Javier Gil-Antón

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INTRODUCTION Refractory septic shock has dismal prognosis despite aggressive therapy. The purpose of the present study is to report the effects of terlipressin (TP) as a rescue treatment in children with catecholamine refractory hypotensive septic shock. METHODS We prospectively registered the children with severe septic shock and hypotension resistant to(More)
Pediatric patients are rarely infected with metallo-β-lactamase-producing Enterobacteriaceae. We describe 3 cases of children infected with VIM-1-producing clonal Enterobacter cloacae. Patients were treated with amikacin and cotrimoxazole. The blaVIM-1 gene was carried into a class 1 integron and an IncHI2 incompatibility group plasmid. Emergence of(More)
OBJECTIVE Pediatric cardiac arrest unresponsive to advanced life support and several adrenaline doses has a very poor prognosis. Alternative vasopressors could improve the results of resuscitation in such cases. We report our experience with the compassionate administration of terlipressin in children who suffered in-pediatric intensive care unit cardiac(More)
BACKGROUND Despite intensive therapy, refractory pediatric septic shock has a high rate of morbidity and mortality. Additional treatments are needed to improve outcomes in such cases. OBJECTIVE To report the clinical effects of continuous terlipressin infusion as rescue treatment for children with septic shock refractory to high catecholamine doses. (More)
Elisabeth Esteban, Sylvia Belda, Patricia García‐Soler, Antonio Rodríguez‐Núñez, Cristina Calvo, Javier Gil‐Anton, Amaya Bustinza, María‐Isabel Iglesias‐Bouzas, Montserrat Pujol‐Jove, Juan Carlos deCarlos, Juan‐Pablo García‐Iñiguez, Antonio Pérez‐Iranzo, Cinta Téllez, Irene Ortiz, Rosalía Pérez, Vanesa Bonil, Sonia Brió, Andrés Concha, José‐Domingo López,(More)
The maintenance of an adequate oxygen supply to tissues after congenital heart surgery is essential for good outcomes. The objective of this study was to assess the usefulness of near-infrared spectroscopy (NIRS) for estimating central venous oxygen saturation (ScvO2) using both cerebral and renal measurements, explore its relation with cardiac output(More)
INTRODUCTION Tracheotomy in pediatric patients is a rare procedure. In this pediatric series, perioperative complications, mortality related to surgical procedure and overall mortality are analyzed. PATIENTS AND METHODS This is a retrospective study conducted from January 2003 to December 2013. Data were retrieved from patients who were tracheotomized and(More)
INTRODUCTION The classification of epileptic syndromes defines the prognosis and offers some orientation about treatment in childhood epilepsy. OBJECTIVE To study the medical therapy according to epileptic syndromes in the everyday practice of a hospital based outpatient neuropediatric clinic. METHODS Survey of the database using an algorithm to define(More)
PURPOSE The aim of this study is to determine whether the maintenance of cardiac index (CI) measured by femoral arterial thermodilution during the postoperative period after heart surgery in children is related to short-term outcome. MATERIALS AND METHODS A prospective observational study in a pediatric intensive care unit at a referral hospital for(More)
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