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Fernández-Tuñas MC, Barrio-Tobío L, Couselo-García L, Pérez-Muñuzuri A. Variability in the nurse-patient ratio in neonatal intensive care units and intermediate care units. Enferm Intensiva (Engl Ed) 2020; 31:46-47. [PMID: 30190247 DOI: 10.1016/j.enfi.2018.06.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/24/2018] [Revised: 06/20/2018] [Accepted: 06/22/2018] [Indexed: 11/26/2022]
Affiliation(s)
- M C Fernández-Tuñas
- Servicio de Neonatología, Complejo Universitario de Santiago de Compostela, Santiago de Compostela, La Coruña, España.
| | - L Barrio-Tobío
- Servicio de Neonatología, Complejo Universitario de Santiago de Compostela, Santiago de Compostela, La Coruña, España
| | - L Couselo-García
- Servicio de Neonatología, Complejo Universitario de Santiago de Compostela, Santiago de Compostela, La Coruña, España
| | - A Pérez-Muñuzuri
- Servicio de Neonatología, Complejo Universitario de Santiago de Compostela, Santiago de Compostela, La Coruña, España
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Pérez-Muñuzuri A, Fariña S, Baña-Souto A, López-Suárez O, Couce-Pico M. Prominent Crista Terminalis in the Neonatal Period. Klin Padiatr 2015; 227:96-7. [DOI: 10.1055/s-0034-1395664] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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Baña A, Tabernero MJ, Pérez-Muñuzuri A, López-Suárez O, Dosil S, Cabarcos P, Bermejo A, Fraga JM, Couce ML. Prenatal alcohol exposure and its repercussion on newborns. J Neonatal Perinatal Med 2015; 7:47-54. [PMID: 24815705 DOI: 10.3233/npm-1471413] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
BACKGROUND Alcohol consumption during pregnancy, even when moderate, implies a risk of impaired neurodevelopment, physical impairments and malformations. Its early identification is essential for establishing preventive measures to diminish disabilities among newborns. METHODS To determine the frequency of consumption of substance use in pregnant women, we have used the techniques of gas chromatography/mass spectrometry and liquid chromatography/tandem mass spectrometry to detect drugs and markers of chronic consumption of alcohol in meconium. We performed a prospective study during a period of 10 months among 110 infants in our hospital, assessing anthropometry, neuromuscular development and determination of toxic substances in urine and meconium. Furthermore, meconium analysis identified fatty acid ethyl esters (FAEEs) and ethyl glucuronide (Etg). We also conducted a survey regarding the obstetric history, toxic habits, and employment status of the mothers. RESULTS According to early detection markers analyzed in meconium (FAEE >1000 ng/g and/or Etg >50 ng/g meconium), 34.65% of pregnant women consumed alcohol during pregnancy, and 17% were positive for both markers. Within the positive cases, 50% of those exceeding a FAEE's value of 5000 ng/g in meconium had low birth-weight children. Only 5/110 mothers (4.5%) admitted to occasional alcohol consumption during pregnancy. Nobody admitted to frequent intake. The cocaine test was positive in three cases; two of them were positive for alcohol as well. CONCLUSION As expected, many screening devices do not accurately capture use during pregnancy and supplemental methods such as meconium analysis of biomarkers of chronic alcohol consumption may be warranted.
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Affiliation(s)
- A Baña
- Servicio de Neonatología, Departamento de Pediatria, Hospital Clínico Universitario de Santiago, Santiago de Compostela, Spain
| | - M J Tabernero
- Departamento de Medicina Legal, Facultad de Medicina, Universidad de Santiago, Santiago de Compostela, Spain
| | - A Pérez-Muñuzuri
- Servicio de Neonatología, Departamento de Pediatria, Hospital Clínico Universitario de Santiago, Santiago de Compostela, Spain
| | - O López-Suárez
- Servicio de Neonatología, Departamento de Pediatria, Hospital Clínico Universitario de Santiago, Santiago de Compostela, Spain
| | - S Dosil
- Servicio de Neonatología, Departamento de Pediatria, Hospital Clínico Universitario de Santiago, Santiago de Compostela, Spain
| | - P Cabarcos
- Departamento de Medicina Legal, Facultad de Medicina, Universidad de Santiago, Santiago de Compostela, Spain
| | - A Bermejo
- Departamento de Medicina Legal, Facultad de Medicina, Universidad de Santiago, Santiago de Compostela, Spain
| | - J M Fraga
- Servicio de Neonatología, Departamento de Pediatria, Hospital Clínico Universitario de Santiago, Santiago de Compostela, Spain
| | - M L Couce
- Servicio de Neonatología, Departamento de Pediatria, Hospital Clínico Universitario de Santiago, Santiago de Compostela, Spain
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López-Suárez O, García-Magán C, Saborido-Fiaño R, Pérez-Muñuzuri A, Baña-Souto A, Couce-Pico M. Antenatal corticosteroids and prevention of respiratory distress in the premature newborn: Usefulness of rescue treatment. An Pediatr (Barc) 2014. [DOI: 10.1016/j.anpede.2013.06.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022] Open
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López-Suárez O, García-Magán C, Saborido-Fiaño R, Pérez-Muñuzuri A, Baña-Souto A, Couce-Pico ML. [Ante-natal corticosteroids and prevention of respiratory distress in the premature newborn: usefulness of rescue treatment]. An Pediatr (Barc) 2013; 81:120-4. [PMID: 24113118 DOI: 10.1016/j.anpedi.2013.06.028] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/05/2013] [Accepted: 06/23/2013] [Indexed: 10/26/2022] Open
Abstract
The effectiveness of antenatal corticosteroid therapy for foetal lung maturation in pre-term infants is well known, but there is uncertainty about the time that the treatment remains effective. A descriptive, longitudinal study was conducted to determine whether the need for surfactant administration was determined by the time-lapse between corticosteroids administration and delivery, and when repeating the doses of maternal corticosteroids should be considered. A total of 91 premature infants ≤32 weeks and/or ≤1,500 g (limit 34+6 weeks) whose mothers had received a complete course of corticosteroids were included. In patients at 27-34+6 weeks, we found that the longer the time elapsed between delivery and administration of corticosteroids, most likely were the babies to require treatment with surfactant (P=.027). The resulting ROC curve determined an 8-days cut-off after which repeating a dose of corticosteroids should be assessed.
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Affiliation(s)
- O López-Suárez
- Servicio de Neonatología, Hospital Clínico Universitario de Santiago de Compostela, Santiago de Compostela, A Coruña, España.
| | - C García-Magán
- Servicio de Neonatología, Hospital Clínico Universitario de Santiago de Compostela, Santiago de Compostela, A Coruña, España
| | - R Saborido-Fiaño
- Servicio de Neonatología, Hospital Clínico Universitario de Santiago de Compostela, Santiago de Compostela, A Coruña, España
| | - A Pérez-Muñuzuri
- Servicio de Neonatología, Hospital Clínico Universitario de Santiago de Compostela, Santiago de Compostela, A Coruña, España
| | - A Baña-Souto
- Servicio de Neonatología, Hospital Clínico Universitario de Santiago de Compostela, Santiago de Compostela, A Coruña, España
| | - M L Couce-Pico
- Servicio de Neonatología, Hospital Clínico Universitario de Santiago de Compostela, Santiago de Compostela, A Coruña, España
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Couce ML, Baña A, Pérez-Muñuzuri A, Albertos-Castro J, García-Rielo JM, Fraga JM. [Usefulness of mandibular distraction in the Pierre Robin sequence in neonates]. An Pediatr (Barc) 2013; 80:e42-3. [PMID: 23786803 DOI: 10.1016/j.anpedi.2013.05.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/22/2012] [Revised: 04/04/2013] [Accepted: 05/02/2013] [Indexed: 10/26/2022] Open
Affiliation(s)
- M L Couce
- Servicio de Neonatología, Hospital Clínico Universitario de Santiago de Compostela, Santiago de Compostela, España.
| | - A Baña
- Servicio de Neonatología, Hospital Clínico Universitario de Santiago de Compostela, Santiago de Compostela, España
| | - A Pérez-Muñuzuri
- Servicio de Neonatología, Hospital Clínico Universitario de Santiago de Compostela, Santiago de Compostela, España
| | - J Albertos-Castro
- Servicio de Cirugía Oral y Maxilofacial, Hospital Clínico Universitario de Santiago de Compostela, Santiago de Compostela, España
| | - J M García-Rielo
- Servicio de Cirugía Oral y Maxilofacial, Hospital Clínico Universitario de Santiago de Compostela, Santiago de Compostela, España
| | - J M Fraga
- Servicio de Neonatología, Hospital Clínico Universitario de Santiago de Compostela, Santiago de Compostela, España
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López-Suárez O, Pérez-Muñuzuri A, Baña-Souto A, Crespo-Suárez P, Couce-Pico M, Fernández-Lorenzo J. Azul de metileno: utilidad en el tratamiento de la hipotensión arterial refractaria en prematuros. An Pediatr (Barc) 2011; 74:209-10. [DOI: 10.1016/j.anpedi.2010.11.016] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/05/2010] [Accepted: 11/01/2010] [Indexed: 11/26/2022] Open
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Abstract
OBJECTIVE To ascertain whether insulin-like growth factor 1 (IGF1) is associated with retinopathy of prematurity (ROP) and is a useful predictor of the disease. Although its aetiopathogenesis is multifactorial, development of the disease appears to be related to a deficiency in IGF1, a hormone that acts together with vascular endothelial growth factor in the normal angiogenesis in the retina. DESIGN Prospective study for a 30-month period. PARTICIPANTS A total of 74 premature newborn babies, of less than 1500 g and/or 32 weeks' gestational age or less. TESTING To determine the development and severity of ROP. MAIN OUTCOME MEASURES Serum levels of IGF1 were measured once a week from birth until 40 weeks corrected gestational age in each subject. RESULTS Of our subjects, 32.4% developed some form of ROP, and all those ROP patients had the following characteristics at birth (median +/- standard deviation scores): low weight (1098 +/- 188 vs. 1393 +/- 285 g), short length (36.74 +/- 1.77 vs. 38.89 +/- 3.08 cm), small cranial perimeter (26.03 +/- 1.74 vs. 27.93 +/- 1.81 cm) and young gestational age (29.7 +/- 1.78 vs. 31.3 +/- 1.79 weeks) (p < 0.05). Other factors previously associated with ROP that were also observed with statistically significant frequency in our ROP patients were bronchopulmonary dysplasia, intracranial haemorrhage, the need for erythrocyte transfusion or treatment with erythropoietin and sepsis (all p < 0.05). Levels of IGF1 at the 3rd week post-partum, independent of gestational age at birth, were clearly lower in the group who developed ROP (29.13 vs. 43.16 ng/mL, p < 0.05). A value of 30 ng/mL of IGF1 in the third week post-partum was found to have a 90% sensitivity in the diagnosis of ROP. A rapid rise in IGF1 levels between the 3rd and 5th weeks appeared to be related to the development of a higher stage of ROP. CONCLUSION Determination of IGF1 serum levels in the 3rd week post-partum, independent of gestational age at birth, provides a sufficient and reliable prognostic tool and allows the identification of a group of patients at high risk of developing the disease.
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Affiliation(s)
- A Pérez-Muñuzuri
- Neonatology Service, Clinical Hospital of Santiago de Compostela, Department of Paediatrics, University of Santiago de Compostela, Santiago de Compostela, Spain.
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Pérez-Muñuzuri A, Fernández-Lorenzo JR, Couce-Pico ML, Blanco-Teijeiro MJ, Fraga-Bermúdez JM. Serum levels of IGF1 are a useful predictor of retinopathy of prematurity. Acta Paediatr 2010. [PMID: 20085549 DOI: 10.1111/j.1651-2227.2009.01677] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Subscribe] [Scholar Register] [Indexed: 12/16/2022]
Abstract
OBJECTIVE To ascertain whether insulin-like growth factor 1 (IGF1) is associated with retinopathy of prematurity (ROP) and is a useful predictor of the disease. Although its aetiopathogenesis is multifactorial, development of the disease appears to be related to a deficiency in IGF1, a hormone that acts together with vascular endothelial growth factor in the normal angiogenesis in the retina. DESIGN Prospective study for a 30-month period. PARTICIPANTS A total of 74 premature newborn babies, of less than 1500 g and/or 32 weeks' gestational age or less. TESTING To determine the development and severity of ROP. MAIN OUTCOME MEASURES Serum levels of IGF1 were measured once a week from birth until 40 weeks corrected gestational age in each subject. RESULTS Of our subjects, 32.4% developed some form of ROP, and all those ROP patients had the following characteristics at birth (median +/- standard deviation scores): low weight (1098 +/- 188 vs. 1393 +/- 285 g), short length (36.74 +/- 1.77 vs. 38.89 +/- 3.08 cm), small cranial perimeter (26.03 +/- 1.74 vs. 27.93 +/- 1.81 cm) and young gestational age (29.7 +/- 1.78 vs. 31.3 +/- 1.79 weeks) (p < 0.05). Other factors previously associated with ROP that were also observed with statistically significant frequency in our ROP patients were bronchopulmonary dysplasia, intracranial haemorrhage, the need for erythrocyte transfusion or treatment with erythropoietin and sepsis (all p < 0.05). Levels of IGF1 at the 3rd week post-partum, independent of gestational age at birth, were clearly lower in the group who developed ROP (29.13 vs. 43.16 ng/mL, p < 0.05). A value of 30 ng/mL of IGF1 in the third week post-partum was found to have a 90% sensitivity in the diagnosis of ROP. A rapid rise in IGF1 levels between the 3rd and 5th weeks appeared to be related to the development of a higher stage of ROP. CONCLUSION Determination of IGF1 serum levels in the 3rd week post-partum, independent of gestational age at birth, provides a sufficient and reliable prognostic tool and allows the identification of a group of patients at high risk of developing the disease.
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Affiliation(s)
- A Pérez-Muñuzuri
- Neonatology Service, Clinical Hospital of Santiago de Compostela, Department of Paediatrics, University of Santiago de Compostela, Santiago de Compostela, Spain.
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Moure J, Couce M, Pérez-Muñuzuri A, Fernández-Lorenzo J. Hiperamoniemia. Tratamiento de urgencia y en fase aguda de un paciente con citrulinemia. An Pediatr (Barc) 2010; 72:88-9. [DOI: 10.1016/j.anpedi.2009.09.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/02/2009] [Revised: 09/09/2009] [Accepted: 09/11/2009] [Indexed: 11/30/2022] Open
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Pérez-Muñuzuri A, González-Alonso N, Martínez-Soto I, Fernández-Lorenzo JR, Suárez-Otero G. [Early neonatal convulsion: accidental mepivacaine administration]. An Pediatr (Barc) 2003; 58:505-6. [PMID: 12724090 DOI: 10.1016/s1695-4033(03)78104-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022] Open
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Pérez-Muñuzuri A, González-Alonso N, Martínez-Soto I, Fernández-Lorenzo JR, Suárez-Otero G. Convulsión neonatal precoz: administración accidental de mepivacaína. An Pediatr (Barc) 2003. [DOI: 10.1157/13046537] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
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Pérez-Muñuzuri A, Fuster-Siebert M, Bravo-Mata M, Martinón-Torres F, Porto-Arceo J, Monasterio-Corral L. [Postpericardiotomy syndrome: Late recurrences]. An Esp Pediatr 2002; 56:369-70. [PMID: 11927089] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/24/2023]
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Pérez-Muñuzuri A, Fuster-Siebert M, Bravo-Mata M, Porto-Arceo J, Monasterio-Corral L, Martinón-Torres F. Síndrome pospericardiotomía: recurrencias tardÍas. An Pediatr (Barc) 2002. [DOI: 10.1016/s1695-4033(02)77824-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022] Open
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Abstract
We report a child with recurrent syncopal episodes who underwent head-up tilt testing according to a protocol that includes continuous and noninvasive measurement of brain oxygen saturation. We demonstrated significant cerebral hypoxemia during syncope without concomitant systemic hemodynamic disturbances. This response to head-up tilt test suggested the diagnosis of cerebral syncope.
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Affiliation(s)
- A Rodríguez-Núñez
- Department of Pediatrics, Emergency and Critical Care Division, and Neuropediatrics Division, Complejo Hospitalario Universitario de Santiago, Santiago de Compostela, Spain
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