RESUMO
This is a case report of a pediatric patient with a difficult airway, in which several airway adjuncts were used simultaneously to successfully provide adequate oxygenation and ventilation during cardiac arrest. Difficult airways are low-incidence, high-risk emergencies in children, and airway adjuncts may be used infrequently, let alone in combination. Included in the discussion of this case are a description of each airway adjunct and a discussion of the process needed to incorporate airway adjuncts safely and effectively into patient care.
Assuntos
Parada Cardíaca , Manuseio das Vias Aéreas , Criança , Parada Cardíaca/terapia , Humanos , Intubação Intratraqueal , Pulmão , TóraxAssuntos
Oclusão Coronária/diagnóstico por imagem , Infarto do Miocárdio sem Supradesnível do Segmento ST/diagnóstico por imagem , Adulto , Oclusão Coronária/complicações , Ecocardiografia , Eletrocardiografia , Humanos , Masculino , Infarto do Miocárdio sem Supradesnível do Segmento ST/diagnóstico , Infarto do Miocárdio sem Supradesnível do Segmento ST/etiologia , Sistemas Automatizados de Assistência Junto ao Leito , Testes ImediatosRESUMO
Accidental hypothermia is defined as an unintentional drop in core body temperature below 35°C. It can present in any climate and in any season, as it is not always a result of environmental exposure; underlying illnesses or coexisting pathology can play important roles. Although there is some variability in clinical presentation, hypothermia produces a predictable pattern of physiologic responses and clinical manifestations, and effective treatment has yielded many impressive survival case reports. Treatment strategies focus on prevention of further heat loss, volume resuscitation, implementation of appropriate rewarming techniques, and management of cardiac dysrhythmia. Rewarming may be passive or active and/or internal or external, depending on severity and available resources. This issue focuses on methods of effective rewarming and prevention of further morbidity and mortality.
