Browsing by Author "Brockmann, Pablo E."
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- ItemMyth: Gastroesophageal reflux is a pathological entity in the preterm infant(ELSEVIER SCI LTD, 2011) Poets, Christian F.; Brockmann, Pablo E.There is concern about possible consequences of gastroesophageal reflux (GER) in preterm infants. GER is perceived to be a frequent condition in these infants, often causing an exhaustive investigation and expensive therapy. We review current evidence for and against an association between GER and apnea, failure to thrive, wheezing and respiratory diseases. Although there are some limitations to the methodologies currently used for detecting GER, there is clearly a lack of unequivocal evidence supporting a causal relationship between GER and its assumed consequences, particularly in preterm infants. Despite physiologic data that stimulation of laryngeal efferents by GER may induce apnea, there is little evidence for a causal relationship between GER and apnea. Studies on preterm infants with failure to thrive have also not demonstrated an association between the latter and GER in most cases, and there is equally little evidence for a casual relationship with respiratory problems. Therefore, we believe that GER in preterm infants is only rarely associated with serious consequences and existing evidence does not support the widespread use of anti-reflux medications for treatment of these signs in this age group. An improvement of methods to identify the few preterm infants at risk for developing serious consequences of GER is urgently needed. (C) 2011 Published by Elsevier Ltd.
- ItemPrevalence of habitual snoring and associated neurocognitive consequences among Chilean school aged children(ELSEVIER IRELAND LTD, 2012) Brockmann, Pablo E.; Bertrand, Pablo; Pardo, Trinidad; Cerda, Jaime; Reyes, Bernardita; Holmgren, Nils L.Objective: To assess the prevalence of habitual snoring and symptoms of sleep disordered breathing (SDB) and their association with neurocognitive consequences in school-aged children.
- ItemReference values for pulse oximetry recordings in healthy term neonates during their first 5 days of life(B M J PUBLISHING GROUP, 2011) Brockmann, Pablo E.; Poets, Anette; Urschitz, Michael S.; Sokollik, Christiane; Poets, Christian F.Objective To determine reference values for pulse oximeter saturation (SpO(2)) variables and desaturation event indices in healthy term neonates during their first 5 days of life, and to compare two definitions for the identification of desaturation events.