A5070582129- Mechanical Circulatory Support Devices
- Cardiac Arrest and Resuscitation
- Congenital Heart Disease Studies
- Cardiac Structural Anomalies and Repair
- Case Reports on Hematomas
- Coronary Artery Anomalies
- Respiratory Support and Mechanisms
- Cardiac, Anesthesia and Surgical Outcomes
- Heparin-Induced Thrombocytopenia and Thrombosis
- Cardiac Valve Diseases and Treatments
- Venous Thromboembolism Diagnosis and Management
- Congenital Diaphragmatic Hernia Studies
- Airway Management and Intubation Techniques
- Viral gastroenteritis research and epidemiology
- Gastroesophageal reflux and treatments
- Atrial Fibrillation Management and Outcomes
- Acute Myocardial Infarction Research
- Blood Coagulation and Thrombosis Mechanisms
- Hemodynamic Monitoring and Therapy
- Heart Failure Treatment and Management
- Pneumocystis jirovecii pneumonia detection and treatment
- Trauma, Hemostasis, Coagulopathy, Resuscitation
- Cardiac pacing and defibrillation studies
- Gallbladder and Bile Duct Disorders
- Hematological disorders and diagnostics
Mayo Clinic in Arizona
2014-2025
Mayo Clinic in Florida
2023
Mayo Clinic
2013-2022
Royal Children's Hospital
2021
WinnMed
2021
Johns Hopkins University
2014
Johns Hopkins Hospital
2013
OBJECTIVES: To provide a comparative analysis of conventional heparin-versus bivalirudin-based systemic anticoagulation in adult and pediatric patients supported on extracorporeal membrane oxygenation. DESIGN: Retrospective chart review study receiving oxygenation from January 1, 2014, to October 2019. SETTING: A large, high-volume tertiary referral center. PATIENTS: Four hundred twenty-four individuals requiring support systemically anticoagulated with either unfractionated heparin (223 65...
These guidelines are applicable to neonates and children with cardiac failure as indication for extracorporeal life support. address patient selection, management during membrane oxygenation, pathways weaning support or bridging other therapies. Equally important issues, such personnel, training, credentialing, resources, follow-up, reporting, quality assurance, addressed in Extracorporeal Life Support Organization documents center-specific.
To investigate the impact of human metapneumovirus on morbidity and mortality outcomes in children with severe viral respiratory infection.Retrospective cohort study.ICU, either PICU or cardiac ICU, at three urban academic tertiary care children's hospitals.All patients admitted to an ICU laboratory-confirmed infection between January 2010 June 2011.We captured demographic clinical data analyzed associated outcomes.There were 111 one participating institutions during period study. The median...
Background High levels of vasoactive inotrope support (VIS) after congenital heart surgery are predictive morbidity in pediatric patients. We sought to discern if this relationship applies adults with disease (ACHD). Methods retrospectively studied adult patients (≥18 years old) admitted the intensive care unit cardiac for from 2002 2013 at Mayo Clinic. Vasoactive medication dose values within 96 hours admission were examined determine between VIS score and poor outcome early mortality,...
<title>Abstract</title> <bold>Introduction:</bold> Historically, children undergoing cardiac catheterization have been managed with general endotracheal anesthesia (GETA). However, recent practice has favored total intravenous (TIVA). This study compares procedural outcomes in the pediatric laboratory (PCCL) for low-risk GETA vs. TIVA. <bold>Methods:</bold> We reviewed all patients aged 1–12 years, who underwent outpatient diagnostic or simple interventional from January 2016 – September...
In severe pediatric acute respiratory distress syndrome, data are lacking on methods to measure and set optimal positive end-expiratory pressure. We present a 2-year-old girl with Trisomy 21 who developed syndrome refractory hypoxemia from human metapneumovirus pneumonia. Esophageal manometry was utilized transpulmonary pressure, pressure increased 19 cm H 2 O, resulting in rapid improvement oxygenation. Hemodynamics remained adequate without intervention. The patient improved survived...
Guru, Pramod; Kashyap, Rahul; Haile, Dawit; Pike, Roxann; Nemergut, Michael; Aganga, Devon; Kashani, Kianoush; Schears, Gregory Author Information
Aims & Objectives: Data examining the use of transpulmonary pressure (PL) monitoring to guide ventilator parameters in Pediatric-ARDS (P-ARDS) is lacking. We report a case P-ARDS which PL improved oxygenation leading survival. Methods Case: A 2 year-old female (10.2 kg) with Trisomy 21 developed severe secondary Human Metapneumovirus pneumonia, complicated by superimposed bacterial pneumonia. She required intubation on Hospital Day (HD) 2. Her was poor (FiO2 60–70%), an elevated Oxygenation...
ABSTRACT Objective: Extracorporeal membrane oxygenation (ECMO)‐associated direct hyperbilirubinemia (DHB) is likely multifactorial. The objective of this study to assess the frequency and risk factors for developing while on ECMO, its implication mortality children. Methods: We performed a retrospective between January 2010 2020. Using Mayo Clinic electronic health record, we identified children (<18 years) who required veno‐arterial (VA) ECMO support. Demographics, indication, laboratory...
Poterucha, Joseph; Guru, Pramod; Haile, Dawit; Pike, Roxann; Nemergut, Michael; Aganga, Devon; Crow, Sheri; Schears, Gregory
Copyright © 2016 by the Society of Critical Care Medicine and Wolters Kluwer Health, Inc. All Rights Reserved.
Background: National data about the outcomes of children undergoing mechanical mitral valve replacement (m-MVR) are scarce. Methods: A retrospective review hospitalizations from Kids’ Inpatient Database was performed for patients ≤18 years age in United States. total 500 underwent m-MVR 2009, 2012, 2016, and 2019. Patients with single ventricle physiology were excluded (n = 13). These categorized into three groups according to age: neonates (<1 month, n 20), infants (1-12 months, 76...
Extracorporeal membrane oxygenation (ECMO) is utilized within our institution to support some of neonatal and pediatric patients awaiting heart transplantation. ELSO guidelines for cardiac failure suggest that awake ECMO may be considered in older children, however, little published regarding pre-heart transplant ECMO. Specifically, there scant literature discusses how safely accomplish this whilst fostering the physical developmental needs population. Prolonged sedation immobility often due...
To the Editor: We read with great interest intriguing study by Walker et al.1 involving 14 adult patients receiving extracorporeal life support (ECLS) who were transitioned to bivalirudin as alternative systemic anticoagulation in context of heparin-induced thrombocytopenia (HIT), heparin resistance, persistent clotting or bleeding while on heparin. commend authors for their work this important area and share passion enthusiasm caring ECLS patients. Results reported favorable outcomes 64%...