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Analysis of different levels of positive end-expiratory pressure during lung retrieval for transplantation: an experimental study BJMBR
Gonçalves-Ferri,W.A.; Jauregui,A.; Martins-Celini,F.P.; Sansano,I.; Fabro,A.T.; Sacramento,E.M.F.; Aragon,D.C.; Ochoa,J.M..
Atelectasis and inadequate oxygenation in lung donors is a common problem during the retrieval of these organs. Nevertheless, the use of high positive end-expiratory pressure (PEEP) is not habitual during procedures of lung retrieval. Twenty-one Sprague-Dawley male consanguineous rats were used in the study. The animals were divided into 3 groups according to the level of PEEP used: low (2 cmH2O), moderate (5 cmH2O), and high (10 cmH2O). Animals were ventilated with a tidal volume of 6 mL/kg. Before lung removal, the lungs were inspected for the presence of atelectasis. When atelectasis was detected, alveolar recruitment maneuvers were performed. Blood gasometric analysis was performed immediately. Finally, the lungs were retrieved, weighed, and submitted...
Tipo: Info:eu-repo/semantics/article Palavras-chave: Anesthesia; Lung transplantation; Mechanical ventilation; Pulmonary recruitment; PEEP.
Ano: 2019 URL: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-879X2019000700607
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Application of continuous positive airway pressure in the delivery room: a multicenter randomized clinical trial BJMBR
Gonçalves-Ferri,W.A.; Martinez,F.E.; Caldas,J.P.S.; Marba,S.T.M.; Fekete,S.; Rugolo,L.; Tanuri,C.; Leone,C.; Sancho,G.A.; Almeida,M.F.B.; Guinsburg,R..
This study evaluated whether the use of continuous positive airway pressure (CPAP) in the delivery room alters the need for mechanical ventilation and surfactant during the first 5 days of life and modifies the incidence of respiratory morbidity and mortality during the hospital stay. The study was a multicenter randomized clinical trial conducted in five public university hospitals in Brazil, from June 2008 to December 2009. Participants were 197 infants with birth weight of 1000-1500 g and without major birth defects. They were treated according to the guidelines of the American Academy of Pediatrics (APP). Infants not intubated or extubated less than 15 min after birth were randomized for two treatments, routine or CPAP, and were followed until hospital...
Tipo: Info:eu-repo/semantics/article Palavras-chave: Continuous positive airway pressure (CPAP) ventilation; Preterm infants; Delivery room; Nasal CPAP; Prematurity.
Ano: 2014 URL: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-879X2014000300259
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Association between type of feeding at discharge from the hospital and nutritional status of very low birth weight preterm infants BJMBR
Martins-Celini,F.P.; Gonçalves-Ferri,W.A.; Aragon,D.C.; Bernichi,J.P.; Calixto,C.; Sacramento,E.M.F.; Santos,M.A.; Martinez,F.E..
The ideal feeding for premature babies has been the source of extensive debate. The aim of this study was to assess the association between type of feeding at discharge and the nutritional status of very low birth weight infants. This was a retrospective cohort of preterm babies with birth weight ≤1500 g, born between January 2006 and December 2013. The infants were divided into 3 groups according to type of feeding at discharge: exclusive breast milk (group 1), mixed feeding (group 2) and exclusive artificial formula (group 3). Frequencies of each group were calculated, as well as mean Z-score differences in weight, length and head circumference. Six hundred and forty-nine newborns were included. The mean weight of groups 1, 2, and 3 was 1338.7, 1104.0,...
Tipo: Info:eu-repo/semantics/article Palavras-chave: Very low birth weight; Nutrition; Feeding; Nutritional status; Human milk.
Ano: 2018 URL: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-879X2018000300614
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Nasal CPAP in the delivery room for newborns with extremely low birth weight in a hospital in a developing country BJMBR
Gonçalves-Ferri,W.A.; Martinez,F.E..
The objective of this study was to determine the feasibility of the use of continuous positive airway pressure installed prophylactically in the delivery room (DR-CPAP), for infants with a birth weight between 500 and 1000 g in settings with limited resources. During 23 months, infants with a birth weight between 500 and 1000 g consecutively received DR-CPAP. A total of 33 infants with low birth weight were enrolled, 16 (48.5%) were females. Only 14 (42.4%) received antenatal corticosteroids and only 2 of those 14 (14.3%) infants weighing 500-750 g were not intubated in the delivery room, and apnea was given as the reason for intubation of these patients. Of the 19 infants in the 751-1000 g weight range, 9 (47.4%) were intubated in the delivery room, 6 due...
Tipo: Info:eu-repo/semantics/article Palavras-chave: Continuous positive airway pressure ventilation; Preterm infants; Delivery room; Nasal continuous positive airway pressure; Prematurity.
Ano: 2013 URL: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-879X2013001000892
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