Background and Aims: The effect of vitamin C on vasopressor requirement in critically ill patients have been evaluated previously. We aimed to evaluate the C, hydrocortisone thiamine mortality post-operative adult cardiac surgical with septic shock. Methods: About 24 shock were randomised into Group 1 (receiving matching placebo per day for 4 days) 2 6 g 400 mg 200 days). Vasopressor dose over days therapy was primary endpoint, whereas in-hospital secondary endpoint. Results: APACHE IV...

Background Survival beyond one month of age is rare in children born with obstructed infracardiac total anomalous pulmonary venous connection (TAPVC). There are limited data available on surgical outcomes the same subset. We conducted this retrospective study to identify risk factors associated patient population. Method present a patients presenting at our institute TAPVC surviving during period from January 2015 August 2019 (n = 14). Data reviewed included demographic parameters,...

Objective The authors sought to evaluate the role of nutritional indices such as Onodera's prognostic nutrition index (PNI), World Health Organization (WHO)-based anthropometric measurements weight for age (w/a), height age, height, and perioperative serum albumin levels in determination postoperative clinical outcomes pediatric patients who undergo surgery congenital cardiac defects surgical complexity (risk-adjusted heart score) its correlation with course. Material Methods In this...

Inserting a transoesophageal echocardiography (TEE) probe can cause pharyngeal and oesophageal injuries in paediatric patients undergoing cardiac surgery. The study's primary objective was to assess the incidence of oropharyngeal injury on video laryngoscope (VL) examination at end This randomised controlled study conducted 100 patients, aged 2-10 years, elective surgery requiring TEE evaluation. Patients having deranged coagulation profile, sore throat, difficult tracheal intubation, trauma...

Background Complete atrioventricular septal defect (cAVSD) is the most common cardiac lesions associated with Down syndrome (DS). In DS, cAVSD repair ideally performed before six months of age to prevent irreversible pulmonary artery hypertension (PAH). However, in developing countries, delayed often unavoidable. We retrospectively analyzed outcomes DS patients presenting beyond age. Method Between 2015 and 2019, 60 who underwent biventricular were reviewed. During same time period 42 under...

Albumin a natural colloid which is responsible for 75 to 80% plasma oncotic pressure, very costly and not easily available also contains risk of anaphylatic reaction.Albumin maintains pressure prevent capillary leak fluid resulting in improved organ functions [5,6].Hydroxyethyl starch (HES/130/0.4)6% synthetic produced from amylopectin.It was introduced 1975 as priming

Objective: Ebstein's anomaly remains a relatively ignored disease.Lying in the 'No Man's land' between congenital and valve surgeons, it largely inadequately studied.We report our short-term results of treating as 'one half ventricle heart' propose that true tricuspid annulus (TTA) 'Z' score be used an objective criterion for estimation 'functional' right (RV).Methods: 22 consecutive patients undergoing surgery were studied.Echocardiography was performed to assess type severity disease,...

Background The current era of fast-track extubation and faster recovery after cardiac surgery requires agents that provide perioperative sedation, suppress sympathetic response, reduce opioid requirement, maintain hemodynamic stability. Methods In a prospective randomized double-blind study, 75 off-pump coronary artery bypass patients were divided into 3 groups 25 each: group A had clonidine 1 µg·kg –1 , B ketamine mg·kg C saline placebo. Perioperative changes in heart rate, systolic...

Background Coagulopathy is a major problem in surgery for cyanotic congenital heart disease. Tranexamic acid has been used both topically and systemically plays vital role pediatric cardiac by reducing blood loss product requirement. We aimed to determine the anti-fibrinolytic effectiveness of low-dose systemic or topical tranexamic combination both. Methods Seventy-five patients were divided 3 groups 25. Group A given 20 mg kg −1 intravenously after sternotomy heparin reversal. B 50 mL...

Most of the rheumatic mitral valve repair literature focuses on older patients with burnt out disease. We present our midterm results in young patients.In this retrospective-prospective study, 106 consecutive children (<18 years) underwent for etiology (2013-2017). Patients were evaluated at regular intervals.The mean age cohort was 13.1 ± 3.2 years; 30 (29.6%) had recent activity (<8 weeks); 80 (78.4%) regurgitation; 8 (7.8%) stenosis; 14 (13.7%) mixed lesions; 11 emergency surgery...

Objective Cell Saver system is the method of choice for red blood cell salvage from surgical field; however, cost a limiting factor. We at our institute have devised cost-effective version dialyser-based autotransfusion system. performed pretransfusion comparison with conventional saver Methods A prospective randomized observational study was in 104 consecutive patients coronary artery disease undergoing by off-pump bypass grafting. Patients were divided into two groups. In dialyser group...

Procedural sedation required to improve the quality of Transthoracic Echocardiography (TTE) in infants and children. The ideal drug route for children should have a rapid reliable onset, atraumatic, palatable with minimal side effects, recovery. So, aim our study evaluate compare efficacy safety intranasal midazolam dexmedetomidine pediatric patients during TTE.Hundred under three year age, belonging American Society Anaesthesiologists class-I II, scheduled TTE were divided into two groups...

Objective: With advancements in technology, instrumentation and techniques minimally invasive surgery, several new findings have arisen about patients undergoing cardiac valve surgery (MICVS).This study focuses on assessing the safety effectiveness of MICVS a particular population, characterized by advanced age, multiple comorbidities high-risk profile for conventional open-heart amid scepticism resistance over surgery.Methods: This is descriptive retrospective study.The with valvular heart...

ABSTRACT Aims and Objectives: The incidence of postoperative liver dysfunction is high in patients undergoing double-valve replacement – mitral aortic valve (DVR). This study aims to evaluate N-acetylcysteine’s free radical scavenging property (NAC) prevent these patients, thus affecting overall clinical outcomes. Methods: A single-center, prospective, randomized, double-blinded interventional 60 divided into two groups 30 each. Group N received prophylactic intravenous NAC, C volume-matched...

Cardiac hydatid cyst is rare even in endemic countries, and poses a therapeutic challenge due to varying presentation unpredictable pre-, peri-, postoperative complications. We herein present case of multiple, multifocal, huge pericardial cyst, with invasion into the left ventricle main pulmonary artery young male patient, presented atypical chest pain.

Objective: Myocardial protection is the most important in cardiac surgery.We compared our modified single-dose long-acting lignocaine-based blood cardioplegia with short-acting St Thomas 1 patients undergoing single valve replacement.Methods: A total of 110 who underwent (aortic or mitral) replacement surgery were enrolled.Patients divided two groups based on solution used.In group (56 patients), lignocaine based-blood was administered as a dose while 2 (54 standard IB (short-acting...

Objective The aim of this study was to compare efficacy and safety paravertebral block (PVB) interpleural analgesia (IPA) after minimally invasive cardiac surgery through thoracotomy in terms quality analgesia, post-operative mechanical ventilation time, intensive care unit (ICU) hospital length stay (LOS) complications. Design A randomized, prospective study. Participants total 50 adult patients (18–50 years old) undergoing via thoracotomy. Intervention Patients were randomized for group A:...

Overinflation of cuffed endotracheal tubes and transesophageal echocardiography (TEE) probe causes increased intracuff pressure (CP) compromising tracheal perfusion (TPP). Primary objective the study was to assess CP, TPP on TEE insertion examination during pediatric cardiac surgeries. Secondary objectives were evaluate effect peak airway pressures (Ppeak), mean (Pmean) monitor cardiopulmonary bypass (CPB).This prospective observational included fifty patients, aged 1-5 years undergoing...

Objective One of the major challenges faced in minimally invasive pediatric cardiac surgery is cannulation strategy for cardiopulmonary bypass. Central aortic through same incision has been usual strategy, but it disadvantage cluttering operative field. We hereby present results femoral terms adequacy and safety. Methods From January 2013 to June 2016, 200 children (122 males) with mean ± SD age 9.2 4.51 years (median = 6 years, range 3–18 years) weight 19.22 8.49 kg 15 kg, 8–45 kg) were...

ABSTRACT Learning Objective: Hemodynamic monitoring during in-hospital transport of intubated patients is vital; however, no prospective randomized trials have evaluated the hemodynamic consequences hand versus machine ventilation among pediatric patients’ post-cardiac surgery. The authors hypothesized that manual after cardiac surgery would alter and arterial blood gas (ABG) parameters compared to mechanical ventilation. Design: A trial. Setting: Tertiary care hospital. Participants:...

<br><b>Background:</b> Cardiac surgery is frequently associated with macro and microcirculatory hypoperfusion. Patients normal central venous oxygen saturation (Scvo2) also suffer from We hypothesized that monitoring venous-arterial pco2 difference (dCO₂) could serve as additional marker in detecting hypoperfusion cardiac patient. <b>Methods:</b> This a prospective observational study. undergoing off-pump coronary artery bypass grafting included this The dCO2 was measured...