Jornal de pediatria
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Jornal de pediatria · May 2007
ReviewDengue and dengue hemorrhagic fever: management issues in an intensive care unit.
To describe the epidemiology, clinical features and treatment of dengue fever and dengue shock syndrome. ⋯ There is no specific therapy for dengue infections. Good supportive care may be lifesaving, but ultimately initiatives aimed at vector control and prevention of mosquito bites may provide the greatest benefits.
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Jornal de pediatria · May 2007
ReviewPharmacologic support of infants and children in septic shock.
Septic shock (SS) is a frequent cause for admission to the pediatric intensive care unit, requiring prompt recognition and intervention to improve outcome. Our aim is to review the relevant literature related to the diagnosis and management of SS and present a sequential management for its treatment. ⋯ Septic shock hemodynamics is a changing process that requires frequent assessment and therapeutic adjustments.
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Jornal de pediatria · May 2007
ReviewAnalgesia and sedation in children: practical approach for the most frequent situations.
To review the most frequent recommendations, doses and routes of administration of sedatives, analgesics, and muscle relaxants in children, as well as the methods for monitoring the level of sedation. ⋯ Sedation should be tailored to each child for each specific situation. Protocols that facilitate the correct selection of drugs, their appropriate administration and careful monitoring improve the quality of sedation and analgesia and avoid their adverse effects.
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To review current concepts related to the procedure of tracheal intubation in children. ⋯ Tracheal intubation of children requires knowledge, skill and experience, since, if the procedure is carried out by inexperienced pediatricians, it can result in life-threatening complications.
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Jornal de pediatria · May 2007
ReviewThe new guidelines for cardiopulmonary resuscitation: a critical analysis.
To describe the new American Heart Association (AHA) guidelines for pediatric life support, based on the scientific evidence evaluated by the International Liaison Committee on Resuscitation, and endorsed and disseminated by North American resuscitation councils. ⋯ The most recent AHA guidelines for pediatric resuscitation are focused primarily on basic life support care. They are based on the best available scientific evidence, although further research is required to validate these changes and provide new evidence for future guidelines.