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Keywords Fast Track In Pediatric Cardia...

Fast Track In Pediatric Cardiac Surgery

https://read.qxmd.com/read/37981790/clinical-variables-specific-to-timing-of-tracheal-extubation-following-pediatric-cardiac-surgery
#1
JOURNAL ARTICLE
Madan Mohan Maddali, Asiya Hilal Al-Mamari, Sowmiya Raju, Panchatcharam Murthi Sathiya
BACKGROUND: The primary objective of this study was to identify specific factors in pediatric cardiac surgical patients when tracheal extubation was performed on the operating table after completion of open-heart surgery (Group-1), postoperatively in the intensive care unit within 6 h (Group-II) or after 6 h (Group-III). The causes of failed extubation, the presence of chromosomal disorders in addition to arterial blood gas analysis parameters at the time of tracheal extubation, and the duration of intensive care unit stay were also evaluated in each group...
November 19, 2023: World Journal for Pediatric & Congenital Heart Surgery
https://read.qxmd.com/read/37664780/a-closer-look-at-fast-tracking-research-in-pediatric-cardiac-surgery
#2
JOURNAL ARTICLE
Rohan Magoon, Jes Jose, Brajesh Kaushal
No abstract text is available yet for this article.
July 2023: Türk Göğüs Kalp Damar Cerrahisi Dergisi
https://read.qxmd.com/read/37664773/response-to-letter-to-the-editor-a-closer-look-at-fast-tracking-research-in-pediatric-cardiac-surgery
#3
JOURNAL ARTICLE
Şerife Özalp
No abstract text is available yet for this article.
July 2023: Türk Göğüs Kalp Damar Cerrahisi Dergisi
https://read.qxmd.com/read/36926160/assessment-of-the-factors-that-affect-fast-track-or-early-extubation-following-pediatric-cardiac-surgery-logistic-regression-in-clinical-studies
#4
JOURNAL ARTICLE
Meral Yay
No abstract text is available yet for this article.
January 2023: Türk Göğüs Kalp Damar Cerrahisi Dergisi
https://read.qxmd.com/read/36926154/assessment-of-the-factors-that-affect-fast-track-or-early-extubation-following-pediatric-cardiac-surgery
#5
JOURNAL ARTICLE
Şerife Özalp, Hatice Dilek Özcanoğlu, Erkut Öztürk, Selin Sağlam, İncila Ali Kahraman, Zümrüt Berra Tan, Okan Yıldız, Funda Gümüş Özcan, Ali Can Hatemi
BACKGROUND: This study aims to evaluate the early extubation rate and the factors affecting early extubation in pediatric patients undergoing cardiac surgery. METHODS: Between August 1st, 2020 and December 1st, 2021, a total of 528 pediatric patients (264 males, 264 females; median age: 4 months; range, 2 days to 24 months) who were followed in the pediatric cardiac intensive care unit after congenital heart surgery were retrospectively analyzed. Demographic and clinical characteristics of the patients including operation and intensive care data were obtained from the medical records...
January 2023: Türk Göğüs Kalp Damar Cerrahisi Dergisi
https://read.qxmd.com/read/36924271/regional-anesthesia-as-part-of-enhanced-recovery-strategies-in-pediatric-cardiac-surgery
#6
REVIEW
Tomohiro Yamamoto, Ehrenfried Schindler
PURPOSE OF REVIEW: The purpose of this review article was to highlight the enhanced recovery protocols in pediatric cardiac surgery, including early extubation, rapid mobilization and recovery, reduction of opioid-related side effects, and length of pediatric ICU and hospital stay, resulting in decreased costs and perioperative morbidity, by introducing recent trends in perioperative anesthesia management combined with peripheral nerve blocks. RECENT FINDINGS: Efficient postoperative pain relief is essential for realizing enhanced recovery strategies, especially in pediatric patients...
June 1, 2023: Current Opinion in Anaesthesiology
https://read.qxmd.com/read/36254905/one-year-experience-after-adoption-of-an-on-table-extubation-protocol-following-pediatric-cardiac-surgery
#7
JOURNAL ARTICLE
Jothinath Kaushik, Raju Vijayakumar, Balakrishnan Soundaravalli, Menon Shoba, Osborn Jenit, Shajan Anisha
OBJECTIVE: To report our initial experience with on-table extubation following cardiac surgery for congenital heart disease, assessing its efficacy and safety, and the potential for fast-tracking these patients through the intensive care unit (ICU). METHODS: We decided to implement a multidisciplinary protocol aiming toward on-table extubation following congenital cardiac surgery at our hospital. Between December 2018 and January 2020, 376 patients underwent congenital cardiac surgery...
2022: Annals of Cardiac Anaesthesia
https://read.qxmd.com/read/35987897/-enhanced-recovery-after-surgery-eras%C3%A2-in-cardiac-anesthesia
#8
REVIEW
J C Kubitz, A-M Schubert, L Schulte-Uentrop
Enhanced Recovery After Cardiac Surgery (ERACS) is a multidisciplinary and multiprofessional treatment approach in cardiac surgery. Recently, a transfer and adaptation of enhanced recovery after surgery (ERAS) protocols from other disciplines, such as colorectal surgery, to cardiac surgery has been performed in different settings. First, prehabilitation programs have been established and investigated to improve patients' physical, psychological and nutritional status including treatment of preoperative anemia...
September 2022: Anaesthesiologie
https://read.qxmd.com/read/35880442/a-retrospective-analysis-of-dexmedetomidine-and-morphine-in-the-fast-track-and-ultra-fast-track-extubation-protocol-after-congenital-cardiac-surgery
#9
JOURNAL ARTICLE
Dilek Altun, Ahmet Arnaz, Abdullah Doğan, Yusuf Yalçinbaş, Rıza Türköz, Ayla Oktay, Adnan Yüksek, Demet Altun, Tayyar Sarıoğlu
BACKGROUND AND AIM OF THE STUDY: After congenital cardiac surgery, the duration of mechanical ventilation (MV) is related to the clinical status, type of operation, and the sedative-analgesic agents used postoperatively. This study aims to examine the effects of dexmedetomidine and morphine on the fast-track extubation (FTE) and ultra-fast-track extubation (UFTE) protocol after congenital cardiac surgery. METHODS: A total of 251 pediatric patients were divided into two groups: 118 patients in the morphine group (Group M) and 133 patients in the dexmedetomidine group (Group D)...
July 26, 2022: Journal of Cardiac Surgery
https://read.qxmd.com/read/35748296/the-evolving-role-of-dexmedetomidine-in-pediatric-cardiac-surgery-beyond-anxiolysis
#10
JOURNAL ARTICLE
Jacques Scharoun, Lisa Q Rong
No abstract text is available yet for this article.
June 24, 2022: Journal of Cardiac Surgery
https://read.qxmd.com/read/34898884/techniques-to-avoid-hypothermic-circulatory-arrest-in-the-management-of-renal-tumor-with-right-atrium-extension-in-children
#11
Ajaykumar Raghunath Pandey, Satish Agarwal, Reena Joshi, Neeraj Agarwal, Mridul Aggarwal, Raja Joshi
Clear cell sarcoma of the kidney is a rare variety of renal tumor accounting for less than 5% of all pediatric renal tumors. Cardiopulmonary bypass along with hypothermic circulatory arrest is frequently used for management of tumor thrombus extending into supra-hepatic inferior vena cava and right atrium. In this paper, we present a strategy of avoiding circulatory arrest and hypothermia and thereby fast-tracking the recovery in managing a case of clear cell sarcoma of the kidney in a 3.5-year-old child with tumor thrombus extending into the right atrium...
January 2022: Indian Journal of Thoracic and Cardiovascular Surgery
https://read.qxmd.com/read/34423167/enhanced-recovery-after-surgery-in-children
#12
REVIEW
Talha Rafeeqi, Erik G Pearson
Enhanced recovery after surgery (ERAS) is a systematic approach to optimize a patient's health and improve clinical outcomes, increase patient satisfaction and decrease healthcare costs. Enhanced recovery protocols have been used across a variety of surgical disciplines and patient groups to improve patient safety and reduce hospital length of stay without increasing return visits to the system. ERAS involves the application of clinical decision making throughout the patient experience with interventions in the preoperative, perioperative and post operative phases...
2021: Translational Gastroenterology and Hepatology
https://read.qxmd.com/read/34103856/a-prospective-randomized-clinical-study-of-perioperative-oral-thyroid-hormone-treatment-for-children-undergoing-surgery-for-congenital-heart-diseases
#13
JOURNAL ARTICLE
Alok Kumar, Nikhil Tiwari, Harpanahalli Ravi Ramamurthy, Vivek Kumar, Gaurav Kumar
CONTEXT: Thyroid hormone deficiency is known to occur after cardiac surgery and known as nonthyroid illness (NTI). The beneficial role of perioperative thyroid hormone supplementation in children has been debatable more so with oral supplementation. AIMS: The aim is to evaluate the role of pre-operative oral thyroid hormone therapy in preventing NTI. To assess its effect on post-operative thyroid hormone levels, hemodynamic parameters, and cardiac function of infants and small children undergoing pediatric cardiac surgery...
2021: Annals of Pediatric Cardiology
https://read.qxmd.com/read/33998289/ultra-fast-track-extubation-in-adult-congenital-heart-surgery
#14
COMPARATIVE STUDY
Paolo Bianchi, Andrew Constantine, Giulia Costola, Sara Mele, Darryl Shore, Konstantinos Dimopoulos, Tuan-Chen Aw
Background In pediatric cardiac surgery, perioperative management has evolved from slow weaning of mechanical ventilation in the intensive care unit to "ultra-fast-track" anesthesia with early extubation (EE) in theater to promote a faster recovery. The strategy of EE has not been assessed in adults with congenital heart disease, a growing population of patients who often require surgery. Methods And Results Data were collected retrospectively on all patients >16 years of age who underwent adult congenital heart surgery in our tertiary center between December 2012 and January 2020...
June 2021: Journal of the American Heart Association
https://read.qxmd.com/read/33942689/interposition-technique-for-pulmonary-valve-replacement
#15
JOURNAL ARTICLE
Lok Sinha, Josue Chery, Richard A Jonas, Pranava Sinha
BACKGROUND: Stented bioprosthesis implant at surgical pulmonary valve replacement (PVR) ideally should be 25 to 27 mm to facilitate future percutaneous PVR. This often requires accommodating 35 to 37 mm diameter sewing ring in the pulmonary position and requires anterior patch augmentation of the right ventricular outflow tract (RVOT). We present a novel "interposition" technique of PVR that allows upsizing the valve without RVOT patch augmentation. METHODS: Using standard cardiopulmonary bypass, the main pulmonary artery (MPA) is dissected and transected at an appropriate level...
May 2021: World Journal for Pediatric & Congenital Heart Surgery
https://read.qxmd.com/read/33938827/efficacy-of-paravertebral-block-in-fast-tracking-pediatric-cardiac-surgery-experiences-from-a-tertiary-care-center
#16
JOURNAL ARTICLE
Raj Sahajanandan, A V Varsha, D Sathish Kumar, Balaji Kuppusamy, Sathappan Karuppiah, Vinayak Shukla, Roy Thankachen
Introduction: Fast tracking plays a crucial role in reducing perioperative morbidity and financial burden by facilitating early extubation and discharge from hospital. Paravertebral block (PVB) is becoming more popular in paediatric surgeries as an alternative to epidural and caudal analgesia. There is scarcity of data regarding the efficacy and safety of PVB in paediatric cardiac surgery. Methods: We performed a review of records of paediatric cardiac patients who underwent cardiac surgery under general anaesthesia with single shot PVB and compared the analgesia and postoperative outcomes with matched historical controls who underwent cardiac surgery with same anaesthesia protocol without PVB...
January 2021: Annals of Cardiac Anaesthesia
https://read.qxmd.com/read/33895545/the-utilization-of-caudal-hydromorphone-for-fast-tracking-in-congenital-cardiac-surgery-in-a-tertiary-care-children-s-hospital-an-audit
#17
JOURNAL ARTICLE
Michael A Evans, Ann Monahan, Eric Abhold, John Hajduk, Eric Vu, Santhanam Suresh
STUDY OBJECTIVE: Our study sought to audit our institutional practice of routine single-shot caudal epidural hydromorphone injection in children undergoing congenital cardiothoracic surgery to assess perioperative pain control and evaluate for any caudal complications. DESIGN: Retrospective observational study of all patients that received a caudal hydromorphone injection as part of the anesthetic for their cardiac surgical operation between January 2017 and July 2019...
September 2021: Journal of Clinical Anesthesia
https://read.qxmd.com/read/33811664/remifentanil-based-fast-track-cardiac-anesthesia-combined-with-the-postoperative-serratus-anterior-plane-block-for-transthoracic-device-closure-of-atrial-septal-defect-in-pediatric-patients
#18
JOURNAL ARTICLE
Ling-Shan Yu, Yu-Qing Lei, Jian-Feng Liu, Jing Wang, Zeng-Chun Wang, Qiang Chen
BACKGROUND: To evaluate the safety and effectiveness of remifentanil-based fast-track cardiac anesthesia (FTCA) combined with the postoperative serratus anterior plane block (SAPB) for transthoracic device closure of atrial septal defect (ASD) in pediatric patients. METHODS: A total of 70 children who underwent transthoracic device closure of ASDs from January 2018 to June 2020 were divided into two groups according to different anesthesia strategies administered, namely group F (fast-track anesthesia, n = 38) and group R (routine anesthesia, n = 32), and relevant clinical data were collected and analyzed...
July 2021: Journal of Cardiac Surgery
https://read.qxmd.com/read/33798062/analysis-of-remifentanil-based-fast-track-anesthesia-combined-with-dexmedetomidine-for-transthoracic-device-closure-of-atrial-septal-defect-in-pediatric-patients
#19
JOURNAL ARTICLE
Ling-Shan Yu, Yu-Qing Lei, Jian-Feng Liu, Jing Wang, Hua Cao, Zeng-Chun Wang, Qiang Chen
BACKGROUND: To investigate the safety and efficacy of remifentanil combined with dexmedetomidine in fast-track cardiac anesthesia (FTCA) for transthoracic device closure of atrial septal defect (ASD) in pediatric patients. METHODS: A retrospective analysis was performed on 61 cases of children undergoing ASD closure through a small thoracic incision from January 2018 to January 2020. According to whether FTCA was administered, they were divided into group F (fast-track anesthesia, n = 31) and group R (routine anesthesia, n = 30)...
March 4, 2021: Heart Surgery Forum
https://read.qxmd.com/read/33760302/fast-track-virtual-reality-for-cardiac-imaging-in-congenital-heart-disease
#20
JOURNAL ARTICLE
Francesca Raimondi, Vladimiro Vida, Charlotte Godard, Francesco Bertelli, Elena Reffo, Nathalie Boddaert, Mohamed El Beheiry, Jean-Baptiste Masson
BACKGROUND AND AIM OF THE STUDY: We sought to evaluate the appropriateness of cardiac anatomy renderings by a new virtual reality (VR) technology, entitled DIVA, directly applicable to raw magnetic resonance imaging (MRI) data without intermediate segmentation steps in comparison to standard three-dimensional (3D) rendering techniques (3D PDF and 3D printing). Differences in post-processing times were also evaluated. METHODS: We reconstructed 3D (STL, 3D-PDF, and 3D printed ones) and VR models of three patients with different types of complex congenital heart disease (CHD)...
July 2021: Journal of Cardiac Surgery
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