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Objective: To describe a pediatric clinical case with positive COVID-19 that was successful in conducting multiprofessional noninvasive ventilation (NIV).Method: Description of the clinical case of a 34-month-old (2y10m) feminine gender patient admitted on May 09, 2020 to the Pediatric Intensive Care Unit (PICU) due to moderate acute ventilatory failure due to COVID-19. The child was submitted to NIV (in bilevel ventilatory mode) by the multiprofessional team (doctor, physiotherapist and nurse), being monitored his vital signs, global functionality (FSS Scale) and nutritional status during his stay in the PICU.Results: In May, 58 patients were admitted to PICU, 02 patient's COVID-19 being positive. Due to the clinical severity of children with positive COVID-19, only this reported clinical case showed an indication for the use of NIV as the first method of ventilatory support. The MPJA patient, with previous comorbidity (chronic non-progressive encephalopathy -CNPE), remained on NIV (in bilevel mode) for six consecutive days, evolving with decreased respiratory effort and improvement of clinical signs (respiratory rate, pulse saturation) oxygen) as well as the SpO2 / FiO2 and PaO2 / FiO2 ratios. After ventilator weaning and removal of NIV, and was kept in room air in the pediatric ward, discharged after 16 days of hospitalization.Conclusions: This NIV success case report demonstrates that the readiness of the multiprofessional team to establish a ventilatory support plan within the acceptable "window of time" of the evolution in moderate acute ventilatory failure resulting from COVID-19 can help successful ventilatory support even of patients with previous comorbidities.

e Judite Oliveira amigas incondicionais nos maus e bons momentos deixam registrada minha gratidão. Ao Prof. Dr. Artur Figueiredo Delgado, a quem tenho enorme respeito e admiração pelos momentos em que me acalmou o coração, quando respondia com muita parcimônia minhas dúvidas e dava conselhos sobre como escrever, deixo também minha gratidão. À equipe de enfermagem da UTIP pela contribuição nos momentos difíceis quando precisava sair da unidade para realizar os créditos, muitos colaboraram dobrando o plantão. Á enfermeira Maria Edileuza Barbosa Strefezzi pelo apoio com balinha e doces e sempre amiga à disposição, deixo minha gratidão. À enfermeira Hilda Yogui, pela amizade durante esses anos que trabalhamos juntas, sempre parceira nos bons e maus momentos. À enfermeira Amparito Del Rocio Vintimilla Castro, pela ajuda com a correção do português, sinto-me muito grata. Gostaria de agradecer a, Sara Ferreira dos Santos e Shieley Elaine Alves Ferreira e Adriana Aparecida Cabral de Melo pela colaboração e parceria nos momentos em que precisei me ausentar da unidade. À Divisão de Enfermagem, pela contribuição e apoio para realizar atividades pertinentes e as disciplinas exigidas. À Mariza Kazue Umetsu, pelo apoio e colaboração todas as vezes que precisei buscar algumas publicações, sempre pronta a ajudar-me. Ao professor Ulysses Doria Filho, pela análise estatística para o exame de qualificação. v Epígrafe "A vida na Terra é uma passagem, o amor uma miragem, mas a amizade "fio de ouro" que só se quebra com a morte. Você sabe? A infância passa, a juventude a segue, a velhice a substitui, a morte a recolhe. A mais bela flor do mundo perde sua beleza, mas uma amizade fiel dura para a eternidade. Viver sem amigos é morrer sem deixar Lembranças.

OBJECTIVE To describe the care of pediatric patients who had a gastrostomy and developed peristomal lesions and received a systematic single adapted crusting technique in a pediatric ICU in a tertiary Brazilian hospital. METHODS An analysis of six cases presenting traumatic, noninfectious peristomal lesions with ostium enlargement resulting in gastric residual leaks. All six patients received the same treatment over 7 to 15 days. RESULTS Lesion improvement was observed in all patients after 48 hours and considered attributable to the standard treatment recommended by ostomy professionals. CONCLUSIONS The adapted crusting technique was effective in the treatment of children with peristomal lesions. This technique may be beneficial to other patient and organizational outcomes such as improving safety of care, decreasing pain and discomfort, reducing nursing workload and hospital costs, and improving quality of life.