecciosa, y con menor frecuencia puede ser de origen congénito, neoplásico, traumático o iatrogénico. La atresia de coanas es la anomalía congénita nasal más común. Una etiología menos frecuente de obstrucción nasal congénita es la estenosis de la apertura piriforme. Debe pensarse en esta última en todo recién nacido con cornaje y dificultad respiratoria de grado variable, asociado a la dificultad de pasar una sonda a través de la región anterior de las fosas nasales. El diagnóstico se confirma por tomografía computarizada del macizo craneofacial. La conducta terapéutica dependerá de la gravedad de los síntomas. Describimos nuestra experiencia con 5 pacientes que presentaban esta afección, tratados quirúrgicamente mediante abordaje sublabial y colocación de tutor nasal
Nasal obstruction in neonates is a potentially fatal condition due to their exclusive nasal breathing. The main cause is inflammatory or infectious rhinitis. Congenital, neoplastic, traumatic or iatrogenic causes are less frequent. Choanal atresia is the most common congenital nasal anomaly. A less common etiology of congenital nasal obstruction is pyriform aperture stenosis. Suspicion might arise in any newborn with varying degrees of stridor and respiratory distress, associated with the difficulty of passing a probe through anterior nares. Diagnosis should be confirmed by a computed tomography of the craniofacial massif. The therapeutic approach will depend on the severity of symptoms. We describe our experience with 5 patients with this condition, treated surgically using a sub-labial approach, and followed by nasal stenting
Assuntos
Humanos , Masculino , Feminino , Recém-Nascido , Obstrução Nasal/congênito , Obstrução Nasal/diagnóstico , Constrição Patológica/congênito , Constrição Patológica/diagnóstico , Tomografia , Obstrução Nasal/induzido quimicamente , Obstrução Nasal/complicações , Constrição Patológica/complicações , Tomografia/instrumentaçãoRESUMO
Nasal obstruction in neonates is a potentially fatal condition due to their exclusive nasal breathing. The main cause is inflammatory or infectious rhinitis. Congenital, neoplastic, traumatic or iatrogenic causes are less frequent. Choanal atresia is the most common congenital nasal anomaly. A less common etiology of congenital nasal obstruction is pyriform aperture stenosis. Suspicion might arise in any newborn with varying degrees of stridor and respiratory distress, associated with the difficulty of passing a probe through anterior nares. Diagnosis should be confirmed by a computed tomography of the craniofacial massif. The therapeutic approach will depend on the severity of symptoms. We describe our experience with 5 patients with this condition, treated surgically using a sub-labial approach, and followed by nasal stenting.
Assuntos
Osso Nasal/anormalidades , Obstrução Nasal/congênito , Constrição Patológica , Feminino , Humanos , Lactente , Recém-Nascido , Masculino , Obstrução Nasal/etiologiaRESUMO
No disponible
