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S Mintegui Raso

Publications and source records attributed to S Mintegui Raso.

25 records · Page 2Linked to original sources
PubMed1996

[Usefulness of oxygen saturation in the assessment of children with moderated laryngitis].

OBJECTIVE: The aim of this study was to determine the usefulness of oxygen saturation (SaO2) in the assessment of a child with moderate laryngitis (croup). PATIENTS AND METHODS: A prospective study was carried out on 54 cases of moderate laryngitis (score of 2 to 6 of a possible 16) attended at our emergency department. Clinical score, heart rate, respiratory rate and SaO2 were recorded upon arrival. We analyzed the relationship between SaO2 and the requirement of nebulized epinephrine, parenteral dexamethasone and admission to the hospital. RESULTS: Patients who received epinephrine showed SaO2 values lower than those who did not (96.8 +/- 1.9 vs 97.9 +/- 1.7), although this was not a significant difference (p = 0.11). Similar findings were seen when the requirement of parenteral dexamethasone was analyzed (96.7 +/- 1.9 vs 97.3 +/- 1.8, p = 0.28). Children admitted to the hospital showed SaO2 values significantly lower than those discharged (96.5 +/- 1.9 vs 97.6 +/- 1.7, p = 0.03). No differences were seen when heart rate or respiratory rate were analyzed. CONCLUSIONS: We conclude that the measurement of is SaO2 useful in initial assessment of a child with acute laryngitis, essentially in order to better identify those patients who require admission to the hospital. It appears reasonable to include it in the initial assessment score.

Child, Preschool↗
PubMed1992

[Wolff-Parkinson-White disease in childhood: follow up of 36 cases].

We have studied 36 patients (19 females and 17 males), controlled between 1973 and 1989, who suffered Wolff-Parkinson-White (WPW) pattern in their electrocardiogram. Epidemiological, clinical, diagnostic, therapeutic and evolutional data were reviewed. The mean age at the time of diagnosis was 4 years and 3 months, with 48% younger than six months of age. The average time for the follow-up period was 4 years and 2 months. There was not familiar occurrence. Six (16%) of the patients had associated heart disease. Seventeen (47%) had type A of WPW, 12 (33%) type B and 7 (20%) were not defined. An echocardiographic study was done in 20 patients (61%). Twenty-seven patients (75%) showed supraventricular tachycardia (SVT), which in 22 of these cases was the reason for seeking consultation. Children without SVT, 9 (25%), did not need any form of treatment. Twenty-four (889) of the patients with SVT required treatment to prevent recurrence. In the 27 studied episodes of SVT, Verapamil IV (55%) and vagal manoeuvres were the most efficient treatments. Seventeen (47%) of the patients presented a persistent WPW pattern and 11 (31%) experienced a normalization of their electrocardiogram with a mean time of 2 years-2 months.

Age Factors↗
PubMed1992

[Supravalvular aortic stenosis. Apropos of 10 cases].

We present 10 patients diagnosed of supravalvular aortic stenosis (5 dumb bell shaped, 4 membranous and 1 undifferentiated), 7 in association with Williams-Beuren syndrome, 5 were male and 5 were female. None showed alterations of calcium metabolism and in 8 cases we found other associated cardiac anomalies. In 9, the diagnosis was confirmed with Eco-Doppler. The gradient calculated with the Eco-Doppler had a medium correlation (75%) with the catheterism (Doppler 46 +/- 23 (13-89)-Catheterism 27 +/- 15 (10-50)). 50% had the sinus of Valsalva dilated. Six patients underwent surgery, 5 with an enlargement parch and 1 with a butterfly parch. In 3 cases, associated anomalies were repaired, 2 during supravalvular surgery (one valvular aortic stenosis and one fixed subaortic stenosis). No patient had postoperatory complications.

Aortic Valve Stenosis↗
PubMed1991

[Celiac disease. Is its clinical pattern changing?].

Celiac disease (CD) is one of the most malabsorption syndromes in Pediatrics, its diagnosis being based on peroral intestinal biopsy. During the period 1974-1988 we have studied 178 patients with the suspected diagnosis of CD: diagnosis was confirmed in 117 whereas 22 are still under study. Mean age of the patients was 22.5 +/- 22.7 months, diagnosis being made during the first year of life in 32.6% of cases. Most cases had a classic clinical onset, although over the last year symptoms seen to be less apparent. Several patients presented with atypical forms. Also, associated diseases are observed in several cases. CD is often presented nowadays with few or atypical symptoms of difficult diagnosis and in this context the use of immunologic markers may be specially helpful.

Celiac Disease↗
PubMed1991

[Aortic valva atresia with normal left ventricle and interventricular communication].

We present three patients with aortic atresia, normal left ventricle and ventricular septal defect by bidimensional echocardiography. In two patients the Norwood's procedure was performed, but they died in the immediate postoperative time. The different procedures for the correction of this kind of aortic atresia and the necessity of prompt surgical treatment are discussed here.

Aortic Valve Insufficiency↗
PubMed1990

[Evaluation of epidemiologic aspects of poisoning cases at a pediatric emergency service].

An epidemiologic interview was carried out in 279 children between 2-5 years represented the highest risk group. Male children were more frequently affected (57.7%). Most poisoning happened at home. Medicines and cleaning products were the most relevant poisons. Only 81 children (29%) were admitted, generally for 26 hours. Deaths serious sequels were not observed.

Accidents, Home↗