RESUMO
The indications for and timing of tracheostomy in children have changed significantly over recent years, and no consensus has been gathered in that regard. The purpose of this study is to present a series of critically ill patients who required a tracheostomy. All critically ill patients required a tracheostomy between 1 June 2009 and 31 March 2012. It is a retrospective, observational, descriptive study. A total of 18 patients underwent tracheostomy during the period under study. The most common indication was neuromuscular compromise. The average duration of mechanical ventilation before placement of a tracheostomy was 23.8 days (0-58 days). The complications observed were minor, and no patients died from tracheostomy-related causes. All parents were trained in airway management and cardiopulmonary resuscitation. There were no serious tracheostomy-related complications in critically ill pediatric patients. The procedure was effective in the management of patients with respiratory failure, patients with neuromuscular compromise and children with upper airway obstruction.
RESUMO
Poisoning due to amitraz together with its solvent xilene, is an unusual condition although may be increasing in rural areas where it is used as insecticide-ectoparasiticide.1-3 At present, there is scare references to orient physicians concerning its handling in childhood. We present the case of a 2-year-old boy who suffered an accidental intake of amitraz and was admitted into our Pediatric Intensive Care Unit requiring mechanical ventilation. We consider the usefulness of informing the medical community about this case so as to be aware of this rare kind of poisoning in our community.
Assuntos
Inseticidas/envenenamento , Toluidinas/envenenamento , Pré-Escolar , Humanos , MasculinoRESUMO
En nuestro medio, la intoxicación por amitraz y su solvente xileno es una patología poco frecuente, pero puede observarse un aumento en zonas rurales, donde se lo emplea como insecticida-ectoparasiticida. Por tal razón, se cuenta con escasa bibliografía que oriente su manejo en niños. Presentamos el caso de un paciente de 2 años de edad, con ingestión accidental de amitraz, internado en nuestra Unidad de Cuidados Intensivos Pediátricos y que requirió ventilación mecánica. Creemos que comunicar este caso puede ser útil para alertar sobre esta intoxicación, poco frecuente en nuestro medio.(AU)
Poisoning due to amitraz together with its solvent xilene, is an unusual condition although may be increasing in rural areas where it is used as insecticide-ectoparasiticide. At present, there is scare references to orient physicians concerning its handlingin childhood. We present the case of a 2-year-old boy who suffered an accidental intake of amitraz and was admitted into our Pediatric Intensive Care Unit requiring mechanical ventilation. We consider the usefulness of informing the medical community about this case so as to be aware of this rare kind of poisoning in our community.(AU)
Assuntos
Lactente , Intoxicação , Inseticidas/envenenamento , Sinais e Sintomas , Xilenos/envenenamento , Agonistas Adrenérgicos/envenenamento , Diagnóstico DiferencialRESUMO
En nuestro medio, la intoxicación por amitraz y su solvente xileno es una patología poco frecuente, pero puede observarse un aumento en zonas rurales, donde se lo emplea como insecticida-ectoparasiticida. Por tal razón, se cuenta con escasa bibliografía que oriente su manejo en niños. Presentamos el caso de un paciente de 2 años de edad, con ingestión accidental de amitraz, internado en nuestra Unidad de Cuidados Intensivos Pediátricos y que requirió ventilación mecánica. Creemos que comunicar este caso puede ser útil para alertar sobre esta intoxicación, poco frecuente en nuestro medio.
Poisoning due to amitraz together with its solvent xilene, is an unusual condition although may be increasing in rural areas where it is used as insecticide-ectoparasiticide. At present, there is scare references to orient physicians concerning its handlingin childhood. We present the case of a 2-year-old boy who suffered an accidental intake of amitraz and was admitted into our Pediatric Intensive Care Unit requiring mechanical ventilation. We consider the usefulness of informing the medical community about this case so as to be aware of this rare kind of poisoning in our community.
