Introduction: The use of a high-flow nasal cannula as an alternative treatment for acute respiratory failure can reduce the need for invasive mechanical ventilation and the duration of hospital stays. Objective: The present study aimed to describe the use of a high-flow nasal cannula in pediatric asthmatic patients with acute respiratory failure and suspected COVID-19. Methods: To carry out this research, data were collected from medical records, including three patients with asthma diagnoses. The variables studied were: personal data (name, age in months, sex, weight, and color), clinical data (physical examination, PRAM score, respiratory rate, heart rate, and peripheral oxygen saturation), diagnosis, history of the current disease, chest, and laboratory radiography (arterial blood gases and reverse-transcriptase polymerase chain reaction). Clinical data were compared before and after using a high-flow nasal cannula. Results: After the application of the therapy, a gradual improvement in heart, respiratory rate, PaO2/FiO2 ratio, and the Pediatric Respiratory Assessment Measure score was observed. Conclusion: The simple and quick use of a high-flow nasal cannula in pediatric patients with asthma can be safe and efficient in improving their respiratory condition and reducing the need for intubation.
Causas não urgentes são frequentes entre os pacientes nos prontos-socorros (PS) pediátricos, com consequências aos pacientes, aos profissionais e ao sistema. Este estudo objetiva descrever as procuras não urgentes a um PS de hospital de referência pediátrico, sendo um estudo observacional descritivo. A maioria das procuras ao PS ocorreu por causas não urgentes (66%). Dos 168 participantes, 63% haviam procurado previamente outros serviços de saúde. O principal motivo citado como razão de procura foi “ter o hospital como referência de resolutividade e confiança”. A maioria (68%) dos responsáveis entrevistados classificaram os quadros como urgências. Enquanto 63% disseram não ter recebido orientações sobre sinais de alarme na criança, 83% não haviam recebido informações sobre diferenças entre os níveis de atenção em saúde. Assim, foi demonstrada que a compreensão das razões de procura ao PS deve ser avaliada conjuntamente ao contexto social, de educação e de acesso à saúde dos usuários.
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