ObjectiveTo profile the gut microbiome (GM) in infants with congenital heart disease (CHD) undergoing cardiac surgery compared matched and to investigate association growth (weight, length, head circumference).Study designA prospective study intensive care unit at Children's Healthcare of Atlanta newborn nursery within Emory system. Characteristics including weight, circumference, surgical variables were collected. Fecal samples collected presurgery (T1), postsurgery (T2), before discharge...

Introduction: This project aimed to decrease surgical site wound infections (SSIs) less than 1 per 100 cases in pediatric patients after cardiothoracic surgery. Methods: A multidisciplinary workgroup was established identify perioperative risk factors, and educational gaps create a bedside quality improvement (QI) rounding group monitor wounds. SSIs were defined according the Centers for Disease Control National Healthcare Safety Network guidelines. Infection preventionists adjudicated as an...

Early prediction of pediatric cardiac arrest (CA) is critical for timely intervention in high-risk intensive care settings. We introduce PedCA-FT, a novel transformer-based framework that fuses tabular view EHR with the derived textual to fully unleash interactions high-dimensional risk factors and their dynamics. By employing dedicated transformer modules each modality view, PedCA-FT captures complex temporal contextual patterns produce robust CA estimates. Evaluated on curated cohort from...

Abstract Introduction: There is wide variation in institutional sedation strategies paediatric cardiac ICU. Validated tools such as State Behavioral Scale and Richmond Agitation Sedation were created to help standardise practices. Methods: This a multi-phase, multicentre, prospective project with the goal of optimising safety comfort for ICU patients. Phase one consisted an educational intervention self-paced, web-based video module on optimal practices using validated screening tools....

We developed a multidisciplinary antimicrobial stewardship team to optimize use within the Pediatric Cardiac Intensive Care Unit. A quality improvement initiative was conducted decrease unnecessary broad-spectrum antibiotic by 20%, with sustained change over 12 months.

Healthcare workload has emerged as an important metric associated with poor outcomes. To measure workload, studies have used bed occupancy a surrogate. However, few examined frontline provider (fellows, nurse practitioners, physician assistants) and We hypothesize measured by staffing, is outcomes unnecessary testing.A retrospective single-center, time-stamped orders, ordering identifiers, patient data were collected. Regression was performed to study the influence of on length stay,...

Determine the accuracy of echocardiography to diagnose coronary anatomy in transposition great arteries and evaluate effect on surgical outcomes changes over time.Retrospective chart review neonates admitted February 1999 March 2013 with transposition. Coronary pattern from preoperative echocardiogram operative reports were collected compared determine diagnostic accuracy. patterns further confirmed by intraoperative images taken during surgery.Tertiary care children's hospital.Neonates...

Abstract Objective: Children with prolonged hospital admissions for CHD often develop delirium. Antipsychotic medications (APMs) have been used to treat delirium but are known prolong the QTc duration. There is concern prolongation of interval in cardiac patients who may be more vulnerable electrocardiogram (ECG) changes and postoperative already. The goal this study was determine effect APM on duration paediatric quetiapine risperidone treating prolongation. Design: Retrospective study,...

Cryoextraction via flexible bronchoscopy (FB) can be used to alleviate airway obstruction due blood clots, casts, mucus, and foreign bodies. There is limited literature regarding the utility of cryoextraction restore patency in critically ill children, especially on extracorporeal membrane oxygenation (ECMO). The aims this study were describe clinical course outcomes children who underwent FB.A singlecenter retrospective review FB between 2017 2021 was conducted. analyzed data included...

In this article, our primary objective was to investigate the prevalence and etiology of extubation failure (EF) in patients following cardiac surgery for congenital heart disease. Secondarily, we examined association different risk factors with EF. This single-center retrospective study a 27-bed intensive care unit at quaternary children's hospital. All between 0 18 years age who underwent from January 2008 September 2019 were included. During period, among 8,750 surgical encounters, 257...

Abstract Introduction: Studies have suggested 5–20% of paediatric ICU patients may receive care felt to be futile. No data exists on the prevalence and impact futile in Paediatric Cardiac ICU. The aim is determine economic care. Materials method: Retrospective cohort with congenital cardiac disease 0–21 years old, length stay >30 days died (2015–2018). Documentation futility by medical team was retrospectively independently reviewed. Results: Of 127 deaths during study period, 51 (40%)...

Following cardiac surgery, infants often remain endotracheally intubated upon arrival to the ICU. High-flow nasal cannula and non-invasive positive pressure ventilation are used support patients following extubation. There limited data on superiority of either mode prevent extubation failure.We conducted a single-centre retrospective study for (<1 year) and/or <10 kg who underwent surgery between 3/2019-3/2020. Data included patient clinical characteristics operative variables. The aimed...

Spontaneous effort-induced thrombosis is a rare but reported phenomena that was originally described over 100 years ago. The pathogenesis of this arises from an abnormality the thoracic outlet usually combined with history physical activity includes repetitive arm motions, dominant hand. We present case adolescent patient who presented to pediatric emergency department progressive pain, discoloration, and swelling shoulder his nondominant pain became acutely worse graying appearance arm....

Obesity and hypertension are public health priorities, with obesity considered to be a potential cause of hypertension. Accurate blood pressure (BP) determination is required often obtained by automated oscillometric cuff devices. We sought determine the correlation measurement in children, if was associated worse between methods than nonobese children.Retrospective matched case-controlled study 100 obese (97-99th percentile) (25-70th children after cardiac surgery simultaneous systolic,...

Advances in surgical techniques and post-operative management of children with CHD have significantly lowered mortality rates. Unplanned cardiac interventions are a significant complication implications on morbidity mortality.We conducted single-centre retrospective case-control study for patients (<18 years) undergoing surgery repair Tetralogy Fallot between January 2009 December 2019. Data included patient characteristics, operative variables outcomes. This aimed to assess the incidence...

Children with chronic illnesses report being bullied by peers, yet little is known about bullying among children heart conditions. Using 2018-2020 National Survey of Children's Health data, the prevalence and frequency in past year (never; annually or monthly; weekly daily) were compared between aged 6-17 years without Among conditions, associations demographic health characteristics bullied, diagnosed anxiety depression status examined. Differences assessed chi-square tests multivariable...

This cross-sectional study investigates perioperative oxygen saturation differences in Black and White infants with single ventricles undergoing stage 1 palliation.