Carmen Sánchez Sánchez

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OBJECTIVE To study energy expenditure (EE) in critically ill infants and children and its correlation with clinical characteristics, treatment, nutrition, caloric intake, and predicted energy expenditure calculated through theoretical formulas. PATIENTS AND METHODS A prospective observational study was conducted in critically ill infants and children.(More)
INTRODUCTION Perianal dermatitis due to group A beta-hemolytic streptococcus is a rare diagnosis in pediatrics. Clinical manifestations include erythema, edema, and perianal pruritus associated with vulvovaginitis or balanitis, painful defecation, constipation, anal fissures, purulent discharge, and/or rectal bleeding. MATERIAL AND METHODS A descriptive,(More)
Ocular dipping refers to a slow downward deviation of both eyes followed by a quick return to the midposition after a brief delay. Two patients with rapid neurologic deterioration in Creutzfeldt-Jakob disease (CJD) displayed ocular dipping, which quickly evolved into sustained downgaze deviation. Ocular dipping may thus be a transitional sign in a vertical(More)
OBJECTIVE To study the utility and efficacy of transpyloric enteral nutrition (TEN) in critically-ill children by analyzing the factors that determine enteral tolerance. PATIENTS AND METHODS We performed a prospective, observational study between 1994 and 2002 of all critically-ill children admitted to our pediatric intensive care unit who received TEN.(More)
INTRODUCTION Gastroesophageal reflux (GER) is associated with respiratory symptoms. The link between non-acid GER and the pathogenesis of respiratory disease has been demonstrated. Esophageal multichannel intraluminal impedance (MII) is able to detect non-acid and alkaline GER, as well as reflux height. The objective of the study was to compare the(More)
OBJECTIVE The objective of this study was to analyze the efficacy of continuous veno-venous renal replacement therapies in neonates and children. PATIENTS AND METHODS We analyzed 10 episodes of acute renal failure in 9 patients, between 7 days and 2 years of age and weighing between 2.9 and 13 kg, treated with continuous veno-venous renal replacement(More)
The clinical assistance to patients with neurological disorders is composed of different clinical procedures performed in a sequential order. It has many similarities to the industrial procedures. The patient with a neurological problem will receive clinical assistance as outpatient, in-patient or in the emergency department. Through out all theses events(More)