A5048722775- Respiratory Support and Mechanisms
- Neonatal Respiratory Health Research
- Family and Patient Care in Intensive Care Units
- Congenital Heart Disease Studies
- Mechanical Circulatory Support Devices
- Sepsis Diagnosis and Treatment
- Chronic Obstructive Pulmonary Disease (COPD) Research
- Cardiac Arrest and Resuscitation
- Infant Development and Preterm Care
- Childhood Cancer Survivors' Quality of Life
- Cardiac pacing and defibrillation studies
- Tracheal and airway disorders
- Transplantation: Methods and Outcomes
- Cardiovascular Issues in Pregnancy
- COVID-19 and healthcare impacts
- Cardiac Arrhythmias and Treatments
- COVID-19 and Mental Health
- Asthma and respiratory diseases
- Hematopoietic Stem Cell Transplantation
- Patient Safety and Medication Errors
- Medical Malpractice and Liability Issues
- Infection Control and Ventilation
- Clinical Reasoning and Diagnostic Skills
- Ion Transport and Channel Regulation
- Actinomycetales infections and treatment
Hospital Universitario Austral
2009-2024
Austral University
2010-2024
Medico
2013-2021
Multi-Duti Manufacturing (United States)
2011
Association for Jewish Studies
2011
We studied behavior in a group of children with specific language impairment its 2 subtypes (expressive and mixed receptive/expressive). After exclusion other psychiatric conditions, we evaluated 114 ages to 7 years using developmental tests behavioral screening scales. Behavior problems appeared 54% the children. Withdrawn was most frequently found syndrome preschool children, whereas anxious/depressed social were frequent older The high frequency syndromes is remarkable requires awareness...
Abstract Background Mechanical power is a composite variable for energy transmitted to the respiratory system over time that may better capture risk ventilator-induced lung injury than individual ventilator management components. We sought evaluate if mechanical ventilation with high associated fewer ventilator-free days (VFD) in children pediatric acute distress syndrome (PARDS). Methods Retrospective analysis of prospective observational international cohort study. Results There were 306...
Magnesium sulfate is a calcium antagonist that inhibits bronchial smooth muscle contraction promoting bronchodilation. It used for the management of acute severe asthma in children; however most studies have been performed adults.To evaluate effectiveness intravenous magnesium treatment pediatric patients with exacerbations.A clinical, randomized, controlled trial was conducted between March 2006 and 2011 at Hospital Universitario Austral. Children admitted to emergency department were...
To describe the clinical characteristics and outcome of patients admitted to pediatric intensive care with influenza A (pH1N1) 2009 in Argentina.Retrospective observational study.Thirteen units Argentina.One hundred forty-two confirmed or suspected (H1N1).None.We included 142 critically ill patients. The median age was 19 months (range, 2-110 months) 39% <24 age. Ninety-nine (70%) had an underlying disease. Influenza infection 90 remaining 52 a positive direct immunofluorescence assay for A....
Abstract Background Nearly 90% children with cancer reside in low‐ and middle‐income countries, which face multiple challenges delivering high‐quality pediatric onco‐critical care (POCC). We recently identified POCC quality capacity indicators for PROACTIVE (PediatRic Oncology cApaCity assessment Tool IntensiVe carE), a tool that evaluates strengths limitations services. This study describes pilot testing of PROACTIVE, development center‐specific reports, identification common challenges....
To compare the changes in serum sodium and acid/base status patients receiving hypotonic isotonic solutions.A randomised, controlled double-blind clinical trial.Department of Paediatrics a tertiary general hospital (Hospital Universitario Austral) Buenos Aires, Argentina.Children between 29 days 15 years age who were hospitalised paediatric intensive care unit 12 January 2010 30 November 2016, required exclusively parenteral maintenance solutions for at least 24 hours.A solution with 77...
Background Children with cancer are at risk of critical disease and mortality from COVID-19 infection. In this study, we describe the clinical characteristics pediatric patients multiple Latin American centers factors associated in population. Methods This study is a multicenter, prospective cohort conducted 12 hospitals 6 countries (Argentina, Bolivia, Colombia, Ecuador, Honduras Peru) April to November 2021. Patients younger than 14 years age that had an oncological diagnosis or...
Adverse events may be detected using different screening tools. In the pediatric population, Pediatric Trigger Tool looks for triggers in medical record to detect preventable and non-preventable care-associated harm.To measure incidence of adverse at Department Pediatrics this tool. To know types associated outcome measures.Longitudinal cohort study.A total 318 patients were included; mean age: 2.99 years (range: 0-17); 164 (51.57 %) girls. There 11 % per 100 admissions, 15.5...
Objective: To present a strategy for identifying patients at risk of lymphatic failure in the setting planned Fontan/Kreutzer completion, allowing tailored surgical approach. Methods: Since January 2017, clinical evaluation before performance procedure included T2-weighted magnetic resonance imaging (MRI) lymphangiography. Thoracic abnormalities were categorized using scale I to IV according progression severity. Patients with severe (types III and IV) underwent decompression via connection...
Effectiveness of magnesium sulfate as initial treatment acute severe asthma in children, conducted a tertiary-level university hospital.A randomized, controlled trial SUMMARY Introduction.Magnesium is calcium antagonist that inhibits bronchial smooth muscle contraction promoting bronchodilation.It used for the management children; however most studies have been performed adults.Objective.To evaluate effectiveness intravenous pediatric patients with exacerbations.Population and Methods.A...
Submersion injury is associated with high morbidity and mortality, being the third leading cause of accidental death among children.To analyze describe risk factors, prognosis, survival victims, admitted to a level Community Teaching Hospital. Population, material methods. A retrospective, observational, analytical study. We studied patients pediatric critical care unit, between 06/2000 01/2008. The following variables were analyzed: age, sex, length stay, days mechanical ventilation,...
To address the current practice of liberating patients from invasive mechanical ventilation in pediatric intensive care units, with a focus on use standardized protocols, criteria, parameters, and indications for noninvasive respiratory support postextubation.
In June 2014, the Argentinean Ministry of Health published guidelines for management neonates born at limit viability (≤25 weeks gestation). We explored opinion neonatologists in Buenos Aires, Argentina, regarding initiation life-sustaining treatment (LST) critically ill neonates, focusing on effect sociocultural factors their opinion.An anonymous survey was designed to explore opinions whether or not initiate LST newborns prematurely. Five hundred eighty from 36 neonatal units were invited...
Abstract Aim: To investigate the opinion and personal experience of parents children born with Hypoplastic Left Heart Syndrome what advice they would give to other who have decide between treatment options. Methods: We conducted a qualitative, descriptive retrospective study by means survey directed in tertiary hospital Buenos Aires (Argentina). Their answers data regarding medical procedures were analysed. Results: Parents thirteen out sixteen patients surveyed. Norwood surgery had been...
KT is the preferred treatment for ESRD in pediatrics. However, it may be challenging those weighing ≤15 kg with potential complications that impact on morbidity and graft loss.This retrospective review reports our experience children, kg, strategies to reduce mortality.All patients were RRT prior KT. Patients reached mainly due urologic malformations (54.54%). LD was performed 82% of patients. The recipient's median age 2.83 years, weight 12.280 kg. Male sex predominant (73%). All required...
Hematopoietic stem cell transplantation (HSCT) in children is a procedure that not exempt of severe complications. Admission to the pediatric intensive care unit (PICU) associated with high mortality rate. Objectives: To analyze survival and predictors among who received HSCT were admitted PICU, develop prediction model this population.Retrospective review adolescents between January 1st, 2005 December 31st, 2019 PICU tertiary teaching hospital.Out 264 receiving transplant, 114 PICU. The...
RESUMO Objetivo: Abordar a prática atual de desmame da ventilação mecânica invasiva pacientes em unidades terapia intensiva pediátrica, com foco no uso protocolos, critérios, parâmetros e indicações padronizados para suporte respiratório não invasivo após extubação. Métodos: Realizou-se uma busca eletrônica novembro 2021 maio 2022 pediátrica ibero-americanas. Participaram médicos terapeutas respiratórios, um único representante cada unidade incluída. Não houve intervenções. Resultados: A...
Introduction. During hospitalization, patients may develop significant clinical deterioration and require unplanned admission to the pediatric intensive care unit (PICU). This result in increased morbidity mortality. These events are often preceded by a phase that go unnoticed. Objective. To determine frequency, analyze causes, describe characteristics outcomes of transfers hospitalized from general ward (GPW) PICU, differences between urgent emergent transfers. Population methods....
Aims & Objectives: PROACTIVE (PediatRic Oncology cApaCity Assessment Tool for IntensiVe CarE) is a consensus-derived electronic tool that evaluates hospital's strengths and limitations in pediatric onco-critical care (POCC) services. We describe patient outcomes after launching series of quality improvement (QI) bundles based on gaps identified through tertiary hospital Argentina. Methods: retrospectively analyzed data from patients admitted to our PICU between July 2017- June...
Aims & Objectives: Hematopoietic stem cell transplantation (HSCT) in children is not exempt from serious complications. Admission of this population to mechanical ventilation (MV) associated with high mortality. Different working groups have been interested the behavior vulnerable when admitted critical care by developing tools identify those at risk poor outcome, The Pediatric Acute Lung Injury Consensus Conference (PALICC) reported different regarding MV strategies for improving survival....
Aims & Objectives: Hypoplastic left heart syndrome (HLHS) remains one of the most challenging conditions to manage postoperatively in a cardiac unit. Despite advances since introduction Norwood (NW) surgery, mortality rates have remained high over last 20 years. Our aim is describe results following implementation bundle care. Methods: This retrospective study included all patients admitted with HLHS, divided into two groups: 2010-2015 (19 patients) and 2016-2023 (22 total 41 patients. In...