Jornal de pediatria
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Jornal de pediatria · Jan 2003
Comparative Study[Decrease of the occurrence of pneumothorax in newborns with respiratory distress syndrome through reduction of ventilatory parameters].
To verify if the strategy of reduction of the ventilatory parameters decreases the occurrence of pneumothorax in preterm newborns with respiratory distress syndrome. ⋯ This study verified that lower inhalation flow and shorter period of inhalation in preterm newborns with respiratory distress syndrome were associated with the decrease of the occurrence of pneumothorax.
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Jornal de pediatria · Jan 2003
Review Comparative Study[Prognostic factors and survival in neonates with congenital diaphragmatic hernia].
To evaluate the prognostic factors importance to survival in neonatal period of newborns with congenital diaphragmatic hernia treated at Hospital das Clínicas, School of Medicine of Universidade de São Paulo, and to compare the outcome with data published in medical literature. So that the results of this study might allow updating family counseling and guiding changes in clinical management of our department. ⋯ Our high mortality rate of newborns with congenital diaphragmatic hernia is statistically similar to that described in international publications. In the group of non-responsive patients to standard treatment available, the use of extracorporeal membrane oxygenation should be able to reduce mortality. The impact of this therapeutical strategy in the overall survival depends on other factors that were not analyzed in the present study. Family counseling of patients' parents on congenital diaphragmatic hernia in our department may follow the same patterns referred in world medical literature.