Rev Assoc Med Bras
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This report describes the clinical characteristics of children and adolescents bearers of oncological disease who were admitted to PICU with severe sepsis and septic shock. The predicting factors for mortality and for need of pulmonary mechanical ventilation were also determined. ⋯ This research suggests that early intensive treatment for children with cancer exhibiting severe sepsis and/or septic shock could be an important factor to influence the mortality rate of these patients. Moreover, that noninvasive ventilation could be an option to reduce endotracheal intubation and invasive ventilation.
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To determine the profile of patients at the Hospital São Paulo with pressure ulcers (PU). ⋯ The study showed a high risk of PU development, indicating the importance of having knowledge about the main characteristics of the hospitalized patients who may develop pressure ulcers, and, thus, preventing them.
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Randomized Controlled Trial Clinical Trial
[Racemic bupivacaine, levobupi vacaine and ropivacaine in regional anesthesia for ophthalmology -- a comparative study].
Racemic bupivacaine, used in peribulbar anesthesia owing to its high potential to promote motor blockade, presents a smaller safety margin for cardiotoxicity in relation to ropivacaine and levobupivacaine. The objective of this study was to compare the degree of motor blockade and alteration of intraocular pressure (IOP) produced by racemic bupivacaine, levobupivacaine and ropivacaine in peribulbar block. ⋯ Considering the advanced age of most of these patients and the high concentrations of local anesthetics used in peribulbar blockade, the use of ropivacaine and levobupivacaine produces motor blockade as effective as racemic bupivacaine while minimising risks for cardiotoxicity.
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The purpose of this study was to determine the intra-observer and interobserver reproducibility of Frykman, AO and Universal classifications for the fractures of the distal radius. ⋯ All the classifications used presented questionable interobserver reproducibility compromising the use of the three evaluated systems.
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Describe the incidence and endoscopic characteristics of airway injuries in children submitted to intubation. ⋯ We observed a high incidence of airway injury, without statistical significant difference between age groups in regard to the incidence and characteristics of the injuries. Minor injury was detected in the majority of the population. Lesions were mainly noticed at the glottis and were characterized by erosions, edema and ulcerations.