Acid and Weakly Acidic Gastroesophageal Reflux and Pepsin Isoforms (A and C) in Tracheal Secretions of Critically Ill Children

CHEST Journal ◽  
2015 ◽  
Vol 148 (2) ◽  
pp. 333-339 ◽  
Author(s):  
Cristiane Hallal ◽  
Veridiana S. Chaves ◽  
Gilberto C. Borges ◽  
Isabel C. Werlang ◽  
Fernanda U. Fontella ◽  
...  
Keyword(s):  
Gastroesophageal Reflux ◽  
Critically Ill ◽  
Critically Ill Children

scholarly journals Gastroesophageal Reflux in Critically Ill Children: A Review

2013 ◽  
Vol 2013 ◽  
pp. 1-8 ◽  
Author(s):  
Maria José Solana García ◽  
Jesús López-Herce Cid ◽  
César Sánchez Sánchez
Keyword(s):  
Gastroesophageal Reflux ◽  
Critically Ill ◽  
Critically Ill Children ◽  
Esophageal Mucosa ◽  
Duration Of Action ◽  
Nasogastric Tubes ◽  
Intraluminal Impedance ◽  
High Incidence ◽  
Antireflux Barrier ◽  
Ph Metry

Gastroesophageal reflux (GER) is very common in children due to immaturity of the antireflux barrier. In critically ill patients there is also a high incidence due to a partial or complete loss of pressure of the lower esophageal sphincter though other factors, such as the use of nasogastric tubes, treatment with adrenergic agonists, bronchodilators, or opiates and mechanical ventilation, can further increase the risk of GER. Vomiting and regurgitation are the most common manifestations in infants and are considered pathological when they have repercussions on the nutritional status. In critically ill children, damage to the esophageal mucosa predisposes to digestive tract hemorrhage and nosocomial pneumonia secondary to repeated microaspiration. GER is mainly alkaline in children, as is also the case in critically ill pediatric patients. pH-metry combined with multichannel intraluminal impedance is therefore the technique of choice for diagnosis. The proton pump inhibitors are the drugs of choice for the treatment of GER because they have a greater effect, longer duration of action, and a good safety profile.

Mo1184 Acid and Nonacid Gastroesophageal Reflux and Pepsin Isoforms (A and C) in Tracheal Secretion of Critically Ill Children

2015 ◽  
Vol 148 (4) ◽  
pp. S-632
Author(s):  
Cristiane Hallal ◽  
Gilberto C. Borges ◽  
Veridiana S. Chaves ◽  
Isabel C. Werlang ◽  
Fernanda U. Fontella ◽  
...  
Keyword(s):  
Gastroesophageal Reflux ◽  
Critically Ill ◽  
Critically Ill Children ◽  
Tracheal Secretion

scholarly journals 1028 Gastroesophageal Reflux in Critically Ill Children

2010 ◽  
Vol 68 ◽  
pp. 511-511
Author(s):  
M J Solana ◽  
C Sanchez ◽  
J Lopez-Herce ◽  
M Crespo ◽  
A Sanchez ◽  
...  
Keyword(s):  
Gastroesophageal Reflux ◽  
Critically Ill ◽  
Critically Ill Children

Social Support and Functioning Among Mothers of Critically Ill Children

2008 ◽  
Author(s):  
Christine Rini ◽  
Sharon Manne ◽  
Katherine Duhamel ◽  
Jane Austin ◽  
Jamie Ostroff ◽  
...  
Keyword(s):  
Social Support ◽  
Critically Ill ◽  
Critically Ill Children

Antioxidant micronutrients supplementation in ventilated critically ill children: An observational study

2013 ◽  
Vol 38 (03) ◽  
Author(s):  
C Jotterand ◽  
J Depeyre ◽  
C Moullet ◽  
MH Perez ◽  
J Cotting
Keyword(s):  
Observational Study ◽  
Critically Ill ◽  
Critically Ill Children
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