RESUMEN
We describe a nonsurgical technique for managing gastric distention in infants with type C esophageal atresia, involving intubating the trachea with an umbilical catheter and entering the stomach through the fistula as soon as a flexible bronchoscope found its wide-open orifice. This technique might have a special role when gastric distention precedes other commonly used preventive measures.
Asunto(s)
Cateterismo/métodos , Descompresión/métodos , Atresia Esofágica/terapia , Dilatación Gástrica/terapia , Fístula Traqueoesofágica/terapia , Broncoscopios , Broncoscopía , Atresia Esofágica/complicaciones , Humanos , Recién Nacido , Masculino , Síndrome de Dificultad Respiratoria del Recién Nacido/etiología , Síndrome de Dificultad Respiratoria del Recién Nacido/terapia , Fístula Traqueoesofágica/complicaciones , Resultado del TratamientoRESUMEN
Neonates with Pierre Robin Sequence (PRS) usually present with varying degrees of upper airway obstruction and difficulty feeding. Early treatment is important for such children in order to prevent impaired cognitive development resulting from hypoxemic episodes. Various procedures aimed at widening the pharyngeal space have been proposed, including prone position, tongue-lip adhesion, mandibular traction, non-invasive ventilation and palatal plates. Mandibular distraction osteogenesis (MDO) using external or internal devices has become increasingly popular as an alternative treatment option when other medical or surgical techniques do not prove to be satisfactory. This review summarizes current evidence on the effectiveness of MDO in infants with PRS. Because of a lack of studies comparing this treatment with other procedures, general recommendations cannot be drawn and treatment of infants with PRS still requires individualization.
Asunto(s)
Obstrucción de las Vías Aéreas/cirugía , Mandíbula/cirugía , Osteogénesis por Distracción/métodos , Síndrome de Pierre Robin/cirugía , Obstrucción de las Vías Aéreas/complicaciones , Obstrucción de las Vías Aéreas/congénito , Humanos , Recién Nacido , Procedimientos Quirúrgicos Orales/métodos , Síndrome de Pierre Robin/clasificación , Síndrome de Pierre Robin/complicaciones , Estudios Retrospectivos , Resultado del TratamientoAsunto(s)
Gastroenteritis/complicaciones , Infecciones por Bacterias Gramnegativas/etiología , Pantoea/aislamiento & purificación , Infecciones por Rotavirus/complicaciones , Sepsis/microbiología , Gastroenteritis/virología , Infecciones por Bacterias Gramnegativas/microbiología , Humanos , Lactante , Masculino , Pantoea/clasificación , Rotavirus , Infecciones por Rotavirus/virología , Sepsis/etiologíaRESUMEN
Shock is a clinical disorder that challenges caregivers in the neonatal intensive care unit. The predominant cause of shock in neonates is sepsis. This article provides an overview of the current treatment of septic shock with particular emphasis on newer vasoactive drugs (milrinone, levosimendan and vasopressin) to support cardiovascular dysfunction.