Background Pharmacologic therapy for patent ductus arteriosus closure is not consistently successful. Surgical ligation (SL) or transcatheter (TC) may be needed. Large multicenter analyses comparing outcomes and resource use between SL TC are lacking. We hypothesized that patients undergoing have improved compared with SL, including mortality, hospital intensive care unit length of stay, mechanical ventilation. Methods Results Using the 2016 to 2020 Pediatric Health Information System...

Background Surgical systemic-to-pulmonary artery shunts have been the standard approach to establish stable pulmonary blood flow in neonates with congenital heart disease ductal-dependent flow. More recently, transcatheter ductal stents performed as an alternative, less invasive intervention. We aimed characterize trends utilization of surgical versus and compare associated outcomes. Methods Results Using data from Pediatric Health Information System, we retrospectively analyzed who...

Magnetic resonance imaging (MRI) commonly finds musculoskeletal abnormalities incidental to the reason for ordering test. The purpose of this study was determine if prevalence extensor carpi ulnaris (ECU) signal changes on MRI varies between patients undergoing upper extremity assessment clinically suspected ECU tendinopathy and those other indications. Our secondary null hypotheses were that does not vary based patient age or sex among indications MRI.We searched reports all hand, wrist,...

Peripheral arterial line placement is a common, low-risk procedure in pediatric patients undergoing cardiac surgery. Central cannulation may be used when peripheral not feasible. At present, there are limited data to guide central arterial-line site selection patients. We aimed (1) quantify the rate of complications associated with surgery, (2) determine risk factors complications, and (3) describe trends during last decade.

Background: Wrist pain is often nonspecific. Magnetic resonance imaging (MRI) regularly obtained to evaluate wrist pain. Variations and pathophysiology identified on MRI may not account for patient’s clinical symptoms. This study aims quantify the prevalence of flexor carpi radialis (FCR) tendinopathy coexistence trapeziometacarpal (TMC) or scaphotrapeziotrapezoid (STT) osteoarthritis. Methods: Using an institutional research database, we 3631 adult patients who during a 15-year period. Text...

Cardiopulmonary bypass (CPB) circuits can significantly sequester intravenous anesthetics. Adsorption of medications by our institution's standard circuit (Terumo CAPIOX FX05 oxygenator; noncoated polyvinylchloride tubing) has not been described. We prepared ex vivo CPB with and without oxygenators. Medication combinations studied included midazolam (0.5 mg), fentanyl (50 µg), mg) morphine µg). Medications were administered after obtaining baseline samples. Samples drawn at 2, 5, 15, 30, 60,...

Introduction: The choice between conventional surgical (SP) and hybrid (HP) stage 1 palliation for single ventricle heart disease remains debated. Pulmonary artery banding prostaglandins followed by delayed (DSP) another option. HP is proposed high-risk patients. We aimed to describe index hospitalization outcomes patients undergoing these 3 pathways. hypothesized that DSP have more comorbid conditions, higher morbidity, longer length of stay (LOS). Methods: Using the Pediatric Health...

Abstract Background and Objectives Cold‐stored whole blood (CS‐WB) in paediatric cardiac surgery is making a resurgence, given its identified benefits compared to conventional component therapy (CT). Study Design Methods A single‐centre retrospective study was conducted from January 2018 October by including children <18 years of age undergoing requiring cardiopulmonary bypass. ABO‐compatible CS‐WB non‐directed random donors leukoreduced with platelet‐sparing filters CT. Results...

Delaying treatment for benign musculoskeletal conditions may allow patients to learn self-efficacy and develop coping strategies, leading less medical intervention reduced cost. We tested the hypothesis that time from booking until appointment is not associated with healthcare costs. further secondary specific utilizations. identified 16,750 (55 % women; mean age 50 years) making first clinic visits hand surgeons at our hospital between January 1, 2003 December 31, 2012. Booking was defined...

There are no case reports of malignant hyperthermia in pediatric patients treated on cardiopulmonary bypass (CPB). We report the a 10-year-old boy undergoing aortic valve replacement. The patient developed progressive tachycardia and hypercarbia. In addition, EtCO2 PaCO2 were equal myoglobinuria was suspected given darkened urine. Numerous dantrolene boluses CPB, infusion started. patient's base deficit creatine phosphokinase normalized by postoperative day 2. This demonstrates importance...

Introduction: Neonates with ductal-dependent cyanotic congenital heart disease (CCHD) require palliation to establish stable pulmonary blood flow (PBF). Surgical systemic-to-pulmonary artery shunts have been the standard approach. More recently, catheter-based ductal stents performed as an alternative less invasive intervention. We aimed characterize recent trends in utilization of surgical versus and compare associated outcomes. Methods: Using data from Pediatric Health Information System,...

Introduction: Pharmacologic therapy for closure of a patent ductus arteriosus is not consistently successful. Surgical ligation (SL) or transcatheter (TC) may be needed. Large multi-center analyses comparing outcomes and resource utilization between SL TC are lacking. We hypothesized that patients undergoing have improved compared to including mortality, length stay (LOS), intensive care unit (ICU) admission, ventilation. Methods: Using the 2016-2020 Pediatric Health Information System...