Pediatric

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Effect of perfusate oxygenation on inflammatory response in congenital heart…

Abstract Objective To examine the altitude differences in the optimal perfusate oxygenation (PpO2) in patients who underwent cardiac surgery. Methods We included children (aged 1 month to 18 years) with  surgically repaired between 2012 and 2018. We included only patients who underwent cardiac surgery with arrested heart . Primary outcome was severe  (SIRS).  was used to..

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Use of CytoSorb in a pediatric patient with combined drug…

This case reports on a 10-year-old female (37 kg), who was admitted to the inpatient pediatric department with syncope with subsequent persistent somnolence and suspected intoxication. [pdf-embedder url="https://perfusfind.com/wp-content/uploads/2021/05/CoW_19_2021_E_web_compressed.pdf"]  

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Minimally Invasive Cardiac Surgical Procedures in Children

Abstract Efforts to reduce the trauma and discomfort associated with thoracic and cardiac procedures in children have a long and complex history. While much of the early focus has been on smaller incisions, efforts to reduce the adverse effects of cardiopulmonary bypass, reduce pain associated with the incisions, and more..

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Clinical and Hematological Outcomes of Aminocaproic Acid Use During Pediatric…

Abstract Donor shortage is a major limitation in organ transplantation. Several studies have reported that extracorporeal membrane oxygenation (ECMO)-assisted organ donation can be successfully completed without inducing warm ischemia in patients with brain death. The present report described clinical experience of three patients (23-yr old man, 32-yr old man, and..

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Effect of cardiopulmonary bypass reoxygenation on myocardial dysfunction following pediatric…

Abstract Background Little is known regarding the effect of cardiopulmonary bypass (CPB) reoxygenation on cardiac function following tetralogy of Fallot repair. We hypothesized that hyperoxic reoxygenation would be more strongly associated with myocardial dysfunction in children with tetralogy of Fallot. Methods We investigated the association of perfusate oxygenation (PpO2) associated..

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Paediatric intensive care challenges caused by indirect effects of the…

Abstract The coronavirus disease 2019 (COVID-19) pandemic has impacted people of all ages. Although children have been largely spared from the direct impact of the pandemic and only a minority of children affected with SARS-CoV-2 infection or the associated hyper-inflammatory syndrome require admission to a paediatric intensive care unit (PICU)..

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Basics of extra corporeal membrane oxygenation: a pediatric intensivist’s perspective

Abstract Extra Corporeal membrane oxygenation (ECMO) is one of the most advanced forms of life support therapy in the Intensive Care Unit. It relies on the principle where an external artificial circuit carries venous blood from the patient to a gas exchange device (oxygenator) within which blood becomes enriched with..

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The Safe Addition of Nitric Oxide into the Sweep Gas…

Abstract Low cardiac output syndrome and the systemic inflammatory response are consequences of the cardiac surgical perioperative course. The mechanisms responsible are multifactorial, but recent studies have shown that nitric oxide (NO) may be a key component in mitigating some of these processes. Following on from literature reports detailing the..

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Timeout procedure in paediatric surgery: effective tool or lip service?…

Abstract Background  For over a decade, the preoperative timeout procedure has been implemented in most paediatric surgery units. However, the impact of this intervention has not been systematically studied. This study evaluates whether purposefully introduced errors during the timeout routine are detected and reported by the operating team members. Methods ..

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mDixon ECG-gated 3-dimensional cardiovascular magnetic resonance angiography in patients with…

Take Home Points: modified Dixon (mDixon) 3D cardiovascular magnetic resonance angiography (CMRA) demonstrates reduced artefact burden and better delineation of head and neck vessels as well as pulmonary veins compared to conventional 3D balanced steady state free precession CMRA. mDixon acquisitions might help improving diagnostics in pediatric and adult congenital..

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