- Pediatric Pain Management Techniques
- Anesthesia and Sedative Agents
- Airway Management and Intubation Techniques
- Anesthesia and Pain Management
- Anesthesia and Neurotoxicity Research
- Cardiac, Anesthesia and Surgical Outcomes
- Infant Development and Preterm Care
- Respiratory Support and Mechanisms
- Childhood Cancer Survivors' Quality of Life
- Pain Management and Opioid Use
- Musculoskeletal pain and rehabilitation
- Medical research and treatments
- Family and Patient Care in Intensive Care Units
- Congenital Diaphragmatic Hernia Studies
- Intensive Care Unit Cognitive Disorders
- Child and Adolescent Health
- Cardiac Arrhythmias and Treatments
- Congenital Heart Disease Studies
- COVID-19 and healthcare impacts
- Ethics and bioethics in healthcare
- Burn Injury Management and Outcomes
- Hemodynamic Monitoring and Therapy
- Pectus Deformity Diagnosis and Treatment
- Optical Imaging and Spectroscopy Techniques
- Organ Transplantation Techniques and Outcomes
Universidad Autónoma de Madrid
1995-2025
Hospital Universitario La Paz
2016-2025
Ludwig-Maximilians-Universität München
2023
Charité - Universitätsmedizin Berlin
2023
Université Paris Sciences et Lettres
2023
University of Groningen
2023
Hospital La Paz Institute for Health Research
2021-2022
Hospital Universitario de Getafe
2012
Background: Since the confirmation of first patient infected with SARS-CoV-2 in Spain January 2020, epidemic has grown rapidly, greatest impact on region Madrid. This article describes 2226 adult patients COVID-19, consecutively admitted to La Paz University Hospital Methods: Our cohort included all hospitalized who had a final outcome (death or discharge) 1286-bed hospital Madrid (Spain) from 25 February (first case admitted) 19 April 2020. The data were manually entered into an electronic...
P1093 is an ongoing phase I/II multicenter open-label study of dolutegravir plus optimized background regimen in age-defined pediatric cohorts; here we report the long-term safety and virologic efficacy outcomes for oldest cohort.The enrolled human immunodeficiency virus type 1 (HIV-1)-infected treatment-experienced adolescents aged 12 to <18 years, with HIV-1 RNA level ≥1000 copies/mL . Cumulative were assessed once last participant reached 144 weeks follow-up.Among 23 enrolled, 16 remained...
ABSTRACT BACKGROUND Since the confirmation of first patient infected with SARS-CoV-2 in Spain January 2020, epidemic has grown rapidly, greatest impact on Madrid region. This article describes 2226 consecutive adult patients COVID-19 admitted to La Paz University Hospital Madrid. METHODS Our cohort included all consecutively who were hospitalized and had a final outcome (death or discharge) 1286-bed hospital (Spain) from February 25 th (first case admitted) April 19 , 2020. Data was entered...
Clinical hypnosis is effective for pain management in adults, but there little evidence of its use the pediatric population. We conducted a randomized clinical trial on patients (aged 7-19 years) that had undergone major orthopedic surgery, allocated to one two groups: experimental group (HG), which received sessions hypnosis, or control (CG), non-hypnosis visits. The variables analyzed were (Visual Analog Scale [VAS]), analgesic drugs, anxiety (State-Trait Anxiety Inventory Children...
This randomized, single-dose, double-blind, Phase III study was designed to compare the level of procedural pain after use premixed equimolar mixture 50% oxygen and nitrous oxide (EMONO) or placebo (premixed nitrogen oxygen).Patients aged 1 18 years were randomly assigned receive EMONO (n = 52) 48) delivered by inhalation through a facial mask 3 minutes before cutaneous, muscle, bone/joint procedures. Pain evaluated (on scale from 0-10) using self-reported Faces Scale-Revised (FPS-R) Spanish...
Pain management is a challenge and effective treatment requires professionals to collaborate if they are address the needs of patients with pain. Comprehensive education training key helping skilled provide best pain care possible. The objective this work was study content provided undergraduates in healthcare veterinary programs Spain. A survey developed on basis previous surveys that had been used field. final version included 31 questions about different issues education, including, type...
Background Previous studies have shown that the region of nucleus solitary tract (NST) is involved in control electrocortical activity and sleep mechanisms. It also well known this contains highest concentration opioid receptors within medullary brainstem. The involvement NST system sleep-wakefulness states were evaluated. Methods Ten cats implanted with electrodes for chronic polygraphic recordings their provided an guide cannula stereotaxically aimed at region. Microinjections saline,...
The healthcare industry carbon footprint is 5.2% of total CO2 equivalent emissions worldwide. operating rooms are the most resource demanding areas in hospital care and higher energy demands, lack effective waste management, inhaled anaesthetic use, lead to a high footprint. There wide variation gases, with desflurane ranking 40 times than sevoflurane. Other agents, including N2O isoflurane, have additional ozone-depleting properties. To describe what factors influence implementation...
Patients with secondary pain due to mucositis after chemotherapy require treatment morphine. Use of electronic video games (EVGs) has been shown be an effective method analgesia in other clinical settings.The main objective this study was assess the association between use EVGs and intensity caused by chemotherapy-induced pediatric patients cancer. The changes sympathetic-parasympathetic balance sample patients.Clinical records were compared day prior EVGs. variables variations pupil size...
In recent years, pain protocols for pectus excavatum (PE) have incorporated cryoanalgesia through thoracoscopic approach. Since 2019, ultrasound-guided percutaneous (PCr) has been applied at our institution, either on the same day as Nuss procedure or 48 hours before surgery. We carried out a preliminary retrospective review of patients with PE in whom PCr prior to surgery was performed institution between 2019 and 2021. Two groups were evaluated: (PCrSD) (PCr48). Despite PCr, treated...
There are several specific considerations regarding anesthesia in patients with mitochondrial disease. We describe the successful administration of a combined general and epidural sevoflurane maintenance patient myoclonic epilepsy ragged red fibers (MERRF syndrome) scheduled for surgical treatment bilateral clubfoot.
To improve understanding of current practices in the treatment children and adolescents with chronic pain Spain.A web-based survey was conducted a representative sample healthcare professionals (i.e. general practitioners [GP] pediatricians [P]) Spain. The included 23 questions on education training they had been given, organizational issues assessment management their work.The completed by 191 (75 GP 116 P) wide experience (mean number years = 21; SD 8) pain. Half participants reported that...
Pain is a common experience among children and adolescents, pain management in this population challenge to clinicians. The aims of study were increase our understanding current practices the both acute chronic pediatric Spain, explore potential barriers ideal practices, identify professional needs as perceived by healthcare professionals. A total 277 professionals took part, all whom had wide managing adolescents with (M [SD] age = 44.85, [10.73]; 75% women). Participants respond web-based...
Combined (local and general) anaesthesia or Balanced (intravenous analgesics inhalational hypnotics) are commonly used in paediatrics. The authors have investigated the influence of both types on requirements sevoflurane to maintain an adequate level hypnosis as measured by Bispectral index (at around 50) monitoring paediatric orthopaedic patients.Twenty-six surgery patients aged 2-15 yr were randomized receive, during general anaesthesia, 5 microg kg-1 intravenous fentanyl (Balanced group)...
Abstract The sciatic nerve ( SN ) is easily blocked under ultrasound guidance by identifying either the common trunk or its two components: tibial TN and peroneal CPN ). authors investigate whether there are anatomical differences between newborns adults. , of both lower extremities in 24 (11 neonatal 13 adults) formolized cadavers were dissected. Distances measured from origin (passing piriformis muscle) to division into popliteal crease. sciatic/thigh coefficient (proportion relating...
Abstract Aim This study aims to compare the utilization of peritoneal flaps (PF) with endoscopic transversus abdominis release (eTAR) for midline restoration in incisional hernia repair via enhanced-view totally extraperitoneal (eTEP) approach. Patients and Methods A total 115 eTEP repairs were initially considered, exclusion criteria applied patients requiring combined PF eTAR procedures or those not either. The final analysis included 14 treated exclusively 36 PF. Parameters compared...