Publications by authors named "Fernando de Lima Carioca"
Background: Positive end-expiratory pressure (PEEP) is widely used to improve oxygenation and avoid alveolar collapse in mechanically ventilated patients with pediatric acute respiratory distress syndrome (PARDS). However, its improper use can be harmful, impacting variables associated with ventilation-induced lung injury, such as mechanical power (MP) and driving pressure (∆P). Our main objective was to assess the impact of increasing PEEP on MP and ∆P in children with PARDS.
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- Critically ill pediatric patients often face fluid accumulation (FA) due to administered fluids, which can lead to severe health complications and worsen outcomes.
- A systematic review and meta-analysis of 120 studies involving 44,682 children showed that FA significantly increased the risks of mortality, acute kidney injury, prolonged mechanical ventilation, and longer ICU stays.
- The findings suggest that careful monitoring and management of fluid levels in these patients is crucial to improve their overall health outcomes.
Background: Point-of-care ultrasonography (POCUS) is proposed as a valuable method for hemodynamic monitoring and several ultrasound-based predictors of fluid responsiveness have been studied. The main objective of this study was to assess the accuracy of these predictors in children.
Methods: PubMed, Embase, Scopus, ClinicalTrials.
Aims: The aim of this study was to investigate whether respiratory variations in carotid and aortic blood flows measured by Doppler ultrasonography could accurately predict fluid responsiveness in critically ill children.
Methods: This was a prospective single-center study including mechanically ventilated children who underwent fluid replacement at the discretion of the attending physician. Response to fluid load was defined by a stroke volume increase of more than 15%.