Introduction: The highest incidence of infant morbidity and mortality occurs in children under 1 year. Being a factor that increases morbidity and mortality during this period is prematurity, so that the individual has a good neuropsychomotor development and reduces possible infections is essential to use equipment such as ventilation mechanic and incubator. In thiscontext, the neonatal ICUs are inserted.Objectives: Report the experiences and knowledge gained during the Exchange in Curitiba, Paraná.
Methods: it is an experience report with a critical-reflexive approach and descriptive-comprehensive design.
Results And Discussion: During the month of February, I followed the routine of the pediatric ICU of Santa Cruz Hospital in Curitiba, Paraná. The hospital has a programthat aims to minimize hospital infections, for this purpose, and counts the use of alcohol in gel. The ICU has a multidisciplinary team of doctors (pediatricians, neonatologists, intensivists and nutrologists), nurses, nursing technicians, nursing assistants, physiotherapists, speech therapists, psychologists and pharmacists. Through it, it holds weekly meetings with the parents of children hospitalized and discuss cases to adopt more correct measures. In addition to the follow-up of hospitalized children, thestaff attends the children who have just been born in hospital rooms and in the delivery room, performing the first consultation of the newborn, compensating the apgar and some malformation. During this month, there were a few interesting cases: Down Syndrome,Staphylococcal scalded skin syndrome, fetal hydrops, sepsis, toxic shock syndrome by B-cell Streptococcus. Cardiopulmonary resuscitation was also performed. Down Syndrome is a result of o trisomy of the whole or part of chromosome 21 in all or some cells of the body and the subsequent increase in expression due to gene dosage of the trisomic genes. characteristic facial appearance, varying degrees of intellectual ability, low muscle tone in infancy, and an increasedrisk for many medical problems including infections, pulmonary, thyroid, skin, skeletal, hearing and vision issues, seizures, diabetes, sleep apnea, early menopause, andcongenital heart defects Staphylococcal scalded skin syndrome is caused by exotoxin. It usually presents 48 hours after birth. Initially presents with irritability, fever, and malaise. Within 24 to 48 hours, a very tender rash develops. The rash typically starts on the face and flexures (groin, axillae, neck) with erythema and fissures. Soon after this, large thin blisters form. The tratment is with Oxacilin or Vancomicina.Those patients who are recognized early and treated appropriately overall have a very good prognosis.
Conclusion: The routine of the neonatal ICU is very rich in diseases and knowledge that complement the learning in medicine.
