50 - Digitalina e Lanatosideo-C na insuficiência
cardíaca da criança, Medicina, Cirurgia e Farmácia, 1962;297:48-57
Inéditos aspectos na literatura mundial
Summary:
The author
presents a series of nineteen cases of cardiac insufficiency all of them in
children six months to twelve years of age, due to either infectious or
rheumatic causes. Digitalin (digitoxin) was employed in fourteen cases and
Lanatoside-C in five cases.
Confirming
the views already stated in 1948 for his first series, the author advises maximum
figures for the initial dose or broken doses to be administered during the
first 24 hours, as well as for the maintenance dose, whereas the digitalizing
dosage varies according to the grade of cardiac insufficiency and has no fixed
time limits for administration.
Review of
pertinent literature leads the author to the statement that administration of
digital to children, according to their body weight, is no longer adopted and
reports on the results obtained with his own maximum doses, relatively larger
for children than for adults; thus the results achieved and the perfect
tolerance observed constitute a very encouraging experiment.
The author
is of the opinion that the digitalization usually recommended through
experience of various authors, as reported in the meager literature, is due for
better study since his own experience deems it as insufficient generally and
incapable of achieving the results aimed at by modern digital therapy.
The
author's preference for oral administration of digitalis is stressed; he
furthermore states that his digitalizing conduct is based on close supervision
of each particular case, the grouping of which makes up his casuistic.