Guilherme M. Sant'Anna

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OBJECTIVE To develop a predictive model capable of identifying which premature infants have the greatest probability of presenting bronchopulmonary dysplasia (BPD), based on assessment at the end of their first week of life. METHODS Data were collected retrospectively from January 1998 to July 2001, and prospectively from August 2001 to July 2003. All(More)
OBJECTIVE To determine periextubation practices in extremely preterm infants (<28 weeks gestation). DESIGN A survey consisting of 13 questions related to weaning from mechanical ventilation, assessment of extubation readiness and postextubation respiratory support was developed and sent to clinical directors of level III NICUs in Australia, Canada,(More)
We questioned to what extent sustained increases in metabolic rate during the neonatal period may influence the development of thermal and respiratory control. Male rats were exposed to cold (14 degrees C) for the first 3 weeks, which increased metabolic rate with small effects on body growth. Measurements were performed at 1 month of age, when the body(More)
OBJECTIVE The purpose of this article is to describe the role of cerebral and abdominal sonography with color Doppler sonography, including assessment of multiorgan tissue perfusion, in neonates with hypoxic-ischemic injury. CONCLUSION Bedside sonography and color Doppler sonography of the brain and abdominal organs can provide reliable and comprehensive(More)
BACKGROUND Decreases below the target temperature were noted among neonates undergoing cooling in the Eunice Kennedy Shriver National Institute of Child Health and Human Development Neonatal Research Network Trial of whole body hypothermia for neonatal hypoxic-ischemic encephalopathy. OBJECTIVE To examine the temperature profile and impact on outcome(More)
OBJECTIVE The purpose of this work was to evaluate the impact of the implementation of a ventilation protocol driven by registered respiratory therapists on respiratory outcomes of premature infants with birth weight < or =1250 g. METHODS A ventilation protocol driven by a registered respiratory therapist was developed by a multidisciplinary group and(More)
OBJECTIVES To determine the incidence of extubation failure in preterm newborns with birth weight < 1,250 g extubated to nasal continuous positive airway pressure and to identify the main risk factors associated with the need for reintubation in this population. METHODS A retrospective review of eligible infants admitted and mechanically ventilated(More)
Pulmonary lymphangiectasia is a rare cause of respiratory distress in the newborn associated with a very poor outcome. We describe three premature newborns presenting at birth with nonimmune hydrops, bilateral chylothorax, and severe respiratory distress in the immediate newborn period secondary to pulmonary lymphangiectasia. We review the similarities of(More)
OBJECTIVE To describe the authors' experience with the implementation of a multidisciplinary approach and use of fish oil emulsion (FOE) in the management of infants with short bowel syndrome (SBS) and parenteral nutrition-associated liver disease (PNALD). METHODS Between August 2006 and June 2009, four cases of SBS and severe PNALD were managed by the(More)