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Paediatric cardiac surgery

R D Eveleens, D K Dungen, S C A T Verbruggen, J M Hulst, K F M Joosten
BACKGROUND: Reaching an optimal nutritional intake is challenging in critically ill infants. One possible way to minimise nutritional deficits is the use of protein and energy-enriched (PE)-formulas. We aimed to describe weight achievement and gastrointestinal symptoms in infants admitted to the paediatric intensive care unit (PICU) while receiving PE-formula for a prolonged period. METHODS: Records from infants admitted to a multidisciplinary PICU and using PE-formula were analysed retrospectively...
October 14, 2018: Journal of Human Nutrition and Dietetics: the Official Journal of the British Dietetic Association
Pascal Amedro, Arthur Gavotto, Delphine Gelibert, Virginie Fraysse, Gregoire De La Villeon, D'Arcy Vandenberghe, Charlene Bredy
BACKGROUND: The use of hypnosis in children has been described more than two centuries ago, with a more recent research and clinical application. There is currently a good level of evidence for the efficacy of clinical hypnosis in children for minor surgery, medical procedures or pain management. The use of clinical hypnosis, in paediatric cardiology, for invasive procedures such as transesophageal echocardiography, has not been reported. AIMS: This study evaluated the feasibility of clinical hypnosis in children undergoing transesophageal echocardiography...
September 19, 2018: European Journal of Cardiovascular Nursing
Anne C Taylor, Katherine E Bates, Alaina K Kipps
Limited evidence exists to guide chest tube management following cardiac surgery in children. We assessed chest tube practice variation by surveying paediatric heart centres to prepare for a multi-site quality improvement project. We summarised management strategies highlighting variability in criteria for chest tube removal between and within centres. This lack of standardisation provides an opportunity for quality improvement.
September 10, 2018: Cardiology in the Young
P A Calderón-Ávila, J A Garrocho-Rangel, J A Cepeda-Bravo, M S Ruiz-Rodríguez, M Pierdant-Pérez, A Pozos-Guillén
BACKGROUND: Eisenmenger syndrome (ES) is a heart cyanotic condition characterised by elevated pulmonary vascular resistance and an intra-cardiac right-to-left shunting of blood through a systemic-to-pulmonary circulation connection. Affected children usually exhibit severe hypoxia, clubbing of fingers/toes, haemoptysis, anaemia, and organ damage. CASE REPORT: During autumn 2015, the patient and her parents arrived at the paediatric dentistry clinic. The patient presented with the main complaint of generalised inflamed gingival tissues, severely protruded upper incisors, and evident abnormal mouth breathing...
September 8, 2018: European Archives of Paediatric Dentistry: Official Journal of the European Academy of Paediatric Dentistry
A-M Kassa, M Dahl, M Strinnholm, H Engstrand Lilja
AIM: Knowledge on the neurodevelopmental and physical function in children with vertebral defects, anorectal malformations, cardiac defects, tracheo-oesophageal fistula, renal and limb malformations (VACTERL) is scarce. We evaluated Swedish preschool children with VACTERL and identified whether they would need extra support in school. METHODS: From 2015 to 2017, we recruited children aged 5-7 with VACTERL association from the paediatric surgical centre at the University Children's Hospital at Uppsala...
September 5, 2018: Acta Paediatrica
Silvio Simeone, Gianluca Pucciarelli, Marco Perrone, Grazia Dell Angelo, Rea Teresa, Assunta Guillari, Gianpaolo Gargiulo, Giuseppe Comentale, Gaetano Palma
BACKGROUND: Congenital heart disease is a common birth defect rather than a paediatric disease. Parents often discover this disease after their children's birth and then often learn that cardiac surgery is the only solution. A child's admission to a paediatric cardiac intensive care unit (PCICU) may lead to high levels of stress, anxiety and depression in parents. OBJECTIVES: To describe the lived experiences of mothers and fathers during their children's confinement in a PCICU...
August 31, 2018: Heart & Lung: the Journal of Critical Care
Li Xiang, Zhanhao Su, Yiwei Liu, Xiaoling Zhang, Shoujun Li, Shengshou Hu, Hao Zhang
BACKGROUND: Low socioeconomic status is associated with increased mortality for patients with cardiovascular disease; however, the effect of family socioeconomic status on the prognosis of children with congenital heart disease remains unclear, particularly in low-income and middle-income countries. We aimed to examine the association between family socioeconomic status and postoperative outcomes for paediatric patients with complex congenital heart disease (CCHD). METHODS: In this observational cohort study, we enrolled children (aged <7 years) who had CCHD surgery at Fuwai Hospital (Beijing, China) between May 1, 2012, and Dec 31, 2015...
June 2018: Lancet Child & Adolescent Health
Katherine L Brown
No abstract text is available yet for this article.
June 2018: Lancet Child & Adolescent Health
J Karlsson, P Winberg, B Scarr, P A Lönnqvist, E Neovius, M Wallin, M Hallbäck
BACKGROUND: Effective pulmonary blood flow (COEPBF ) has recently been validated as a technique for determining cardiac output (CO) in animals of varying sizes. The primary aim of our study was to investigate this new technique in paediatric surgical patients, compared with suprasternal two-dimensional Doppler (COSSD ). METHODS: A total of 15 children undergoing cleft lip/palate surgery were investigated. Before the start of surgery, manoeuvres that were anticipated to reduce (increase in PEEP from 3 to 10 cm H2 O) and increase (atropine) CO were undertaken...
September 2018: British Journal of Anaesthesia
Nadine Shehata, Nikhil Mistry, Bruno R da Costa, Tiago V Pereira, Richard Whitlock, Gerard F Curley, David A Scott, Gregory M T Hare, Peter Jüni, C David Mazer
Aims: To determine whether a restrictive strategy of red blood cell (RBC) transfusion at lower haemoglobin concentrations is inferior to a liberal strategy of RBC transfusion at higher haemoglobin concentrations in patients undergoing cardiac surgery. Methods and results: We conducted a systematic review, meta-analysis, and trial sequential analysis of randomized controlled trials of the effect of restrictive and liberal RBC transfusion strategies on mortality within 30 days of surgery as the primary outcome...
August 10, 2018: European Heart Journal
Nigel E Drury, Angela Horsburgh, Rehana Bi, Robert G Willetts, Timothy J Jones
INTRODUCTION: Many techniques are available for cardioplegic arrest in children, but there is a lack of late phase clinical trials to guide practice. We surveyed paediatric cardiac surgeons and perfusionists to establish current practice and willingness to change within a clinical trial. METHODS: An online survey was sent to all consultant paediatric cardiac surgeons and chief perfusionists in paediatric centres in the UK and Ireland. Information was sought on cardioplegia type, composition, temperature, topical cooling, dosing for induction and maintenance, interval between doses, whether practice changed with patient age or complexity and whether respondents would be willing and able to use different cardioplegia solutions within a randomised trial...
August 10, 2018: Perfusion
Damian Obidowski, Piotr Reorowicz, Dariusz Witkowski, Krzysztof Sobczak, Krzysztof Jóźwik
BACKGROUND: A pneumatic paediatric ventricular assist device developed at the Foundation of Cardiac Surgery Development, Zabrze, equipped with valves based on J. Moll's design, with later modifications introduced at the Institute of Turbomachinery, Lodz University of Technology, was tested numerically and experimentally. The main aim of those investigations was to detect stagnation zones within the ventricular assist device and indicate advantages and limitations of both approaches. METHODS: In the numerical transient test, a motion of the diaphragm and discs was simulated...
October 2018: International Journal of Artificial Organs
Leo Lopez, Lucile Houyel, Steven D Colan, Robert H Anderson, Marie J Béland, Vera D Aiello, Frederique Bailliard, Meryl S Cohen, Jeffrey P Jacobs, Hiromi Kurosawa, Stephen P Sanders, Henry L Walters, Paul M Weinberg, Jeffrey R Boris, Andrew C Cook, Adrian Crucean, Allen D Everett, J William Gaynor, Jorge Giroud, Kristine J Guleserian, Marina L Hughes, Amy L Juraszek, Otto N Krogmann, Bohdan J Maruszewski, James D St Louis, Stephen P Seslar, Diane E Spicer, Shubhika Srivastava, Giovanni Stellin, Christo I Tchervenkov, Lianyi Wang, Rodney C G Franklin
The definition and classification of ventricular septal defects have been fraught with controversy. The International Society for Nomenclature of Paediatric and Congenital Heart Disease is a group of international specialists in pediatric cardiology, cardiac surgery, cardiac morphology, and cardiac pathology that has met annually for the past nine years in an effort to unify by consensus the divergent approaches to describe ventricular septal defects. These efforts have culminated in acceptance of the classification system by the World Health Organization into the 11th Iteration of the International Classification of Diseases (ICD-11)...
July 19, 2018: Annals of Thoracic Surgery
C van den Boer, A L Wiersma, J P Marie, J T van Lith-Bijl
BACKGROUND: Laryngeal re-innervation in paediatric unilateral vocal fold paralysis is a relatively new treatment option, of which there has been little reported experience in Europe. METHODS: In this European case report of a 13-year-old boy with dysphonia secondary to left-sided unilateral vocal fold paralysis after cardiac surgery, the patient underwent re-innervation using an ansa cervicalis to recurrent laryngeal nerve transfer, in combination with fat augmentation, after 12 years of nerve denervation...
July 2018: Journal of Laryngology and Otology
Nigel E Drury, Ivan Yim, Akshay J Patel, Nicola K Oswald, Cher-Rin Chong, John Stickley, Timothy J Jones
OBJECTIVES: Cardioplegia is the primary method for myocardial protection during cardiac surgery. We conducted a systematic review of randomized controlled trials of cardioplegia in children to evaluate the current evidence base. METHODS: We searched MEDLINE, CENTRAL and LILACS and manually screened retrieved references and systematic reviews to identify all randomized controlled trials comparing cardioplegia solutions or additives in children undergoing cardiac surgery published in any language; secondary publications and those reporting inseparable adult data were excluded...
June 26, 2018: Interactive Cardiovascular and Thoracic Surgery
Debbra Chong, Yan Ting Chua, Shu-Ling Chong, Gene Yong-Kwang Ong
Troponin I is a cardiac enzyme that is released during myocardial injury. However, cardiac enzymes are non-specific and can occur in many cardiac and non-cardiac pathologies. We aim to (1) describe the range of acute conditions that were associated with raised troponins in the paediatric population in our institution and (2) quantify the extent of troponin elevation and correlate it with the underlying aetiology. We performed a retrospective observational study in a tertiary institution which included patients from 1 January 2009 to 31 December 2013...
June 19, 2018: Pediatric Cardiology
J L Pérez-Navero, C Merino-Cejas, I Ibarra de la Rosa, S Jaraba-Caballero, M Frias-Perez, E Gómez-Guzmán, M Gil-Campos, M J de la Torre-Aguilar
OBJECTIVE: To determine the predictive value of the inotropic score (IS) and vasoactive-inotropic score (VIS) in low cardiac output syndrome (LCOS) in children after congenital heart disease surgery involving cardiopulmonary bypass (CPB), and to establish whether mid-regional pro-adrenomedullin (MR-proADM) and cardiac troponin I (cTn-I), associated to the IS and VIS scores, increases the predictive capacity in LCOS. DESIGN: A prospective observational study was carried out...
June 14, 2018: Medicina Intensiva
John P Jones, Tristan Ramcharan, Milind Chaudhari, Vinay Bhole, Karen Mcleod, Shankar Sadagopan, Orhan Uzun, Andrew Parry, Jan Till, Colin J McMahon, Alan G Stuart, Mark A Walsh
BACKGROUND: Although ventricular fibromas are rare, they are the second most common type of cardiac tumor in children. While histologically benign, they have a propensity to cause malignant arrhythmias, with cardiac arrest often being the first presentation. OBJECTIVE: The purpose of this study was to evaluate the arrhythmia risk and management strategies for pediatric ventricular fibromas. METHODS: Fifteen centers in the British Paediatric Arrhythmia Group network were contacted to partake in the study to contribute cases...
October 2018: Heart Rhythm: the Official Journal of the Heart Rhythm Society
Sophie Duignan, Aedin Ryan, Dara O'Keeffe, Damien Kenny, Colin J McMahon
The complexity and potential biases involved in decision making have long been recognised and examined in both the aviation and business industries. More recently, the medical community have started to explore this concept and its particular importance in our field. Paediatric cardiology is a rapidly expanding field and for many of the conditions we treat, there is limited evidence available to support our decision-making. Variability exists within decision-making in paediatric cardiology and this may influence outcomes...
May 12, 2018: Pediatric Cardiology
Tomas Jurko, Alexander Jurko, Jana Krsiakova, Alexander Jurko, Milan Minarik, Michal Mestanik
Introduction LEOPARD syndrome is a rare genetic disorder characterised by lentigines, electrocardiographic conduction abnormalities, ocular hypertelorism, pulmonary stenosis, abnormal genitalia, retardation of growth and sensorineural deafness. Clinical manifestations are often mild, which may result in difficult and late diagnosis. Cardiac involvement may have a significant impact on the prognosis, however, appearance of severe abnormalities such as hypertrophic cardiomyopathy usually precedes the occurrence of multiple lentigines and may be asymptomatic...
May 2, 2018: Acta Clinica Belgica
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