Pediatric

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Modified ultrafiltration reduces postoperative blood loss and transfusions in adult…

Abstract OBJECTIVES Cardiopulmonary bypass in cardiac surgery has been associated with several deleterious effects including haemodilution and systemic inflammation. Modified ultrafiltration (MUF) has been well established in paediatric cardiac surgery in counteracting postperfusion syndrome. However, MUF is less commonly used in adult cardiac surgery. In this meta-analysis, we compared clinical..

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An Adjusted Calculation Model Allows for Reduced Protamine Doses without…

Abstract Background Heparin dosage for anticoagulation during cardiopulmonary bypass (CPB) is commonly calculated based on the patient's body weight. The protamine–heparin ratio used for heparin reversal varies widely among institutions (0.7–1.3 mg protamine/100 IU heparin). Excess protamine may impair coagulation. With an empirically developed algorithm, the HeProCalc program, heparin, and protamine..

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Association of Hospital-Level Volume of Extracorporeal Membrane Oxygenation Cases and…

Abstract Rationale:  Recent pediatric studies suggest a survival benefit exists for higher-volume extracorporeal membrane oxygenation (ECMO) centers. Objectives:  To determine if higher annual ECMO patient volume is associated with lower case-mix–adjusted hospital mortality rate. Methods:  We retrospectively analyzed an international registry of ECMO support from 1989 to 2013. Patients were..

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Use of CytoSorb in an infant with trisomy 21 and…

This case reports on a 7-month-old male pediatric patient (known pre-existing conditions: trisomy 21 (also known as Downs syndrome), aortic isthmus stenosis, atrioventricular septal defect (AVSD) Rastelli type C), who was admitted to the hospital for elective surgical AVSD correction.   [pdf-embedder url="https://perfusfind.com/wp-content/uploads/2021/02/Use-of-CytoSorb-in-an-infant-with-trisomy-21-and-a-complex-heart-defect-with-septic-shock-and-severe-ARDS-_compressed.pdf" title="Use of CytoSorb in an infant with..

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Use of CytoSorb in a pediatric patient with severe rhabdomyolysis…

This case reports on a 13-year-old male patient who presented to hospital with fever (38.9°), reduced general condition, vomiting and pain in his limbs.   [pdf-embedder url="https://perfusfind.com/wp-content/uploads/2021/02/Use-of-CytoSorb-in-a-pediatric-patient-with-severe-rhabdomyolysis-in-the-context-of-a-SARS-CoV-2-infection_compressed.pdf" title="Use of CytoSorb in a pediatric patient with severe rhabdomyolysis in the context of a SARS-CoV-2 infection_compressed"]  

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Use of CytoSorb in a pediatric patient with septic shock…

The case study reports on a 16-year-old girl, who presented to the hospital with syncope and fever (39°C), tachycardia, complaints of chest pain and coughing after fainting at home.   [pdf-embedder url="https://perfusfind.com/wp-content/uploads/2021/02/Use-of-CytoSorb-in-a-pediatric-patient-with-septic-shock-in-the-setting-of-a-non-controlled-infectious-focus_compressed.pdf" title="Use of CytoSorb in a pediatric patient with septic shock in the setting of a non-controlled infectious focus_compressed"]..

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Use of CytoSorb in a pediatric patient with complex Shiga…

This case reports on a 2-year-old male patient (weight 12 kg), who was admitted to the children‘s outpatient department with anuria, bloody diarrhea, anemia and severe edema (anasarca).   [pdf-embedder url="https://perfusfind.com/wp-content/uploads/2021/02/Use-of-CytoSorb-in-a-pediatric-patient-with-complex-Shigatoxin-induced-thrombotic-microangiopathy-and-severe-multiple-organ-failure-_compressed.pdf" title="Use of CytoSorb in a pediatric patient with complex Shigatoxin-induced thrombotic microangiopathy and severe multiple organ failure _compressed"]  

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Intraoperative extracorporeal cytokine adsorption in a case of cardiac transplant…

The following case study reports on a 13-year-old pediatric patient (body weight 45 kg) who was admitted to our hospital due to a deterioration in his clinical condition, after he had developed hepatitis as well as viral dilated cardiomyopathy (VDCM) with ventricular dysfunction, for which he had already been admitted..

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Neonatal and Pediatric General and Cardiac Anaesthesia and ICU: what’s…

Abstract This review wants to give an overview to most of the controversial fields in the clinical therapeutic assistance in neonatal and pediatric general and cardiothoracic surgery in anaesthesia and pre or post-operative Intensive Care Unit Treatments. This is a report of the protocols and studies, published or still on..

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Extracorporeal Life Support

Abstract This is a review of the University of Michigan experience with extracorporeal life support (ECLS) also known as extracorporeal membrane oxygenation (ECMO). Two thousand patients were managed with ECMO from 1973 to 2010. The first 1,000 patients were reported previously. Of the 2,000 patients, 74% were weaned from ECLS,..

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