Pediatric

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Prolonged extracorporeal membrane oxygenation in pediatrics: How long did we…

Abstract Background In this study, we aimed to evaluate the duration of extracorporeal membrane oxygenation (ECMO) and its effect on outcomes. Also, we sought to identify hospital mortality predictors and determine when ECMO support began to be ineffective. Methods This was a single-center, retrospective cohort study conducted between January 2014..

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Impact of nitric oxide via cardiopulmonary bypass on pediatric heart…

Abstract Objective The impact of nitric oxide (NO) administered via cardiopulmonary bypass (CPB) on pediatric heart surgery remains controversial. The objective of this study is to conduct a comprehensive systematic review and meta-analysis to examine the impact of NO administered via CPB on pediatric heart surgery. Methods This study searched..

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Extracorporeal Cardiopulmonary Resuscitation Use Among Children With Cardiac Disease in…

Abstract Objective:  Epidemiologic data on extracorporeal cardiopulmonary resuscitation (ECPR) use in children with cardiac disease after in-hospital cardiac arrest (IHCA) are lacking. We aimed to investigate trends in ECPR use over time in critically ill children with cardiac disease. Data Sources:  We performed a secondary analysis of a recent systematic..

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Comparison of red blood cell transfusions and hemostatic transfusions and…

Abstract Objective To evaluate the association of RBC transfusions with thrombosis in pediatric patients on extracorporeal membrane oxygenation (ECMO) and compare this with the transfusion of other blood products and their association with thrombosis. Methods This was a secondary analysis of the Bleeding and Thrombosis during ECMO (BATE) study, which..

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The effect of intraoperative cerebral oxygen desaturations on postoperative cerebral…

Abstract Introduction Cerebral oxygen desaturation during pediatric surgery has been associated with adverse perioperative outcomes. The aim of this pilot study was to analyze the frequency and severity of intraoperative cerebral oxygen desaturations and their impact on postoperative cerebral oxygen metabolism in neonates and infants undergoing pediatric surgery. Methods In..

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The American Association for Thoracic Surgery (AATS) 2024 expert consensus…

Abstract Objectives Symptomatic neonates and infants with Ebstein anomaly (EA) require complex management. A group of experts was commissioned by the American Association for Thoracic Surgery to provide a framework on this topic focusing on risk stratification and management. Methods The EA Clinical Congenital Practice Standards Committee is a multinational..

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Update on perioperative fluids ( pediatrie)

Abstract Adequate fluid management in the  in paediatric patients is essential for restoring and maintaining homeostasis and ensuring adequate . A well-designed infusion regimen is crucial for preventing severe complications such as hyponatraemic encephalopathies. The composition of perioperative fluid solutions is now guided by an understanding of extracellular fluid physiology. Various crystalloid and colloidal products are..

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Development and Validation of a Novel Pediatric Mechanical Circulatory Support…

Abstract We sought to develop and validate a new risk stratification score for mortality for children supported with a ventricular assist device (VAD). This retrospective, multicenter study used data from patients undergoing VAD implantation between April 2018 and February 2023 at 44 participating institutions in the Advanced Cardiac Therapies Improving..

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Partial cardiopulmonary bypass through left thoracotomy for coarctation repair in…

Abstract Background A left thoracotomy approach is anatomically appropriate for childhood aortic coarctation; however, the pediatric femoral arteriovenous diameters are too small for cardiopulmonary bypass cannulation. We aimed to determine the safety of a partial cardiopulmonary bypass through the main pulmonary artery and the descending aorta in pediatric aortic coarctation..

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Quantifying potential fluid transfused through pressure monitoring and circuit flushes…

Abstract Pressure monitoring on pediatric Extracorporeal Membrane Oxygenation (ECMO) circuits is used to aid in the evaluation of patient hemodynamics and circuit health. Extracorporeal Life Support Organization (ELSO) recommends monitoring pressures on the venous line, pre-, and post-oxygenator. In order to keep pressure ports patent, crystalloid can be used as..

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