Publications by authors named "J Gil-Anton"
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.
Shock is described as an inadequate oxygen supply to the tissues and can be classified in multiple ways. In clinical practice still, old methods are used to discriminate these shock types. This article proposes the application of unsupervised classification methods for the stratification of these patients in order to treat them more appropriately.
View Article and Find Full Text PDFMulticenter randomized clinical trial comparing dexamethasone versus placebo in preventing upper airway obstruction after extubation in critically ill children.
Sci Rep
March 2022
To analyze the effectiveness of dexamethasone in preventing upper airway obstruction (UAO) symptoms after extubation and the need of reintubation in critically ill children. Multicenter, prospective, double-blind, randomized, phase IV clinical trial involving five pediatric intensive care units. Children between 1 month and 16 years-of-age intubated for more than 48 h were included.
View Article and Find Full Text PDFSevere manifestations of SARS-CoV-2 in children and adolescents: from COVID-19 pneumonia to multisystem inflammatory syndrome: a multicentre study in pediatric intensive care units in Spain.
Crit Care
November 2020
Article Synopsis
- The study examines children admitted to Pediatric Intensive Care Units (PICUs) with Multisystem Inflammatory Syndrome (MIS-C) related to COVID-19, comparing their characteristics to those with other COVID-19-related conditions.
- Of the 74 children recruited, 61% met MIS-C criteria, showing they were older and more likely to have no significant prior medical history than non-MIS-C patients.
- MIS-C patients displayed a higher prevalence of symptoms like fever, diarrhea, and shock, alongside differing laboratory results, and were treated differently than non-MIS-C patients, receiving more corticosteroids and fewer invasive ventilation treatments.
Hemorrhagic shock is one of the leading causes of mortality and morbidity in pediatric trauma. Current treatment based on volume resuscitation is associated to adverse effects, and it has been proposed that vasopressors may be used in the pharmacological management of trauma. Terlipressin has demonstrated its usefulness in other pediatric critical care scenarios and its long half-life allows its use as a bolus in an outpatient critical settings.
View Article and Find Full Text PDF