Publications by authors named "Mireya Mendez"

Article Synopsis
  • Tracheostomy can provide crucial benefits for pediatric ICU patients, but it carries risks, particularly accidental decannulation (AD), which can be life-threatening.
  • A case-control study was conducted involving 140 tracheostomized children, identifying 41 cases of AD and 82 controls during their hospitalization from 2013-2018.
  • Key factors linked to an increased risk of AD included the child's ability to sit up and reach the midline, using a smaller tracheostomy tube (≤ 4.0 mm diameter), and having less nursing supervision in the hospital.
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Background: The lack of formal instruments to measure Burden in primary caregivers of Children in a hospital context is limited because mostly of published instruments are related to cancer survivors, ambulatory environment or general context for children with chronic conditions, but none of them adapted property to prolonged hospitalization context. This leaves the rising population of hospitalized chronic children's caregivers without a proper assessment. The aim of this study was to develop a version of the Revised Impact on Family Scale adapted to primary caregivers of chronic hospitalized children.

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Background: Noninvasive ventilation (NIV) has proven to be useful in the management of children with acute respiratory failure as a result of acute lower respiratory infection. Despite this, evidence addressing the initiation and/or discontinuation criteria of NIV in children remains limited. The objective of this study was to evaluate the usefulness and clinical impact of an NIV protocol in hospitalized children with acute respiratory failure because of acute lower respiratory infection.

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Introduction: Children with chronic respiratory disease (CRD) are at increased risk of iron deficiency and anemia, which is under-diagnosed.

Aim: To describe the iron (Fe) status in children with CRD and to evaluate the effects of its prophylactic indication.

Method: Prospective study of children with CRD and adequate Fe intake in the diet.

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Tracheobronchial anomalies (TBA) originate between the third and sixteenth week of gestation, and they primarily affect the main bronchi. The reported incidence varies between 1-3% of pediatric endoscopic studies. The objective of our review was to describe the clinical characteristics of patients with TBA diagnosed by flexible bronchoscopy (FB).

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