Anales españoles de pediatría
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Clinical Trial Controlled Clinical Trial
[Effectiveness of hemodynamic treatment guided by gastric intramucosal pH monitoring].
To determine whether gastric intramucosal pH can be used as an indicator for the treatment of critically ill children. ⋯ We conclude that gastric intramucosal pHi can be useful as an indicator for the hemodynamic treatment of critically ill children.
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Traumatic pulmonary pseudocyst is an unusual complication that appears after a closed thoracic trauma. It is produced as a consequence of outburst and shear forces released by the impact on the elastic thoracic wall. ⋯ The antecedent of trauma, together with radiological examination and the tendency toward spontaneous resolution, suggested the diagnosis as well as the advisability of a conservative approach in most pediatric cases. Recognition of this unusual disorder would help to avoid unnecessary diagnostic and therapeutic procedures.
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Extracorporal membrane oxygenation (ECMO) is an alternative to cases of respiratory or cardiopulmonary insufficiency when conventional therapy has failed. We present the first 22 patients treated with ECMO at the neonatology unit of the "Gregorio Marañon" Hospital. ⋯ ECMO is an effective treatment in rescuing critical patients when conventional treatment fails. Meconium aspiration syndrome is the pathology with the best prognosis on ECMO. Cardiac ECMO represents a complex group of patients in which ECMO is the only treatment and which may result in recovery in 40% of the patients.
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Letter Case Reports
[Hyponatremic encephalopathy: avoidable complication of adenoidectomy].