Pediatric

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Development of a Model for the Pediatric Survival After Veno-Arterial…

Abstract Pediatric cardiac extracorporeal membrane oxygenation (ECMO) patients have high mortality rates. The purpose of our study was to develop and validate the Pediatric Survival After Veno-arterial ECMO (Pedi-SAVE) score for predicting survival at hospital discharge after pediatric cardiac veno-arterial (VA) ECMO. We used data for pediatric cardiac VA-ECMO patients from the..

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Rescue venovenous extracorporeal membrane oxygenation for the deterioration of acute…

Abstract Background Twenty percent of pediatric patients with BA develop ACLF with increased mortality while awaiting LT. Respiratory complications are common in pediatric ACLF and are associated with increased morbidity and mortality. ARDS is the most severe manifestation of acute respiratory failure with considerable risk of mortality. Methods A 5-month-old..

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Impaired Blood Flow? Tension Pneumothorax on Extracorporeal Support

Abstract A 55-year-old patient experiencing severe coronavirus disease 19 (COVID-19) related acute refractory respiratory failure requiring venovenous extracorporeal membrane oxygenation (VV-ECMO) support, with femoro-femoral approach, suddenly developed both signs of drainage failure and return obstruction, with extracorporeal blood flow (EBF) inconsistency, evolving to impairment, at the same time with severe..

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Prothrombin Complex Concentrates to Treat Coagulation Disturbances: An Overview With…

Abstract Various factors may lead to coagulation disturbances following cardiopulmonary bypass and surgery for congenital heart disease. In addition to the risks associated with the administration of allogeneic blood products, persistent disturbances in coagulation function and ongoing bleeding may lead to prolonged surgical times, hemodynamic alterations, intracranial hemorrhage, and even..

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Waitlist Outcomes for Children With Congenital Heart Disease: Lessons Learned…

Abstract Background We evaluated the impact of pediatric heart-allocation policy changes over time and the approval of the Berlin ventricular assist device (VAD) on waitlist (WL) outcomes for children with congenital heart disease (CHD). Methods The Scientific Registry of Transplant Recipients database was evaluated to include all children (age <..

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Management of Circuit Air in Extracorporeal Membrane Oxygenation: A Single…

Abstract Air in circuit in patients receiving extracorporeal membrane oxygenation (ECMO) is an emergency. Different protocols have been suggested to deal with this rare but fatal complication, but their efficacies are rarely reported. We report our institutions’ experience in the management of circuit air in Cardiohelp HLS ECMO system. Between..

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Routine Neuroimaging: Understanding Brain Injury in Pediatric Extracorporeal Membrane Oxygenation*

Abstract OBJECTIVES:  This project aims to describe brain injuries on routine neuroimaging in a large single-center neonatal and pediatric cohort supported by extracorporeal membrane oxygenation. The study also aims to examine the association of these injuries with neurocognitive outcomes in survivors and identify laboratory findings associated with neurologic injury. DESIGN: ..

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Pediatric heart harvest

Surgical technique of pediatric heart harvest in patient with previous antrolateral thoracotomy and unfortunately brain death heart was used for transplantation because of absence of other associated anomalies and neither heart problems. Dr.Sam Zeraatiannejaddavani IUMS cheif of transplantation and Cardiology surgery. Dr.Darius Suraki Azad CEO of ADKWA medical and senior..

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Case Report of a Successful Pediatric Central Venovenous Extracorporeal life…

Abstract Hypoxemic arrests due to severe traumatic pulmonary injury may not respond to usual medical support. Extracorporeal life support (ECLS) can be life-saving; adequate flows are needed in this setting along with a careful choice of anticoagulation strategies to minimize bleeding. A 44-month-old child, who presented with severe blunt chest..

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