Ítem
Acceso Abierto

Sedación en niños llevados a resonancia magnética nuclear. Revisión sistemática de la literatura

dc.contributor.advisorCabrera Hernández, Juan Sebastián
dc.contributor.advisorCarmona Serna, Luis Felipe
dc.contributor.advisorNovoa Garzón, Juan Leonardo
dc.creatorJoya Higuera, Angélica Yasmín
dc.creator.degreeEspecialista en Anestesiología HOKspa
dc.creator.degreetypeFull timespa
dc.date.accessioned2020-02-25T17:23:39Z
dc.date.available2020-02-25T17:23:39Z
dc.date.created2020-02-21
dc.descriptionLa resonancia magnética nuclear (RMN) es una ayuda diagnostica efectiva. su realización en niños representa un reto debido a su movilidad y falta de colaboración. Se realizó una revisión sistemática de la literatura a estudios que tratan la sedación en niños en RMN, publicados entre los años 2003 y 2020, con el ánimo de describir los esquemas de sedación utilizados en niños llevados a RMN en la literatura médica reciente, así como su asociación a eventos respiratorios, cambios de dispositivo durante el proceso sedativo, y movimientos espontáneos observados que han obligado a la detención del procedimiento imagenológico.spa
dc.description.abstractMagnetic resonance imaging (MRI) is a diagnostic test, however, children represent a big challenge due to their mobility and collaboration. A systematic review of the literature was conducted to studies about sedation in children on MRI, published between 2003 and 2020, the objective is describing the sedation schemes used in children conducted to MRI in the available literature, and their association with respiratory insufficiency requiring advanced airway management and/or observed spontaneous movements that lead to stop the imaging procedure.spa
dc.description.embargo2022-02-26 01:01:01: Script de automatizacion de embargos. info:eu-repo/date/embargoEnd/2022-02-25
dc.format.mimetypeapplication/pdf
dc.identifier.doihttps://doi.org/10.48713/10336_20941
dc.identifier.urihttps://repository.urosario.edu.co/handle/10336/20941
dc.language.isospaspa
dc.publisherUniversidad del Rosariospa
dc.publisher.departmentFacultad de Medicinaspa
dc.publisher.programEspecialización en Anestesiología HOKspa
dc.rights.accesRightsinfo:eu-repo/semantics/openAccess
dc.rights.accesoAbierto (Texto Completo)spa
dc.rights.licenciaEL AUTOR, manifiesta que la obra objeto de la presente autorización es original y la realizó sin violar o usurpar derechos de autor de terceros, por lo tanto la obra es de exclusiva autoría y tiene la titularidad sobre la misma. PARGRAFO: En caso de presentarse cualquier reclamación o acción por parte de un tercero en cuanto a los derechos de autor sobre la obra en cuestión, EL AUTOR, asumirá toda la responsabilidad, y saldrá en defensa de los derechos aquí autorizados; para todos los efectos la universidad actúa como un tercero de buena fe. EL AUTOR, autoriza a LA UNIVERSIDAD DEL ROSARIO, para que en los términos establecidos en la Ley 23 de 1982, Ley 44 de 1993, Decisión andina 351 de 1993, Decreto 460 de 1995 y demás normas generales sobre la materia, utilice y use la obra objeto de la presente autorización. -------------------------------------- POLITICA DE TRATAMIENTO DE DATOS PERSONALES. Declaro que autorizo previa y de forma informada el tratamiento de mis datos personales por parte de LA UNIVERSIDAD DEL ROSARIO para fines académicos y en aplicación de convenios con terceros o servicios conexos con actividades propias de la academia, con estricto cumplimiento de los principios de ley. Para el correcto ejercicio de mi derecho de habeas data cuento con la cuenta de correo habeasdata@urosario.edu.co, donde previa identificación podré solicitar la consulta, corrección y supresión de mis datos.spa
dc.source.bibliographicCitationKannikeswaran, Nirupama Mahajan prashant v., Sethuraman U, Groebe A, Chen X. Sedation medication received and adverse events related to sedation for brain MRI in children with and without developmental disabilities. Pediatr Anesth. 2009 Mar;19(3):250–6.spa
dc.source.bibliographicCitationDelgado JA, Abad P, Angel GJ, Llano JF, Gómez FJ, Calvo VD. Uso de sedación profunda asistida por un anestesiólogo en resonancia magnética para población pediátrica. Rev Colomb Anestesiol. 2010;38(4):487–97.spa
dc.source.bibliographicCitationArlachov Y, Ganatra RH. Sedation/anaesthesia in paediatric radiology. Br J Radiol. 2012 Nov;85(1019):e1018–31.spa
dc.source.bibliographicCitationVan der Walt JH MC. An audit of perioperative management of autistic children. Pediatr Anaesth. 2001;11:401–8.spa
dc.source.bibliographicCitationBeauve B DO. Sedation of children under 4 weeks of age for MRI examination. Paediatr Anaesth. 2008;18(9):892–3.spa
dc.source.bibliographicCitationASA. Practice Guidelines for Moderate Procedural Sedation and Analgesia 2018. Anesthesiology. 2018 Mar;128(3):437–79.spa
dc.source.bibliographicCitationFogel M, Weinberg P, Parave E, Harris C M, L, Harris M et al. Deep sedation for cardiac magnetic resonance imaging: a comparison with cardiac anesthesia. J Pediatr. 2008;152(4):534–9.spa
dc.source.bibliographicCitationKing WK, Stockwell JH DM et a. Evaluation of a pediatric-sedation service for common diagnostic procedures. Acad Emerg Med. 2006;13:673–6.spa
dc.source.bibliographicCitationMcBrien ME, Winder J, Smyth L. Anaesthesia for magnetic resonance imaging: a survey of current practice in the UK and Ireland. Anaesthesia. 2000 Aug 17;55(8):737–43.spa
dc.source.bibliographicCitationCoté CJ, Wilson S. Guidelines for Monitoring and Management of Pediatric Patients Before, During, and After Sedation for Diagnostic and Therapeutic Procedures. Pediatrics. 2019 Jun 28;143(6):e20191000.spa
dc.source.bibliographicCitationCoté CJ, Wilson S AA of, Pediatrics AA of PD. Guidelines for Monitoring and Management of Pediatric Patients Before, During, and After Sedation for Diagnostic and Therapeutic Procedures: Update 2016. Pediatrics. 2016;138(1):e20161212.spa
dc.source.bibliographicCitationAnesthesiologists AS of. Practice guidelines for sedation and analgesia by non-anesthesiologists. Anesthesiology. 2002;96:1004–17.spa
dc.source.bibliographicCitationAbulebda K, Louer R, Lutfi R, Ahmed SS. A Comparison of Safety and Efficacy of Dexmedetomidine and Propofol in Children with Autism and Autism Spectrum Disorders Undergoing Magnetic Resonance Imaging. J Autism Dev Disord. 2018;48(9):3127–32.spa
dc.source.bibliographicCitationCortellazzi P, Lamperti M, Minati L, Falcone C, Pantaleoni C, Caldiroli D. Sedation of neurologically impaired children undergoing MRI: A sequential approach. Paediatr Anaesth. 2007;17(7):630–6.spa
dc.source.bibliographicCitationEich C, Verhagen-Henning S, Roessler M, Cremer F, Cremer S, Strack M, et al. Low-dose S-ketamine added to propofol anesthesia for magnetic resonance imaging in children is safe and ensures faster recovery - a prospective evaluation. Pediatr Anesth. 2011 Feb;21(2):176–8.spa
dc.source.bibliographicCitationKrauss B, Green SM. Procedural sedation and analgesia in children. Lancet. 2006 Mar;367(9512):766–80.spa
dc.source.bibliographicCitationCravero JP, Beach ML, Blike GT, Gallagher SM, Hertzog JH. The incidence and nature of adverse events during pediatric sedation/anesthesia with propofol for procedures outside the operating room: a report from the pediatric sedation research consortium. Anesth Analg. 2009;108(3):795–804.spa
dc.source.bibliographicCitationMatsumoto A, Watanabe K, Negoro T, Sugiura M, Iwase K, Hara K, et al. Infantile spasms: Etiological factors, clinical aspects, and long term prognosis in 200 cases. Eur J Pediatr. 1981 Feb;135(3):239–44spa
dc.source.bibliographicCitationVardi A, Salem Y, Padeh S, Paret G, Barzilay Z. Is propofol safe for procedural sedation in children? A prospective evaluation of propofol versus ketamine in pediatric critical care*. Crit Care Med. 2002 Jun;30(6):1231–6.spa
dc.source.bibliographicCitationKanto J, Gepts E. Pharmacokinetic Implications for the Clinical Use of Propofol. Clin Pharmacokinet. 1989 Nov;17(5):308–26.spa
dc.source.bibliographicCitationKamat PP, McCracken CE, Gillespie SE, Fortenberry JD, Stockwell JA, Cravero JP, et al. Pediatric Critical Care Physician-Administered Procedural Sedation Using Propofol. Pediatr Crit Care Med. 2015 Jan;16(1):11–20.spa
dc.source.bibliographicCitationGrunwell JR, McCracken C, Fortenberry J, Stockwell J, Kamat P. Risk Factors Leading to Failed Procedural Sedation in Children Outside the Operating Room. Pediatr Emerg Care. 2014 Jun;30(6):381–7.spa
dc.source.bibliographicCitationWeerink MAS, Struys MMRF, Hannivoort LN, Barends CRM, Absalom AR, Colin P. Clinical Pharmacokinetics and Pharmacodynamics of Dexmedetomidine. Clin Pharmacokinet. 2017 Aug 19;56(8):893–913.spa
dc.source.bibliographicCitationBerkenbosch JW, Wankum PC, Tobias JD. Prospective evaluation of dexmedetomidine for noninvasive procedural sedation in children*. Pediatr Crit Care Med. 2005 Jul;6(4):435–9.spa
dc.source.bibliographicCitationKoroglu A, Teksan H, Sagr O, Yucel A, Toprak HI, Ersoy OM. A Comparison of the Sedative, Hemodynamic, and Respiratory Effects of Dexmedetomidine and Propofol in Children Undergoing Magnetic Resonance Imaging. Anesth Analg. 2006 Jul;103(1):63–7.spa
dc.source.bibliographicCitationKoroglu A, Demirbilek S, Teksan H, Sagır O, But AK, Ersoy MO. Sedative, haemodynamic and respiratory effects of dexmedetomidine in children undergoing magnetic resonance imaging examination: preliminary results. Br J Anaesth. 2005 Jun;94(6):821–4.spa
dc.source.bibliographicCitationTomatir E, Atalay H, Gurses E, Erbay H, Bozkurt P. Effects of low dose ketamine before induction on propofol anesthesia for pediatric magnetic resonance imaging. Paediatr Anaesth. 2004;14(10):845–50.spa
dc.source.bibliographicCitationTownley SA. Book Review: Pharmacology for Anaesthesia and Intensive Care. Vol. 36, Anaesthesia and Intensive Care. 2008. 926–926 p.spa
dc.source.bibliographicCitationDalal PG, Murray D, Cox T, McAllister J, Snider R. Sedation and anesthesia protocols used for magnetic resonance imaging studies in infants: Provider and pharmacologic considerations. Anesth Analg. 2006;103(4):863–8.spa
dc.source.bibliographicCitationMaddirala S TA. Non‑operating room anaesthesia in children. Indian J Anaesth. 2019;63:754–62.spa
dc.source.bibliographicCitationGrover VPB, Tognarelli JM, Crossey MME, Cox IJ, Taylor-Robinson SD, McPhail MJW. Magnetic Resonance Imaging: Principles and Techniques: Lessons for Clinicians. J Clin Exp Hepatol. 2015;5(3):246–55.spa
dc.source.bibliographicCitationPool JL. Magnetic resonance imaging. Biomed Instrum Technol. 2002;36(5):341–6.spa
dc.source.bibliographicCitationSammet S. Safety, magnetic resonance. HHS Public Access Author Manuscr Author Manuscr. 2017;41(3):444–51.spa
dc.source.bibliographicCitationCeña García JI, Soler Carbó M, Gancedo Martínez J, Serrano Mallagray L, Martínez Calonge Y. Resonancia magnética nuclear en atención primaria. Semer - Med Fam. 2000 Jan;26(6):316–8.spa
dc.source.bibliographicCitation&NA; Practice Advisory on Anesthetic Care for Magnetic Resonance Imaging. Anesthesiology. 2015 Mar;122(3):495–520.spa
dc.source.bibliographicCitationASA. Practice Guidelines for Sedation and Analgesia by Non-Anesthesiologists. Anesthesiology. 2002 Apr;96(4):1004–17.spa
dc.source.bibliographicCitationBarnes S, Yaster M, Kudchadkar SR. Pediatric sedation management. Pediatr Rev. 2016;37(5):203–12.spa
dc.source.bibliographicCitationOh SH. Sedation in pediatric esophagogastroduodenoscopy. Clin Endosc. 2018;51(2):120–8.spa
dc.source.bibliographicCitationSerafini G, Zadra N. Anaesthesia for MRI in the paediatric patient. Curr Opin Anaesthesiol. 2008;21(4):499–503.spa
dc.source.bibliographicCitationYoun AM, Ko Y-K, Kim Y-H. Anesthesia and sedation outside of the operating room. Korean J Anesthesiol. 2015;68(4):323–31.spa
dc.source.bibliographicCitationMahajan C, Dash HH. Procedural sedation and analgesia in pediatric patients. J Pediatr Neurosci. 2014;9(1):1–6.spa
dc.source.bibliographicCitationJain R, Petrillo-Albarano T, Parks WJ, Linzer JF, Stockwell JA. Efficacy and safety of deep sedation by non-anesthesiologists for cardiac MRI in children. Pediatr Radiol. 2013;43(5):605–11.spa
dc.source.bibliographicCitationSALUD M DE, RESOLUCION. RESOLUCION NUMERO 8430 DE 1993. Available from: https://www.minsalud.gov.co/sites/rid/Lists/BibliotecaDigital/RIDE/DE/DIJ/RESOLUCION-8430-DE-1993.PDFspa
dc.source.bibliographicCitationKong H. Declaración de Helsinki de la AMM - Principios éticos para las investigaciones médicas en seres humanos. An Sist Sanit Navar [Internet]. 2001;24(2):209–12. Available from: https://www.unisabana.edu.co/fileadmin/Archivos_de_usuario/Documentos/Documentos_Investigacion/Docs_Comite_Etica/Declaracion_Helsinki_2013_unisabana.pdfspa
dc.source.bibliographicCitationVon Elm E, Altman DG, Egger M, Pocock SJ, Gøtzsche PC, Vandenbroucke JP. The Strengthening the Reporting of Observational Studies in Epidemiology [STROBE] statement: Guidelines for reporting observational studies. Gac Sanit. 2008;22(2):144–50.spa
dc.source.bibliographicCitationCobos-Carbó A, Augustovski F. Declaración CONSORT 2010: actualización de la lista de comprobación para informar ensayos clínicos aleatorizados de grupos paralelos. Med Clin (Barc). 2011;137(5):213–5.spa
dc.source.bibliographicCitationHiggins J, Green S. Cochrane handbook for systematic reviews of interventions. Wiley Online Library. 2008.spa
dc.source.bibliographicCitationLuscri N, Tobias JD. Monitored anesthesia care with a combination of ketamine and dexmedetomidine during magnetic resonance imaging in three children with trisomy 21 and obstructive sleep apnea. Paediatr Anaesth. 2006;16(7):782–6.spa
dc.source.bibliographicCitationNajafi N, Veyckemans F, Van de Velde A, Poelaert J. Usability of dexmedetomidine for deep sedation in infants and small children with respiratory morbidities. Acta Anaesthesiol Scand. 2016;60(7):865–73.spa
dc.source.bibliographicCitationFogel MA, Weinberg PM, Parave E, Harris C, Montenegro L, Harris MA, et al. Deep Sedation for Cardiac Magnetic Resonance Imaging: A Comparison with Cardiac Anesthesia. J Pediatr. 2008 Apr;152(4):534-539.e1.spa
dc.source.bibliographicCitationHasan RA, Shayevitz JR, Patel V. Deep sedation with propofol for children undergoing ambulatory magnetic resonance imaging of the brain: Experience from a pediatric intensive care unit. Pediatr Crit Care Med. 2003;4(4):454–8.spa
dc.source.bibliographicCitationPatel KN, Simon HK, Stockwell CA, Stockwell JA, DeGuzman MA, Roerig PL, et al. Pediatric procedural sedation by a dedicated nonanesthesiology pediatric sedation service using propofol. Pediatr Emerg Care. 2009;25(3):133–8.spa
dc.source.bibliographicCitationSiddappa R, Riggins J, Kariyanna S, Calkins P, Rotta AT. High-dose dexmedetomidine sedation for pediatric MRI. Paediatr Anaesth. 2011;21(2):153–8.spa
dc.source.bibliographicCitationDe Sanctis Briggs V. Sedación con sevoflurano para resonancia magnética en pediatría: estudio clínico retrospectivo de 5.864 casos. Rev Esp Anestesiol Reanim. 2009 Jan;56(4):212–6.spa
dc.source.bibliographicCitationDelgado JA, Abad P, Angel GJ, Llano JF, Gómez FJ, Calvo VD. The use of profound sedation assisted by the anesthesiologist in pediatric patients undergoing MRI. Rev Colomb Anestesiol. 2010;38(4):487–97.spa
dc.source.bibliographicCitationKang RA, Shin YH, Gil NS, Oh YN, Hahm TS, Jeong JS. A retrospective comparison of propofol to dexmedetomidine for pediatric magnetic resonance imaging sedation in patients with mucopolysaccharidosis type II. Paediatr Anaesth. 2018;28(12):1116–22.spa
dc.source.bibliographicCitationÖzkan M, Gündüz S, Biteker M, Astarcioglu MA, Çevik C, Kaynak E, et al. Comparison of different TEE-guided thrombolytic regimens for prosthetic valve thrombosis: The TROIA trial. JACC Cardiovasc Imaging. 2013;6(2):206–16.spa
dc.source.bibliographicCitationKang RA, Shin YH, Gil NS, Kim KY, Yeo H, Jeong JS. A comparison of the use of propofol alone and propofol with midazolam for pediatric magnetic resonance imaging sedation - a retrospective cohort study. BMC Anesthesiol. 2017;17(1):1–5.spa
dc.source.bibliographicCitationWatt S, Sabouri S, Hegazy R, Gupta P, Heard C. Does dexmedetomidine cause less airway collapse than propofol when used for deep sedation? J Clin Anesth [Internet]. 2016;35:259–67. Available from: http://dx.doi.org/10.1016/j.jclinane.2016.07.035spa
dc.source.bibliographicCitationHassan NE, Betz BW, Cole MR, Wincek J, Reischman D, Sanfilippo DJ, et al. Randomized controlled trial for intermittent versus continuous propofol sedation for pediatric brain and spine magnetic resonance imaging studies. Pediatr Crit Care Med. 2011 Nov;12(6):e262–5.spa
dc.source.bibliographicCitationPedersen NA, Jensen AG, Kilmose L, Olsen KS. Propofol-remifentanil or sevoflurane for children undergoing magnetic resonance imaging? A randomised study. Acta Anaesthesiol Scand. 2013;57(8):988–95.spa
dc.source.bibliographicCitationSchmitz A, Weiss M, Kellenberger C, Ogorman Tuura R, Klaghofer R, Scheer I, et al. Sedation for magnetic resonance imaging using propofol with or without ketamine at induction in pediatrics—A prospective randomized double-blinded study. Paediatr Anaesth. 2018;28(3):264–74.spa
dc.source.bibliographicCitationTosun Z, Esmaoglu A, Coruh A. Propofol-ketamine vs propofol-fentanyl combinations for deep sedation and analgesia in pediatric patients undergoing burn dressing changes. Paediatr Anaesth. 2008;18(1):43–7.spa
dc.source.bibliographicCitationHoffman GM, Nowakowski R, Troshynski TJ, Berens RJ, Weisman SJ. Risk Reduction in Pediatric Procedural Sedation by Application of an American Academy of Pediatrics/American Society of Anesthesiologists Process Model. Pediatrics. 2002 Feb 1;109(2):236–43.spa
dc.source.bibliographicCitationMahmoud M, Gunter J, Donnelly LF, Wang Y, Nick TG, Sadhasivam S. A Comparison of Dexmedetomidine with Propofol for Magnetic Resonance Imaging Sleep Studies in Children. Anesth Analg. 2009 Sep;109(3):745–53.spa
dc.source.bibliographicCitationSanborn PA, Michna E, Zurakowski D, Burrows PE, Fontaine PJ, Connor L, et al. Adverse Cardiovascular and Respiratory Events during Sedation of Pediatric Patients for Imaging Examinations. Radiology. 2005 Oct;237(1):288–94spa
dc.source.bibliographicCitationMachata AM, Willschke H, Kabon B, Kettner SC, Marhofer P. Propofol-based sedation regimen for infants and children undergoing ambulatory magnetic resonance imaging. Br J Anaesth. 2008;101(2):239–43spa
dc.source.bibliographicCitationMahmoud M, Radhakrishman R, Gunter J, Sadhasivam S, Schapiro A, McAuliffe J, et al. Effect of increasing depth of dexmedetomidine anesthesia on upper airway morphology in children. Paediatr Anaesth. 2010;20(6):506–15.spa
dc.source.bibliographicCitationMason K p., Zurakowski D, Zgleszewski S e., Robson C d., Carrier M, Hickey P r., et al. High dose dexmedetomidine as the sole sedative for pediatric MRI. Pediatr Anesth. 2008 May;18(5):403–11.spa
dc.source.bibliographicCitationWu J, Mahmoud M, Schmitt M, Hossain M, Kurth D. Comparison of propofol and dexmedetomedine techniques in children undergoing magnetic resonance imaging. Cote C, editor. Pediatr Anesth. 2014 Aug;24(8):813–8.spa
dc.source.bibliographicCitationHEARD CMB, JOSHI P, JOHNSON K. Dexmedetomidine for pediatric MRI sedation: a review of a series of cases. Pediatr Anesth. 2007 Sep;17(9):888–92.spa
dc.source.bibliographicCitationMakary L, Vornik V, Finn R, Lenkovsky F, McClelland AL, Thurmon J, et al. Prolonged Recovery Associated With Dexmedetomidine When Used as a Sole Sedative Agent in Office-Based Oral and Maxillofacial Surgery Procedures. J Oral Maxillofac Surg. 2010 Feb;68(2):386–91.spa
dc.source.bibliographicCitationLevanen J, Makela M-L, Scheinin H. Dexmedetomidine Premedication Attenuates Ketamine-induced Cardiostimulatory Effects and Postanesthetic Delirium. Anesthesiology. 1995 May;82(5):1117–25.spa
dc.source.bibliographicCitationTsui BCH, Wagner A, Usher AG, Cave DA, Tang C. Combined propofol and remifentanil intravenous anesthesia for pediatric patients undergoing magnetic resonance imaging. Paediatr Anaesth. 2005;15(5):397–401.spa
dc.source.bibliographicCitationEvans RG, Crawford MW, Noseworthy MD, Yoo S-J. Effect of Increasing Depth of Propofol Anesthesia on Upper Airway Configuration in Children. Anesthesiology. 2003 Sep;99(3):596–602.spa
dc.source.bibliographicCitationHe X-Y, Cao J-P, He Q, Shi X-Y. Dexmedetomidine for the management of awake fibreoptic intubation. Cochrane Database Syst Rev. 2014 Jan 19;115(6):1666–74.spa
dc.source.instnameinstname:Universidad del Rosariospa
dc.source.reponamereponame:Repositorio Institucional EdocURspa
dc.subjectResonancia magnética nuclearspa
dc.subjectSedación profundaspa
dc.subjectNiñosspa
dc.subjectPropofolspa
dc.subjectKetaminaspa
dc.subjectDexmedetomidinaspa
dc.subject.ddcEnfermedadesspa
dc.subject.keywordMagnetic resonance imagingspa
dc.subject.keywordDeep sedationspa
dc.subject.keywordChildspa
dc.subject.keywordPropofolspa
dc.subject.keywordKetaminespa
dc.subject.keywordDexmedetomidinespa
dc.subject.lembAnestesia pediátricaspa
dc.subject.lembImagen por resonancia magnéticaspa
dc.subject.lembSedación profundaspa
dc.titleSedación en niños llevados a resonancia magnética nuclear. Revisión sistemática de la literaturaspa
dc.title.TranslatedTitleSedation in children taken to nuclear magnetic resonance. Systematic review of the literatureeng
dc.title.TranslatedTitleDeep sedation in children used for rmi. A systematic revieweng
dc.typemasterThesiseng
dc.type.documentTrabajo de gradospa
dc.type.hasVersioninfo:eu-repo/semantics/acceptedVersion
dc.type.spaTrabajo de gradospa
Archivos
Bloque original
Mostrando1 - 1 de 1
Cargando...
Miniatura
Nombre:
Revision-sistematica-sedacion-en-ninos-RMI-VERSION-FINAL.pdf
Tamaño:
1.01 MB
Formato:
Adobe Portable Document Format
Descripción:
Informe Final