Publications by authors named "Jesus de Vicente-Sanchez"
Background: Studies of spinal anesthesia in children are limited to a reduced group of high-risk patients and it remains relatively underused compared with general anesthesia in this age group in most institutions. In our experience, spinal anesthesia appears to be a good alternative to general anesthesia during pyloromyotomy in neonates and infants.
Aims: The purpose of this study was to retrospectively evaluate respiratory morbidity of spinal anesthesia compared to general anesthesia in infants undergoing pyloromyotomy.
Article Synopsis
- The study evaluated the "Mapleson D CPAP system" for weaning infants from mechanical ventilation after extended usage, specifically targeting infants who needed ventilation for over 24 hours.
- Data were collected from 50 infants, analyzing age, weight, and vital signs, with a focus on comparing outcomes pre- and post-use of the CPAP system and during spontaneous ventilation.
- Results showed that the Mapleson D CPAP system is a safe, effective, and cost-efficient alternative for facilitating the weaning process, despite a notable extubation failure rate of 26%, mainly correlated with infant weight and age.
Background: Although frozen platelets are extensively used in remote locations and military environments, scientific evidence of their efficacy is scarce. The objective of this study was to evaluate the in vitro hemostatic efficacy of frozen versus fresh platelet transfusions by rotational thromboelastometry (ROTEM) to ascertain whether the freezing and thawing process impaired platelet contribution to clot strength.
Methods: An experimental study was performed using platelet in vitro transfusions.
C-reactive protein in the diagnosis of postoperative infection in pediatric patients: a prospective observational study of 103 patients.
J Pediatr Surg
September 2011
Background: Surgical stress elicits a systemic inflammatory response syndrome that contributes to the development of septic complications. C-reactive protein (CRP) is an acute phase protein released in inflammatory states. To analyze the usefulness of CRP as a marker of infection in surgical pediatric patients, we analyzed its kinetics in these patients in comparison with usual markers, such temperature, leukocytes, or fibrinogen.
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