Publications by authors named "Paulo R D Joao"
Article Synopsis
- Pediatric cardiac tumors are uncommon, with the majority being benign, and cardiac fibroma is notably the second most common type after rhabdomyoma.
- A case of a 5-month-old boy with acute viral bronchiolitis revealed incidental findings of a cardiac fibroma via various diagnostic tests, including echocardiogram and cardiac catheterization, leading to its confirmation.
- Treatment typically involves surgery or heart transplantation, especially for cases with significant dysfunction, and accurate characterization of the tumor is crucial for determining the best therapeutic strategy.
Objectives: To make recommendations on the diagnosis and treatment of post-extubation laryngitis (PEL) in children with or without other comorbidities.
Methods: A three-iterative modified Delphi method was applied. Specialists were recruited representing pediatric otolaryngologists, pediatric and neonatal intensivists.
Objective: To assess Brazilian pediatric intensivists' general knowledge of extracorporeal membrane oxygenation, including evidence for its use, the national funding model, indications, and complications.
Methods: This was a multicenter cross-sectional survey including 45 Brazilian pediatric intensive care units. A convenience sample of 654 intensivists was surveyed regarding their knowledge on managing patients on extracorporeal membrane oxygenation, its indications, complications, funding, and literature evidence.
Objective: To describe a case series of multisystem inflammatory syndrome in children (MIS-C) in a pediatric tertiary hospital.
Methods: Patients under the age of 18 years who met MIS-C criteria of the Brazilian Ministry of Health (MH) and/or the Royal College of Paediatrics and Child Health (RCPCH) were included. A retrospective analysis was carried out by reviewing medical records and complementary exams.
Impact of the use of nephrotoxic drugs in critically ill pediatric patients.
Rev Bras Ter Intensiva
November 2021
Objective: To evaluate the association between the use of nephrotoxic drugs and acute kidney injury in critically ill pediatric patients.
Methods: This was a retrospective cohort study involving all children admitted to the intensive care unit of a pediatric hospital during a 1-year period. Acute kidney injury was defined according to the KDIGO classification.
Objective: To report a schistosomal myeloradiculopathy case in a non-endemic area.
Case Description: A previously healthy 11-year-old boy, stricken by an acute loss of strength on his lower limbs, followed by a loss of strength on his upper limbs and upper body, associated with altered sensitivity of the vesical globe formation. The patient's cerebrospinal fluid analysis showed eosinophilic meningitis, in addition to peripheral eosinophilia.
Objectives: Children admitted to PICUs often present with or develop respiratory failure that requires mechanical ventilation. We prospectively identified children admitted to three general PICUs, with the goal of identifying risk factors for mortality.
Design: Prospective multicenter observational study.
Objectives: To determine the frequency of hypomagnesemia in pediatric patients after spinal fusion, to verify whether postoperative magnesium levels were lower than preoperative levels and, if so, to identify possible causes and assess the clinical repercussions for patients.
Methods: This was a retrospective descriptive study of pediatric patients admitted to a pediatric intensive care unit (ICU) after spine fusion surgery, between March 1 and August 31, 2011. Preoperative magnesium, phosphorus and total and ionized calcium concentrations were compared with the results of tests conducted during the first 24 hours after admission to the ICU.
Objective: To present a care routine for children submitted to heart surgery.
Source Of Data: Literature review of Medscape, MD Consult and PubMed. Analysis of the suggested conducts adopted by various services from different countries and comparison with the care routine at the Pequeno Príncipe Children's Hospital (Curitiba, state of Paraná), where approximately 8,000 heart surgeries were performed in children from 1977 to April 2003.