Pediatric

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Retraining an Artificial Intelligence Algorithm to Calculate Left Ventricular Ejection…

Abstract Objectives Identifying patients with low left ventricular ejection fraction (LVEF) and monitoring LVEF responses to treatment are important clinical goals. Can a deep-learning algorithm predict pediatric LVEF within clinically acceptable error? Design The study authors wanted to fine-tune an adult deep-learning algorithm to calculate LVEF in pediatric patients. A..

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ESPNIC clinical practice guidelines: intravenous maintenance fluid therapy in acute…

Abstract Purpose Intravenous maintenance fluid therapy (IV-MFT) prescribing in acute and critically ill children is very variable among pediatric health care professionals. In order to provide up to date IV-MFT guidelines, the European Society of Pediatric and Neonatal Intensive Care (ESPNIC) undertook a systematic review to answer the following five..

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Use of CytoSorb in a post-COVID Multiinflammatory Syndrome in Children…

This case reports on a 12-year-old male patient (weight 55 kg) without relevant medical history, who was admitted to the hospital with a three days history of fever associated with headache, neck and abdominal pain as well as tachycardia. [pdf-embedder url="https://perfusfind.com/wp-content/uploads/2022/10/CoW_36_2022_E_web_compressed.pdf"]

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A practical guideline for performing a comprehensive transthoracic echocardiogram in…

Abstract Transthoracic echocardiography is an essential tool in the diagnosis, assessment, and management of paediatric and adult populations with suspected or confirmed congenital heart disease. Congenital echocardiography is highly operator-dependent, requiring advanced technical acquisition and interpretative skill levels. This document is designed to complement previous congenital echocardiography literature by providing..

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Factors associated with red blood cells transfusion during first bloodless…

Abstract Introduction Red blood cell (RBC) transfusion is often required during cardiac surgery in children. However, RBC is a rare product, and its transfusion is associated with adverse events and a worse surgical outcome. Characterization of factors related to RBC transfusion during cardiac surgery in children would provide prevention strategies...

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Microplegia in paediatric hearts

Abstract Introduction A basic prerequisite for a good surgical outcome in heart surgery is optimal myocardial protection. However, cardioplegia strategies used in adult cardiac surgery are not directly transferable to infant hearts. Paediatric microplegia, analogous to Calafiore cardioplegia used in adult cardiac surgery, offers the advantage of safe myocardial protection..

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Hemolysis during Pediatric Extracorporeal Membrane Oxygenation: Associations with Circuitry, Complications,…

Abstract Objective: To describe factors associated with hemolysis during pediatric extracorporeal membrane oxygenation (ECMO), and the relationships between hemolysis, complications and mortality. Design: Secondary analysis of data collected prospectively by the Collaborative Pediatric Critical Care Research Network (CPCCRN) between December 2012 and September 2014. Setting: Three CPCCRN-affiliated hospitals. Patients: Age..

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Transfusion policy in pediatric extracorporeal membrane oxygenation patients: Less could…

Abstract Objective To evaluate a restrictive transfusion policy of red blood cells (RBC) and platelets in pediatric patients submitted to extracorporeal membrane oxygenation (ECMO). Methods Retrospective descriptive study of pediatric patients supported with ECMO, from January 2010 to December 2019. Hemoglobin, platelet, lactate and mixed venous oxygen saturation (SvO2) values..

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Bivalirudin vs. heparin in paediatric and adult patients on extracorporeal…

Abstract Aims Unfractionated heparin (UFH) has been the primary anticoagulant of choice on extracorporeal membrane oxygenation (ECMO). However, it is debatable whether bivalirudin (BIV), a direct thrombin inhibitor, may be considered a better alternative anticoagulant option. Methods We searched Embase, Pubmed, Cochrane library, , CNKI and Wanfang databases up to 15..

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Inferior and Superior Vena Cava Saturation Monitoring After Neonatal Cardiac…

Abstract OBJECTIVES:  Superior vena cava oxygen saturation (SVC O2) monitoring is well described for early detection of hemodynamic deterioration after neonatal cardiac surgery but inferior vena cava vein oxygen saturation (IVC O2) monitoring data are limited. DESIGN:  Retrospective cohort study of 118 neonates with congenital heart disease (52 single ventricle) from February 2008 to..

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