Publications by authors named "Daniel Palanca Arias"
Pulmonary artery peak Doppler velocity as an estimator of systemic blood flow and predictor of intraventricular haemorrhage in preterm infants: a multicentre prognostic accuracy study.
Sandra Terroba-Seara Ignacio Oulego-Erroz Daniel Palanca-Arias Zenaida Galve-Pradel Sara Delgado-Nicolás
Arch Dis Child Fetal Neonatal Ed
December 2024
Objectives: (1) To assess how main pulmonary artery peak Doppler velocity (MPAVpeak) correlates with right ventricular output (RVO) and superior vena cava flow (SVCf), (2) to assess the reproducibility of MPAVpeak and (3) to test the prognostic accuracy of MPAVpeak to predict high-grade intraventricular haemorrhage (IVH) or death at seventh day of life.
Design: Prospective cohort study.
Setting: Nine third-level neonatal units in Spain.
Article Synopsis
- Lung ultrasound could be a valuable tool in predicting the severity of lung disease and the need for extended ventilatory support in critically ill children.
- In a study involving 538 children in the ICU, those requiring prolonged mechanical ventilation (over 7 days) had significantly higher lung ultrasound scores at 12 and 48-72 hours post-admission.
- The lung ultrasound score demonstrated a strong correlation with oxygen levels and was effective in predicting prolonged mechanical ventilation, showing high accuracy in both initial assessment and multivariable analysis.
Article Synopsis
- * Right ventricle outflow tract fibrosis has been observed in some Brugada syndrome patients, indicating structural issues in the heart.
- * A case is reported of a 4-year-old boy with pulmonary atresia showing a Brugada pattern after testing, suggesting that certain genetic variants may cause both conditions to develop similarly.
Article Synopsis
- The study aimed to see if early echocardiography screening in preterm infants with low systemic blood flow can lower the risk of intraventricular hemorrhage (IVH) and death.
- Conducted across nine neonatal units, infants under 33 weeks gestation were split into two groups: one receiving early screening and the other not.
- Results showed that early screening significantly decreased the chances of developing severe IVH or dying in the first week of life.
Article Synopsis
- * Conducted as a case-control study, both Duchenne patients and healthy subjects underwent echocardiograms, with Bayesian linear regression used to analyze age effects on heart function.
- * Results indicated that global longitudinal strain starts to show deterioration around age 6, while left ventricular ejection fraction declines later, highlighting the importance of early monitoring for heart function in Duchenne patients.
Background: Bronchopulmonary dysplasia (BPD) is still a major concern in preterm infants and adequate screening methods for secondary right ventricle (RV) failure are needed. Early detection could be aided by taking measurements of RV deformation using speckle tracking echocardiography. A prospective longitudinal study was carried out over 28 months at a tertiary care pediatric cardiology center.
View Article and Find Full Text PDFAtrial flutter without structural heart disease in pediatrics: a retrospective review of cases in the Hospital Infantil Miguel Servet, Zaragoza, Spain.
Tamara Moliner-Morón Rebeca Santiago-Cortés Ariadna Ayerza-Casas Marcos Clavero-Adell Lorenzo Jiménez-Montañés Daniel Palanca-Arias
Bol Med Hosp Infant Mex
October 2022
Article Synopsis
- - Atrial flutter in children is uncommon and often arises after heart surgery or can occur in structurally healthy hearts, with a study of seven pediatric cases conducted at a hospital from 2015-2021 highlighting this.
- - Most of the diagnosed cases were found in males, particularly during the perinatal period, and were treated successfully with electrical cardioversion, showing a good prognosis with no recurring issues.
- - However, cases diagnosed in older children (ages 5-7) were linked to serious heart conditions and required more invasive treatments, indicating a worse prognosis compared to neonatal cases.
Article Synopsis
- Fetal pericardial effusion (IFPE) can occur with various conditions and is increasingly linked to severe pathologies, even being observed in isolation.
- Over a decade, 38 fetuses from 37 pregnancies with IFPE were assessed in a tertiary hospital, revealing a high spontaneous resolution rate of 86.8% but also significant morbidity and mortality among newborns.
- Although IFPE is often thought to have a good prognosis, the study indicates that it can be associated with serious health issues, necessitating thorough monitoring both before and after birth for better outcomes.
Article Synopsis
- * A 10-year analysis in Aragon found that out of 38 fetuses with IFPE, most cases (86.8%) resolved spontaneously, although complications were observed in about 34.2% of newborns, leading to significant morbidity and a 15.7% death rate.
- * The findings suggest that IFPE, although often linked to a good prognosis, can indicate serious underlying issues, prompting a recommendation for thorough prenatal and postnatal monitoring for early intervention.
Article Synopsis
- The study aimed to analyze characteristics and early risk factors for mortality in critically ill children using noninvasive ventilation (NIV).
- Conducted over two years, the research involved 781 patients aged 1 month to 18 years, collecting clinical data and identifying risk factors for mortality using statistical analysis.
- Key findings showed that certain conditions like immunodeficiency and cerebral palsy, along with breathing issues on admission, increased mortality risk, highlighting a need for cautious NIV management in young patients.
Article Synopsis
- Myocardial deformation using speckle tracking echocardiography is a new technique for assessing heart function in fetuses.
- A study of 154 healthy fetuses tracked the development of heart strain mechanics, revealing age-specific differences in right and left ventricular function.
- Results showed that left ventricle strain is consistently higher than right ventricle strain, with both decreasing over gestation, indicating that these measurements can help compare healthy and diseased heart function in future studies.
Article Synopsis
- - The study aimed to determine if using ultrasound guidance improves the success of placing central venous catheters in critically ill children compared to the traditional landmark technique.
- - Conducted over six months in 26 pediatric intensive care units, the research evaluated outcomes in 500 procedures, focusing on first-attempt success rates and complications.
- - Results showed that ultrasound significantly enhanced first-attempt success rates, reduced the number of attempts needed, and led to fewer mechanical complications compared to the landmark method.