HVFX - Hospital de Vila Franca de Xira
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- Ventilação Mecânica próximo dos Grandes Centros: Experiência de uma Unidade de Apoio PeriNatalPublication . Vale, P; Guerreiro, R; Luiz, P; Gonçalves, G; Areias, F; Nunes, A; Mocho, A; Garcia, P; Berdeja, A; Avelar, CA retrospective study of the newborns who were submitted to mechanical ventilation at the Neonatal Intermediate Care Unit was made between July 1991 and June 1994. Mechanical ventilation in such a unit should be transitory and not exceed 24 hours. Information concerning pregnancy, labour, neonates, type of ventilation and its problems was gathered. Forty seven neonates were ventilated. The average ventilation time was six hours (1-20 hours). The main cause of ventilation was hyaline membrane disease which occurred in 24% of all cases. Mortality observed was 16.6% and some sequellae were registered which were related not only to ventilation but also to the basic pathology in 26% of cases.
- Síndrome de Brugada Complicado de Morte SúbitaPublication . Rabaçal, C; Mendonça, C; Nuno, L; Almeida, A; Afonso, SBrugada syndrome is an electrocardiographic diagnosis that is increasingly recognized as a cause of sudden cardiac death. The authors present a clinical case of a patient with a family history of sudden death, in whom a diagnosis of Brugada syndrome had been established, and who died suddenly. They also present a brief review of the main findings of this entity, particularly the diagnostic criteria and treatment of choice, since it is recognized that its prevalence will rise in the coming years.
- Exantema papulo-purpúrico em “luvas e meias”Publication . Peres, A; Pimentel, S; Tuna, M; Cunha, F
- Doença pneumocóccica invasiva na era vacinalPublication . Neves, JF; Rodrigues, P; Peres, A; Constantino, C; Cunha, F
- Gastropatia hipertrófica exsudativa na criança: uma doença rara?Publication . Rodrigues, P; Peres, A; Simões, AS; Cunha, F
- The Manchester Triage System in acute coronary syndromesPublication . Matias, C; Oliveira, R; Duarte, R; Bico, P; Mendonça, C; Nuno, L; Almeida, A; Rabaçal, C; Afonso, SINTRODUCTION: A growing number of hospitals have implemented the Manchester Triage System (MTS) in their Emergency Department (ED), so as to better prioritize the evaluation of those attending these departments. OBJECTIVES: To assess whether the MTS was used effectively in patients admitted to the hospital with a diagnosis of acute coronary syndrome (ACS). METHODS: We evaluated 114 consecutive patients admitted to the Cardiology Department with a diagnosis of ACS. We recorded the color assigned in the MTS, mean time from arrival in the ED to MTS, mean time from MTS to first medical assessment (1-MA) and mean time from 1-MA to admission. We also analyzed the correlation between the type of ACS and clinical presentation and its relation with MTS. RESULTS: Of the 114 patients, one was coded red (0.9%), 71 orange (62.3%), 12 green (11%), and two were not assigned a color code according to MTS because they were admitted via a Medical Emergency and Resuscitation Vehicle. Mean time from arrival in the ED to MTS was 5.2 +/- 0.6 min and from MTS to MA was 20 +/- 2.5 min. In patients triaged as orange the time from MTS to MA was 15.1 +/- 1.5 min, as yellow 36.2 +/- 7 min, and as green 35.2 +/- 20.6 min (p = 0.003). Mean time from 1-MA to admission was 144.4 +/- 17 min, with no differences according to triage code or ACS type. Clinical presentation influenced triage and the speed of 1-MA and admission, patients with typical presentation being evaluated and admitted more quickly. CONCLUSIONS: Most patients admitted for ACS are initially triaged as orange or yellow, an indication for prompt assessment in the ED; this has a positive effect on time to first medical assessment, but has no effect on time to hospital admission.
- Duplo arco aórtico: causa rara de estridorPublication . Simões, AS; Peres, A; Valente, S; Casimiro, A; Cunha, F
- Abordagem do traumatismo craniano ligeiro na idade pediátrica: neuro imagem ou atitude conservadora?Publication . Esteves, I; Crispim, J; Neves, JF; Cunha, F
- Assimetria pulmonar na telerradiografia do tóraxPublication . Oliveira, R; Martins, JD; Marques, H; Santos, O; Freitas, I; Pinto, FFThe unilateral absence of one pulmonary artery is a rare congenital abnormality. The authors report a clinical case of a two-year-old boy with no previous medical history who was referred for evaluation after the detection of pulmonary asymmetry on the chest X-ray with a right mediastinal shift. The CT scan and pulmonary perfusion scintigraphy pointed to an absent right pulmonary artery, which was confirmed by right heart catheterization and cardiac magnetic resonance imaging. This is an important pathology because early diagnosis and timely correction can prevent future complications. Since at this time the patient is asymptomatic, the authors opted for careful clinical vigilance.
- Peritonitis due to Rhizobium radiobacterPublication . Marta, R; Dâmaso, C; Silva, JE; Almeida, MRhizobium radiobacter (Agrobacterium radiobacter) is an aerobic Gram-negative rod belonging to Agrobacterium genus, a group of phytopathogenic bacteria present in the soil that has been implicated in human opportunistic infections. We report a clinical case of bacterial peritonitis in a 5-year-old child with chronic renal disease in peritoneal dialysis, who had a history of direct soil contact identified. The infection was treated with ceftazidime and piperaciline+tazobactam without relapses or the need to remove the peritoneal dialysis catheter.
