Publications by authors named "Pascual Sanabria-Carretero"
Objective: Surgical intervention in pediatric patients can cause variable degrees of psychological stress with potential consequences in the perioperative period and even in the long term, after hospital discharge in the form of behavioral changes days and months later. The aim of our study was to determine which preoperative preparation strategy reduces postoperative maladaptive behavioral changes in children undergoing ambulatory pediatric surgery.
Materials And Methods: This prospective observational study included 638 pediatric American Society of Anesthesiologists physical status I or II patients who underwent ambulatory pediatric surgery.
Introduction: Preoperative stress and anxiety in pediatric patients are associated with poor compliance during induction of anesthesia and a higher incidence of postoperative maladaptive behaviors. The aim of our study was to determine which preoperative preparation strategy improves compliance of the child during induction and decreases the incidence and intensity of emergence delirium (ED) in children undergoing ambulatory pediatric surgery.
Materials And Methods: This prospective observational study included 638 pediatric American Society of Anesthesiologists I-II patients who underwent ambulatory pediatric surgery, grouped into four preoperative preparation groups: NADA (not premedicated), MDZ (premedicated with midazolam), PPIA (parental presence during induction of anesthesia), and PPIA + MDZ.
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.
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.
View Article and Find Full Text PDF