Pediatric

thumbnail
0 comment

Perioperative extracorporeal membrane oxygenation in neonates with transposition of the…

Abstract OBJECTIVES Extracorporeal membrane oxygenation (ECMO) can act as a bridge to recovery in both pre- and postoperative patients with transposition of the great arteries (TGA). However, literature on its use in these patients is scarce. METHODS Retrospective single-centre cohort study encompassing all TGA patients who received ECMO between January..

Read More
thumbnail
0 comment

Timing of venoarterial extracorporeal membrane oxygenation in infant cardiac surgery:…

Abstract Background Venoarterial extracorporeal membrane oxygenation (VA ECMO) is a critical therapeutic intervention that is commonly used in the management of paediatric patients with congenital heart disease (CHD). This procedure can be initiated either inraoperatively or postoperatively. However, few studies have reported data on the comparative clinical outcomes associated with..

Read More
thumbnail
0 comment

Use of Inhaled Tranexamic Acid for Pulmonary Hemorrhage in Pediatric…

Abstract Bleeding is a common complication of extracorporeal membrane oxygenation (ECMO), is multifactorial, and results in significant morbidity and mortality. Pulmonary hemorrhage represents a serious adverse event in pediatric patients on ECMO and remains a challenging complication to manage. Its occurrence highlights the importance of identifying treatments that address bleeding..

Read More
thumbnail
0 comment

Racial and Sex Disparities in Incidence, Risk Factors, and Outcomes…

Abstract The impact of race on extracorporeal life support (ECLS) availability, morbidity, and mortality remains poorly defined. We sought to define the impact of race/ethnicity, sex, and location on ECLS outcomes, and identify potential disparities that remain intact using a modern, inclusive cohort of neonates receiving ECLS in the United..

Read More
thumbnail
0 comment

Neonatal venoarterial extracorporeal membrane oxygenation cannulation technique

Peripheral cannulation for initiation of neonatal venoarterial extracorporeal membrane oxygenation is an essential technical skill in the armamentarium of every congenital cardiac surgeon and is necessary for the care of newborns with congenital heart disease and other conditions presenting with cardiopulmonary failure. With certain exceptions, it is usually performed via..

Read More
thumbnail
0 comment

Pump‐controlled retrograde trial off extracorporeal membrane oxygenation

Venoarterial extracorporeal membrane oxygenation weaning strategies are not standardized. When dealing with patients with complex physiologies and borderline haemodynamics, it is prudent to have a fail-safe method of approaching decannulation from extracorporeal membrane oxygenation. Standardizing the extracorporeal membrane oxygenation weaning strategy with a pump-controlled retrograde trial off protocol seems a..

Read More
thumbnail
0 comment

Trends in Cardiac Arrest Outcomes & Management in Children with…

Abstract Introduction Contemporary rates of survival after pediatric in-hospital CPR events and trends in survival over the last 20 years have not been compared based on illness category. We hypothesized that survival to hospital discharge for surgical-cardiac category is higher than the non-cardiac category, and rates of survival after in-hospital CPR..

Read More
thumbnail
0 comment

Urine biomarkers, acute kidney injury, and fluid overload in neonatal…

Abstract Background:Cardiac surgery-associated acute kidney injury (CS-AKI) and fluid overload (FO) are common among neonates who undergo cardiopulmonary bypass, and increase mortality risk. Current diagnostic criteria may delay diagnosis. Thus, there is a need to identify urine biomarkers that permit earlier and more accurate diagnosis. Methods:This single-centre ancillary prospective cohort..

Read More
thumbnail
0 comment

Daily Surveillance Blood Cultures in Children Supported With Extracorporeal Membrane…

Abstract Objective:  Diagnosing bloodstream infections (BSIs) in patients on extracorporeal membrane oxygenation (ECMO) can be challenging due to circuit-controlled temperature, altered hemodynamics, and questionable reliability of inflammatory markers in critically ill patients. As a result, practice variability exists among ECMO centers regarding routine blood cultures for surveillance of BSI. Our..

Read More
thumbnail
0 comment

Perioperative extracorporeal membrane oxygenation in neonates with transposition of the…

Abstract OBJECTIVES Extracorporeal membrane oxygenation (ECMO) can act as a bridge to recovery in both pre- and postoperative patients with transposition of the great arteries (TGA). However, literature on its use in these patients is scarce. METHODS Retrospective single-centre cohort study encompassing all TGA patients who received ECMO between January..

Read More