11 nov. Abordagem Clínica de Lactentes Sibilantes Clinical Approach to Wheezing Infants PASSO 1: PROMOVER A BOA COMUNICAÇÃO A queixa. A Síndrome do Lactente Chiador. In: Sampaio MMSC, Grumach AS. Alergia e Imunologia em Pediatria. São Paulo: Ed. Sarvier; p 3. Quintela, TMM. Solé D. Abordagem terapêutica do “bebê-chiador”. Ped Mod ; 4. Rozov T, Bresolin AMB. A síndrome do lactente chiador. In: Carneiro.
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We concluded that cisapride was effective in decreasing TGER, especially into the upper esophagus of wheezy babies with GERD, and that AFE apparently increases the number of GER episodes, though without causing lung aspiration or other clinical effects. The Journal of Pediatrics Mallol J, Garcia-Marquez L.
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Thus, these patients were not diagnosed with GERD. These controversies can be explained by the variation in standardization of these techniques. Gender-specific differences in the prevention of asthma-like symptoms in high-risk infants. How to cite this article.
We employed a technique of acceleration of expiratory flow AEF with passive maneuvers; in other words, without voluntary cooperation of the infant.
As in any other clearance maneuver for infants, AEF can increase negative intrathoracic pressure since, often times, it increases inspiration and cough, and provokes crying. Treatment with cisapride J Pediatr Gastroenterol Nutr, 8, pp. A proposition for the diagnosis and treatment of gastroesophageal reflux disease in children: Respiratory Care ; Pediatr Allergy Immunol In our study, GER was diagnosed according to X-ray and scintigraphy findings.
Prevalence of bronchial reactivity to inhaled methacholine in New Zealand children. Despite the fact that there are classifications of phenotypes of wheezy babies for patients aged older or younger than three years 1there are no studies regarding wheezing in patients aged younger than three years, with the exception of differential diagnosis.
Clin Allergy ; Interview lactete on severe behavioral eating difficulties in young children.
Patients were analyzed prospectively and divided into two groups. Guidelines for evaluation and treatment of gastroesophageal reflux in infants and children: Unicamp – Artigos e Outros Documentos.
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A descriptive analysis of the population was performed and the children were categorized in five groups according to the age.
Eur Respir J ; In our study, in order to maintain quality of the technique, AEF was always carried out by the same professional.
Gastroesophageal reflux in children: Am J Dis Child ; A diagnostic accuracy study. Scintigraphy in gastroesophageal reflux disease: Esophageal pH monitoring criteria in infants with chiadoor respiratory disease.
Acta Gastroenterologica Belgica ; 3: The anti-GER effect of cisapride is a result of esophagus and stomach muscle contraction and LES tonus for coordination of antropyloroduodenal motility, thus accelerating emptying, and hindering stasis, of gastric content 15 During baseline scintigraphic examinations, we observed that, following cisapride treatment, there was a decrease in TGER in chiaor babies with GERD and according to all three esophageal segments.
Partial expiratory flow volume curves in infancy: Bul Eur Physiopathol Respir ; Swallowing and feeding in the pediatric patient.
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Kanengiser S, Dozor, AJ. GERD can cause or deteriorate situations of bronchial obstruction due to aspiration, vagal reflex, increase in bronchial responsiveness, and release of tachykinins. The medication does not affect gastric secretion, does not stimulate dopaminergic receptors, and has lactete central nervous system side effects 20 Gastroesophageal reflux disease in children.