RESUMO
Since the year 2000, extracorporeal membrane oxygenation (ECMO) support for cardiac failure has been employed in the post operative care of children at the Centro Cardiovascular de Puerto Rico y el Caribe. Our experience with the application of ECMO had been limited to circulatory support after repair of congenital cardiac lesions. We report the first case in Puerto Rico where ECMO was used successfully as bridge to pediatric heart transplantation.
Assuntos
Oxigenação por Membrana Extracorpórea , Transplante de Coração , Baixo Débito Cardíaco/diagnóstico , Criança , Ecocardiografia , Eletrocardiografia , Seguimentos , Humanos , Masculino , Choque Cardiogênico/diagnóstico , Volume Sistólico , Fatores de Tempo , Disfunção Ventricular Esquerda/diagnósticoRESUMO
Dengue fever (DF) is endemic and occasionally epidemic in many tropical and subtropical areas inhabited by the mosquito vector Aedes aegypti. Infection with Dengue may present with varied clinical manifestations. Significant morbidity and mortality can result if early recognition and monitoring of its severe forms (DHF and DSS) is not done and if appropriate medical intervention is delayed. This article reviews several critical points in the basic evaluation and management of dengue in the pediatric age group and present our current approach in the form of a therapeutic algorithm.