Publications by authors named "J H Ugalde-Fernandez"

Twenty five newborns weighting less than 1501 g were followed after electively installing a percutaneous catheter with subcutaneous tunneling; they were used for parenteral nutrition through the basilic, cephalic or external jugular veins, lasting an average of 10.3 +/- 2.08 days.

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We present a case-report of a six weeks old premature baby who developed acute acalculous gangrenous cholecystitis related to septicemia due to Citrobacter freundii. We analyze other etiological factors and remark the importance of physical examination and ultrasonographic exploration of the biliary tract. Early cholecystectomy is suggested.

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We discuss the case of a premature baby weighing 1,200 g who developed right diaphragmatic paralysis when a venous cutdown was performed on his internal jugular vein. Acquired unilateral diaphragmatic paralysis has been associated with obstetric trauma of the cervical plexus and surgical procedures of the neck and thorax, when the phrenic nerve is injured. We suggest fluoroscopy as the best diagnostic method; early diaphragmatic plication reduces the morbimortality of these patients.

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