RESUMO
In the Intensive Care Unit of our General Hospital, where an important obstetric-pediatric unit exists, 392 infants have been treated from August 1974 to 1976. Although the results of all age groups are shown, the neonatal one is specially considered. All those patients who recovered and were discharged from the hospital were called for revision and the results of those whom attended are shown. The convinience of the regionalisation and hierarchisation of these intensive care units and the necessity of adequately organise the communication and transport of these patients from the peripheral small units to the regional one, is emphasized.
Assuntos
Doenças do Recém-Nascido/terapia , Unidades de Terapia Intensiva , Cuidados Críticos , Feminino , Humanos , Incubadoras para Lactentes , Lactente , Recém-Nascido , Doenças do Prematuro/terapia , Masculino , Espanha , Transporte de PacientesRESUMO
Intermittent mechanical ventilation is a frequent form of therapy for respiratory failure in children. Due to its difficult application in patients with high respiratory rate and difficult synchronization with the respirator, intermittent mandatory ventilation (I.M.V.) was tried on these patients, introducing a unidirectional valve, connected to a continuous flow of gases, on the inspiratory side of the respirator. With I.M.V. the patient is able to breath spontaneously the gases coming from the unidirectional valve and at the same time the respirator provides periodical insuflations at a frequency previously determined by us. The pressure generated by the respirator in the respiratory circuit, closes the unidirectional valve sending gases to patient. This technique not only reduced time of application of mechanical ventilation but made weaning shorter, easier and safer.
Assuntos
Respiração com Pressão Positiva/métodos , Insuficiência Respiratória/terapia , Pré-Escolar , Feminino , Humanos , Lactente , Recém-Nascido , Masculino , Métodos , Respiração , Unidades de Cuidados Respiratórios , Testes de Função Respiratória , Ventiladores MecânicosRESUMO
A newborn baby with massive pulmonary hemorrhage at two and a half hours of life is reported. She was successfully treated with mechanical respiration and continuous positive airway pressure. The pathogenetic mechanisms and mode of action of the applied treatment is discussed.
Assuntos
Hemorragia/terapia , Pneumopatias/terapia , Respiração com Pressão Positiva/métodos , Feminino , Humanos , Recém-NascidoRESUMO
It is described eight tracheostomised patients, advising an early and gradual tracheal decanulation using silver tracheostomy tube with a window in the posterior curvature (fenestrated tube, Alder Hey pattern) and proper sedation at the moment of definitive decanulation. Decanulation techniques and the mechanical and functional difficulties that can occur and how to avoid them are described: Finally the tracheostomy tubes that have been used are mentioned.
