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Cirugía Pediátrica y Pediatría

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4 papers 0 to 25 followers Información útil para cirugía pediátrica y pediatría médica
By Adrián Portillo Jiménez Cirujano Pediatra
Sayed Kaoud Abd-Elshafy, Amany Makram Yacoup, Esam Eldein Mohamed Abdalla, Tarek Taha Hanafy El-Melegy, Kelani Ali Abd-Elsalam
BACKGROUND: Controlling postoperative pain and vomiting in children remains a great challenge. OBJECTIVE: Study the efficacy of adding dexamethasone to caudal bupivacaine on postoperative analgesia and vomiting. STUDY DESIGN: Prospective, randomized double blind controlled clinical trial. SETTING: Assiut University Hospital. PATIENTS: Ninety children ASA I-II, undergoing lower orthopedic surgeries...
July 2016: Pain Physician
David C van der Zee, Gabriele Gallo, Stefaan H A Tytgat
OBJECTIVE: To describe the evolution from delayed management of long gap esophageal atresia to thoracoscopic treatment directly after birth without the placement of a gastrostomy. BACKGROUND: Long gap esophageal atresia remains a challenge for pediatric surgeons. Over the years, several techniques have been described to deal with the problem of the distance between the proximal and distal esophagus. More recently, a traction technique has been advocated. With the advent of minimal invasive surgery, the thoracoscopic elongation technique has been developed...
November 2015: Surgical Endoscopy
Janet F Williams, Vincent C Smith
Prenatal exposure to alcohol can damage the developing fetus and is the leading preventable cause of birth defects and intellectual and neurodevelopmental disabilities. In 1973, fetal alcohol syndrome was first described as a specific cluster of birth defects resulting from alcohol exposure in utero. Subsequently, research unequivocally revealed that prenatal alcohol exposure causes a broad range of adverse developmental effects. Fetal alcohol spectrum disorder (FASD) is the general term that encompasses the range of adverse effects associated with prenatal alcohol exposure...
November 2015: Pediatrics
J-C Preiser, C Ichai, J-C Orban, A B J Groeneveld
The metabolic response to stress is part of the adaptive response to survive critical illness. Several mechanisms are well preserved during evolution, including the stimulation of the sympathetic nervous system, the release of pituitary hormones, a peripheral resistance to the effects of these and other anabolic factors, triggered to increase the provision of energy substrates to the vital tissues. The pathways of energy production are altered and alternative substrates are used as a result of the loss of control of energy substrate utilization by their availability...
December 2014: British Journal of Anaesthesia
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