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Biomedical subjects

F Ruza Tarrió

Publications and source records attributed to F Ruza Tarrió.

4 recordsLinked to original sources

[Desquamative interstitial pneumonia].

Authors describe a case of desquamative interstitial pneumonia in a seven month old boy. Initial manifestations were anorexia, feeding difficulties, retarded ponderal and progressive respiratory distress. Pathologic diagnosis was performed by open pulmonary biopsy. He was treated with steroids and followed a severe clinical course dying at 9 months of age. Etiopathogenesis, diagnosis and treatment as well as cases published in pediatric literature are reviewed.

Humans↗

[Catecholamines in pediatric intensive care].

IV catecholamines are a very important therapy in the Pediatric ICU. Their application is very discussed, principally in the pediatric age, where effects, beginning by a remembrance of its physiology (endogenous production, storing, destruction, with an explanation of the adrenergic system, according with Ahlquist). Pharmacologic activity and clinical characteristics of their application and basic requirements for its IV use (monitorization, exact dosification, permeable venous way) are revised. Authors analyse independently the three catecholamines of more common use: isoproterenol, dopamine and dobutamine, discussing systematically its' actions on three levels: a) heart; b) systemic circulation, and c) pulmonary circulation. They discuss their indications, contraindications, risks and precaution in their use and dosification concluding that the more common catecholamines are dopamine and dobutamine, being the last one more recommended in the future, by its' more selective effects on the heart. Isoproterenol has very specific indications, in acute phases and during short periods of time. Adrenaline and noradrenaline are also considered. Finally, association of different drugs looking for improvement of positive effects and reduction of negative ones is mentioned.

Catecholamines↗

[Diabetic ketoacidosis and coma. Insulin perfusion (author's transl)].

Ten cases of diabetic ketoacidosis treated by low-dose insulin continuous perfusion are reported. The severe period therapeutic guide is exposed in two stages showing the form of correction of the most important ketoacidosis. Insulin doses have been, initially, 0.1 U./Kg. in a bolus, followed by 0.1-0.01 U./Kg./h. till acidosis and dehydration are corrected. Evolution of every case was good, without any important complication. Advantages of this therapeutic modality are appointed: an easy treatment management, lesser glycaemia oscillations and lesser complications than using the conventional method of intermittent high doses. In order to overcome, the acidosis and hyperglicaemia resistance found in some of the severest cases, authors suggest to increase the dose of perfused insulin as well as hydration, Finally, the importance of control and patient care is stressed, recommending their admission to a Paediatric Intensive Care unit.

Adolescent↗

[Intrauterine renal vein thrombosis (author's transl)].

One case of renal venous thrombosis in a male foetus, born of a diabetic mother is reported. The intrauterine origin and the long age of the thrombosis were confirmed by pathologic studies. Some speculation about the etiopathogenic mechanisms of intrauterine renal venous thrombosis are made.

Diagnosis, Differential↗