Base de dados : IBECS
Pesquisa : D02.033.100.291.310 [Categoria DeCs]
Referências encontradas : 140 [refinar]
Mostrando: 1 .. 10   no formato [Longo]

página 1 de 14 ir para página                         

  1 / 140 IBECS  
              next record last record
seleciona
para imprimir
Fotocópia
Texto completo
Id: 189787
Autor: Alvarez-Perea, Alberto; Fuentes-Aparicio, V; Cabrera-Freitag, P; Infante, S; Zapatero, L; Zubeldia, JM; Baeza, ML.
Título: Is self-injectable epinephrine being used by children with food allergy?
Fonte: J. investig. allergol. clin. immunol;29(6):461-463, 2019. tab.
Idioma: en.
Resumo: No disponible
Responsável: ES1.1
BNCS


  2 / 140 IBECS  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
Id: 188163
Autor: Finn, Judith; Jacobs, Ian; Williams, Teresa A; Gates, Simon; Perkins, Gavin D.
Título: Adrenalina y vasopresina para la parada cardiaca / Adrenaline and vasopressin for cardiac arrest
Fonte: Emergencias (Sant Vicenç dels Horts);32(2):133-134, abr. 2020.
Idioma: es.
Resumo: No disponible
Responsável: ES1.1
BNCS


  3 / 140 IBECS  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
Id: 187697
Autor: Illodo Miramontes, G; Barreiro Bouzón, F; Rial Veloso, A; Díaz Aquino, C; Torre Riveiro, I de la; Sánchez Oliva, L.
Título: Infiltración amigdalar de bupivacaína y adrenalina comparada con sueron fisiolótico en cirugía amigdalar pediátrica / Tonsil infiltration of bupivacaine and adrenaline compared with physiological serum in pediatric tonsil surgerys
Fonte: Cir. mayor ambul;24(1):14-18, ene.-abr. 2019. tab.
Idioma: es.
Resumo: INTRODUCCIÓN: La cirugía adenoamigdalar constituye una de las intervenciones quirúrgicas más frecuentes en la edad pediátrica. El dolor posoperatorio, junto con la hemorragia amigdalar, son complicaciones relativamente frecuentes que aumentan la morbilidad. El empleo de infiltración de anestésicos locales en el lecho quirúrgico ha sido ampliamente utilizado para reducir el dolor posoperatorio y las comorbilidades. OBJETIVO: El objetivo de este estudio es demostrar que la infiltración de anestésico local en combinación con adrenalina reduce tanto el dolor posoperatorio como el sangrado posquirúrgico en pacientes pediátricos sometidos a cirugía amigdalar. MATERIALES Y MÉTODOS: Estudio observacional prospectivo, doble ciego y aleatorizado con 90 pacientes entre 6 y 14 años, ASA I y II, divididos en dos grupos: 45 pacientes fueron sometidos a una infiltración periamigdalar con bupivacaína 0,25 % y adrenalina y otros 45 pacientes fueron sometidos a infiltración amigdalar son suero fisiológico. Se evaluó la eficacia analgésica, así como los efectos secundarios presentados durante las primeras 6 horas del posoperatorio inmediato. RESULTADOS Y ANÁLISIS: Durante su estancia en la unidad de recuperación posanestésica (URPA) el 80 % de los pacientes que recibieron infiltración de suero salino necesitaron analgesia suplementaria frente al 13,4 % de los que recibieron infiltración con bupivacaína, siendo esta diferencia estadísticamente significativa (p < 0,05). En nuestro estudio, tres pacientes presentaron sangrado posoperatorio, todos ellos procedentes del grupo que había recibido suero salino. Dentro de los 90 pacientes incluidos, de estos tres solo dos tuvieron que ser reintervenidos para controlar el sangrado. Así, la incidencia de sangrado en este estudio fue del 3,33 %, ligeramente inferior a los hallazgos de otros estudios de la literatura actual. CONCLUSIÓN: La infiltración periamigdalar de bupivacaína con vasoconstrictor es un método seguro y eficaz para el control analgésico posoperatorio en población pediátrica sometida a cirugía amigdalar en comparación con la terapia analgésica convencional. El impacto de esta medida en la reducción del sangrado arroja nuevos estudios para aclarar el papel de los vasoconstrictores en la reducción del sangrado posoperatorio

INTRODUCTION: The adenotonsillar surgery constitutes one of the most frequent surgical interventions in the pediatric age. Postoperative pain (1) together with tonsillar hemorrhage are two relatively frequent complications that increase morbidity. The use of local anesthetic infiltration in the surgical bed has been widely used to reduce postoperative pain and comorbidities. OBJECTIVE: The objective of this study is to demonstrate that infiltration of local anesthetic in combination with adrenaline reduces both postoperative pain and post-surgical bleeding in pediatric patients undergoing tonsillar surgery.Materials and methods: Prospective, double-blind, randomized observational study with 90 patients between 6 and 14 years old, ASA I and II, divided into two groups: 45 patients underwent periamigdalar infiltration with 0.25 % bupivacaine and adrenaline and 45 other patients underwent tonsillar infiltration with physiological saline.The analgesic efficacy was evaluated, as well as the side effects presented during the first 6 hours of the immediate postoperative period. RESULTS: During their stay in the post-anesthesia recovery unit (PACU), 80 % of patients who received saline infiltration needed supplemental analgesia com-pared to 13.4 % of those who received infiltration with bupivacaine, this difference being statistically significant (p < 0.05). In our study, 3 patients presented postoperative bleeding, all of them from the group that had received saline. Within the 90 patients included, of these 3 only 2 had to be reoperated to control bleeding. Thus, the incidence of bleeding in this study was 3.33%, slightly lower than the findings of other studies in the current literature (2,3). CONCLUSION: Periamigdalar infiltration of bupivacaine with vasocontrictor is a safe and effective method for postoperative analgesic control in pediatric popu-lation undergoing tonsillar surgery compared to conventional analgesic therapy. The impact of this measure on the reduction of bleeding yields no significant results, although it is true that there seems to be a lower incidence of bleeding in patients treated with adrenaline. New studies are needed to clarify the role of vasoconstrictors in the reduction of postoperative bleeding
Responsável: ES1.1
BNCS


  4 / 140 IBECS  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Id: 186585
Autor: Esenboga, S; Kahveci, M; Cetinkaya, PG; Sahiner, UM; Soyer, O; Buyuktiryaki, B; Sekerel, BE.
Título: Physicians prescribe adrenaline autoinjectors, do parents use them when needed?
Fonte: Allergol. immunopatol;48(1):3-7, ene.-feb. 2020. tab, graf.
Idioma: en.
Resumo: Background: Anaphylaxis is a sudden, severe, and potentially life-threatening allergic reaction, affecting a portion of allergic patients. Adrenaline is the first-line medication for anaphylaxis and available in many parts of the world as adrenaline autoinjectors (AAIs). Objective: Aim of this study was to determine attitudes and knowledge levels of patients/parents regarding the use of AAIs, frequency, and rate of appropriate AAI use and to give a standardized and better education by improving on mistakes during administration. Method: 190 patients aged 1-18 years who were prescribed AAIs for any reason between 2012 and 2017 in Hacettepe University Pediatric Allergy Unit. Demographic data were collected during face-to-face interview or by telephone. Parents completed a mini-survey regarding use, carriage, and storage of AAI. Results: Some 190 patients (64.7% male) aged 7.83 (4.99-12.08) years, median (inter-quartile), were included in the study. The indications for AAI prescription were food allergy (78.9%); venom allergy (14.2%); idiopathic anaphylaxis (3.7%); mastocytosis (2.1%); and drug allergy (1.0%). One-fourth of AAI-prescribed patients experienced anaphylaxis requiring the use of AAI within the past five years. However, only 30% of the patients dared to use AAI; only three-quarters of whom had managed to use it correctly. Conclusion: After prescription of AAI and initial training, patients and parents' concerns and fears should be taken into consideration and necessary support should be provided. At every opportunity and each clinical visit, not only should training sessions be repeated but also the patients and parents should be psychologically supported

No disponible
Responsável: ES1.1
BNCS


  5 / 140 IBECS  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Id: 186584
Autor: Dreborg, S.
Título: Epinephrine auto-injectors: information, education, training and acceptance
Fonte: Allergol. immunopatol;48(1):1-2, ene.-feb. 2020. tab.
Idioma: en.
Resumo: No disponible
Responsável: ES1.1
BNCS


  6 / 140 IBECS  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
Id: 183969
Autor: Cabrera, M; Ortiz-Menéndez, JC; Garzón, B.
Título: Factors affecting the food allergy profile of children from schools in Hortaleza District, Madrid, Spain
Fonte: J. investig. allergol. clin. immunol;29(1):60-62, 2019. tab.
Idioma: en.
Resumo: No disponible
Responsável: ES1.1
BNCS


  7 / 140 IBECS  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
Id: 183247
Autor: Peñasco, Y; Escudero Acha, P; González-Castro, A.
Título: Estudio PARAMEDIC2: cuestiones éticas / PARAMEDIC2 study: Ethical issues
Fonte: Med. intensiva (Madr., Ed. impr.);43(5):324-324, jun.-jul. 2019.
Idioma: es.
Resumo: No disponible
Responsável: ES1.1
BNCS


  8 / 140 IBECS  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Id: 182141
Autor: Carvalho, Joana Rita; Fonseca, Inês Nogueira; Freitas, Carlos; Santos, Paula Moura; Ribeiro, Luís Carrilho; Marinho, Rui Tato.
Título: Major duodenal diverticular bleeding / Hemorragia de divertículo duodenal
Fonte: Gastroenterol. hepatol. (Ed. impr.);42(3):186-187, mar. 2019. ilus.
Idioma: en.
Resumo: No disponible
Responsável: ES1.1
BNCS


  9 / 140 IBECS  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Id: 180774
Autor: Peveri, S; Pattini, S; Costantino, MT; Incorvaia, C; Montagni, M; Roncallo, C; Villalta, D; Savi, E.
Título: Molecular diagnostics improves diagnosis and treatment of respiratory allergy and food allergy with economic optimization and cost saving
Fonte: Allergol. immunopatol;47(1):64-72, ene.-feb. 2019. graf.
Idioma: en.
Resumo: Background: Component resolved diagnosis (CRD) allows to precisely identify the sensitization to specific molecules of a given allergenic source, resulting in an important improvement in clinical management, particularly of polysensitized subjects. This will end in the correct prescription of allergen immunotherapy (AIT) for respiratory allergy and in adequate avoidance diets or prescription of self-injectable adrenaline in food allergy. Objective: The aim of this multicenter, real life study is to evaluate the percentage change of the diagnostic-therapeutic choice in polysensitized patients with respiratory allergy and in patients with food allergy, after using CRD compared to a first level diagnosis, along with an economic analysis of the patient's overall management according to the two different approaches. Methods: An overall number of 462 polysensitized patients, as suggested by skin prick tests (SPT), and with clinical symptoms related to a respiratory (275 pts) or food (187 pts) allergy, were recruited. All patients underwent CRD for specific IgE against food or inhalant recombinant molecules, which were chosen according to medical history and positivity to SPT. The first diagnostic-therapeutic hypothesis, based only on medical history and SPT, was recorded for each patient while the final diagnostic-therapeutic choice was based on the results from CRD. The rate of change of the diagnostic-therapeutic choice from the first hypothesis to the final choice was statistically evaluated. The economic impact of CRD on the overall management of the allergic patients was analyzed to evaluate whether the increase in the diagnostic costs would be compensated and eventually exceeded by savings coming from the improved diagnostic-therapeutic appropriateness. Results: An approximate 50% change (k index 0.54) in the prescription of AIT for respiratory allergy as well as a change in the prescription of self-injectable adrenaline (k index 0.56) was measured; an overall saving of financial resources along with a higher diagnostic-therapeutic appropriateness was also detected. Conclusion: There is moderate agreement concerning prescription of AIT and self-injectable adrenaline before and after performing CRD: this highlights the usefulness of CRD, at least in polysensitized patients, in indicating the risk assessment and therefore the correct therapy of respiratory and food allergy, which results in a cost-saving approach

No disponible
Responsável: ES1.1
BNCS


  10 / 140 IBECS  
              first record previous record
seleciona
para imprimir
Fotocópia
Id: 180773
Autor: Gonzalez-Mancebo, E; Gandolfo-Cano, MM; Trujillo-Trujillo, MJ; Mohedano-Vicente, E; Calso, A; Juarez, R; Melendez, A; Morales, P; Pajuelo, F.
Título: Analysis of the effectiveness of training school personnel in the management of food allergy and anaphylaxis
Fonte: Allergol. immunopatol;47(1):60-63, ene.-feb. 2019. tab.
Idioma: en.
Resumo: Background: Food allergy is a very frequent and increasingly common disease in children and adolescents. It affects quality of life and can even be life-threatening. Given that 10-18% of allergic/anaphylactic food reactions take place in schools, it is essential to provide school personnel with training on the management of reactions. Methods: The Allergy Unit of Hospital Universitario de Fuenlabrada, Spain, organized a conference entitled "Management of Food Allergy in Children and Adolescents in School Centers" during which teachers, cooks, cafeteria monitors, and summer-camp leaders underwent a training course. Attendees filled out a questionnaire with eight questions before and after the course to assess their self-efficacy in management of food allergy and anaphylaxis. The results were compared. Results: A total of 191 people participated (51% dining-room monitors, 24% teachers, 13% cooks, and 12% other professions). The areas in which the attendees presented the lowest confidence before receiving the course were recognition of symptoms and treatment of the reactions/anaphylaxis. The mean score for each of the eight concepts evaluated improved after the training course. This improvement was significant in the management of anaphylaxis. Conclusions: Our study demonstrates the usefulness of a self-efficacy scale in school personnel as a tool to assess the ability to manage food allergy and anaphylaxis. It can help to identify problem areas in which more specific training programs can be implemented

No disponible
Responsável: ES1.1
BNCS



página 1 de 14 ir para página                         
   


Refinar a pesquisa
  Base de dados : Formulário avançado   
Pesquisar por : Formulário livre    Formulário básico

    Pesquisar no campo  
1  
2
3
 
           



Search engine: iAH v2.6 powered by WWWISIS

BIREME/OPAS/OMS - Centro Latino-Americano e do Caribe de Informação em Ciências da Saúde