É preciso prever a falha de extubação

Farias, Júlio A.; Monteverde, Ezequiel

doi:10.1590/s0021-75572006000600003

Cited by 3 publications

(5 citation statements)

References 11 publications

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“…Contrary to our original hypothesis, the prevalence and mortality we found are similar to those reported by other authors, who have found that ARDS develops in approximately 1-4% of children admitted to ICUs and that such patients display mortality that range from 20% to 60% (6-10). We found an overall PICU mortality rate of nearly 40% for patients with ALI/ARDS, and our findings are in agreement with some previous studies (6,9,10,17).…”

Section: Discussionsupporting

confidence: 93%

“…Children admitted to ICUs often present with or develop severe respiratory failure that requires mechanical ventilation (MV) (5,6). Previous studies have reported on the prevalence of ARDS among children admitted to ICUs, as well as on the mortality rates in such patients (6)(7)(8)(9)(10).…”

mentioning

confidence: 99%

“…Previous studies have reported on the prevalence of ARDS among children admitted to ICUs, as well as on the mortality rates in such patients (6)(7)(8)(9)(10). Although only a few studies have been conducted to identify prognostic factors for mortality in pediatric ARDS, the currently available factors include the presence of multiple organ system failure, an increased Pediatric Risk of Mortality (PRISM) score (9), a lower Pao 2 /Fio 2 ratio (8), and the presence of neurologic dysfunction (8).…”

mentioning

confidence: 99%

See 2 more Smart Citations

Risk Factors for Mortality and Outcomes in Pediatric Acute Lung Injury/Acute Respiratory Distress Syndrome*

Panico

Troster

Oliveira

et al. 2015

Pediatric Critical Care Medicine

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Section: Discussionsupporting

confidence: 93%

mentioning

confidence: 99%

mentioning

confidence: 99%

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Risk Factors for Mortality and Outcomes in Pediatric Acute Lung Injury/Acute Respiratory Distress Syndrome*

Panico

Troster

Oliveira

et al. 2015

Pediatric Critical Care Medicine

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“…As alterações de deglutição pós-intubação são, em sua maioria, temporárias (7) . No entanto, crianças que persistem com essas alterações, apesar do uso de adaptações como modificação de consistência alimentar, posicionamento, mudanças na taxa de fluxo e uso de utensílios podem manter necessidade de vias alternativas de alimentação (8) , apresentando outros desfechos alimentares que não a alimentação por via oral exclusiva.…”

Section: Introductionunclassified

Desfechos de deglutição e alimentação associados à intubação orotraqueal e à traqueostomia em pediatria

Melo

Paniagua

Signorini

et al. 2022

Audiol., Commun. Res.

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RESUMO Objetivo verificar os desfechos de deglutição e alimentação de pacientes pediátricos submetidos à intubação orotraqueal (IOT) prolongada, considerando aqueles que evoluíram para traqueostomia após. Métodos estudo de coorte retrospectivo, realizado por meio da análise de prontuários de pacientes admitidos em Unidade de Terapia Intensiva Pediátrica e acompanhados até a alta hospitalar, entre março de 2017 e dezembro de 2018. Resultados dos 51 pacientes incluídos, 64,7% eram do gênero masculino e a mediana de idade foi de 6,7 meses. Pacientes submetidos à IOT por mediana de sete dias apresentaram disfagia orofaríngea (DOF) leve e, quando submetidos a mais de 14 dias, apresentaram DOF moderada/grave, distúrbio alimentar pediátrico (DAP) com características de recusa alimentar e contraindicação de alimentação por via oral na alta hospitalar. Dentre os pacientes, 74,5% foram submetidos apenas à IOT e 25,5% evoluíram para traqueostomia, após. Pacientes traqueostomizados apresentaram maior ocorrência de alta hospitalar com DOF moderada/grave, DAP com características de recusa alimentar e uso de via alternativa de alimentação, em comparação a pacientes sem traqueostomia (p=0,001). Comparado ao diagnóstico inicial, pacientes não traqueostomizados tiveram diagnóstico final com graus mais leves de disfagia (p<0,001). Conclusão o tempo de IOT e a presença de traqueostomia são fatores associados ao diagnóstico fonoaudiológico de DOF moderada/grave, à presença de sinais de DAP com características de recusa alimentar e à necessidade de via alternativa de alimentação, persistentes até a alta hospitalar, sendo achados fonoaudiológicos frequentes entre os desfechos de deglutição/alimentação em pediatria.

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“…Post-intubation swallowing alterations are mostly temporary (7) . However, children who persist with these alterations, despite the use of adaptations such as change of food consistency, positioning, changes in flow rate and use of utensils, may maintain the need for alternative feeding methods (8) , presenting other feeding outcomes that are not exclusive oral feeding.…”

Section: Introductionmentioning

confidence: 99%

Swallowing and feeding outcomes associated with orotracheal intubation and tracheostomy in pediatrics

Melo

Paniagua

Signorini

et al. 2022

Audiol., Commun. Res.

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Purpose To verify the swallowing and feeding outcomes of pediatric patients undergoing prolonged OTI, considering those who progressed to tracheostomy afterward. Methods Retrospective cohort study, carried out by analyzing the medical records of patients admitted to the Pediatric ICU and followed up until hospital discharge, between 03/2017 and 12/2018. Results Of the 51 patients included, 64.7% were male and the median age 6.7 months. Patients undergoing OTI for a median of 7 days had mild dysphagia and when submitted for more than 14 days had moderate/severe dysphagia and PFD with characteristics of food refusal, with contraindication to oral feeding at hospital discharge. 74.5% of the patients underwent OTI only and 25.5% progressed to tracheostomy afterward. Tracheostomized patients had a higher occurrence of hospital discharge with moderate/ severe oropharyngeal dysphagia, pediatric feeding disorder (PFD) with characteristics of food refusal and alternative method of feeding compared to patients without tracheostomy (p=0.001). Non-tracheostomized patients had a final diagnosis with milder degrees of dysphagia when compared to the initial diagnosis (p<0.001). Conclusion The time of OTI and the presence of tracheostomy are factors associated with the speech-language pathology diagnosis of moderate/severe oropharyngeal dysphagia, presence of signs of PFD with characteristics of food refusal and the need for an alternative method of feeding that persists until hospital discharge, being frequent findings among the swallowing/feeding outcomes in pediatrics.

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É preciso prever a falha de extubação

Cited by 3 publications

References 11 publications

Risk Factors for Mortality and Outcomes in Pediatric Acute Lung Injury/Acute Respiratory Distress Syndrome*

Risk Factors for Mortality and Outcomes in Pediatric Acute Lung Injury/Acute Respiratory Distress Syndrome*

Desfechos de deglutição e alimentação associados à intubação orotraqueal e à traqueostomia em pediatria

Swallowing and feeding outcomes associated with orotracheal intubation and tracheostomy in pediatrics

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