RESUMO
A term infant with cardiorespiratory failure treated with veno-venous extracorporeal membrane oxygenation developed pneumopericardium with cardiac tamponade while on the extracorporeal membrane oxygenation circuit. The patient was converted to veno-arterial extracorporeal membrane oxygenation and managed conservatively with spontaneous resolution of the air leak.
Assuntos
Oxigenação por Membrana Extracorpórea/métodos , Pneumopericárdio/diagnóstico , Humanos , Recém-Nascido , Masculino , Pneumopericárdio/patologiaRESUMO
The Palivizumab Outcomes Registry collected data on 19,548 high-risk infants who received > or =1 dose of palivizumab and followed prospectively from 2000 through 2004. Ninety-one children with cystic fibrosis (CF) were identified who received palivizumab off label. None of the infants with CF who received prophylaxis was hospitalized as a result of respiratory syncytial virus lower respiratory tract infection. Evaluations of palivizumab use in infants with CF could be warranted.
Assuntos
Anticorpos Monoclonais/uso terapêutico , Antivirais/uso terapêutico , Quimioprevenção/métodos , Fibrose Cística/complicações , Infecções por Vírus Respiratório Sincicial/prevenção & controle , Anticorpos Monoclonais Humanizados , Feminino , Hospitalização , Humanos , Lactente , Recém-Nascido , Masculino , PalivizumabRESUMO
Obstetric care in the United States, as judged by maternal mortality, neonatal mortality, stillbirth rates, or any other metric, has never been better. Despite this, litigation over "bad outcomes" is threatening the specialty, not only now, but into the future. Despite damage to our specialty, the injured party often benefits little, if at all, from the process. Potential solutions include an emphasis on evidence-based medicine, a qualification and review process for medical experts, and a more rational and fair health court system.
Assuntos
Imperícia , Serviços de Saúde Materna/provisão & distribuição , Obstetrícia/legislação & jurisprudência , Paralisia Cerebral/epidemiologia , Paralisia Cerebral/prevenção & controle , Humanos , Responsabilidade Legal , Imperícia/legislação & jurisprudência , Fatores de Risco , Estados UnidosRESUMO
Mnemonics have long been used to help learners remember facts in various disciplines of medicine. With the introduction of the revised Neonatal Resuscitation Program (NRP), it is vital for learners to know and remember important changes to the NRP curricula. While teaching the new curricula, we found that learners appeared confused, being unable to provide the correct sequence of answers to the questions posed during the assessment phase of the course. Mnemonics were developed to aid memory recall and optimize resuscitation skills.