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Clinical Trial Saves Baby ’s Lungs

Treatment TermsChildren's health CategoriesClinical trialsFamily health TagsPatient story Sub-Title Baby Collier Proves He ’s a Survivor Author Burgetta Wheeler Overview Collier Hart sat smiling in his crib repeatedly saying, “Wa wa.” Given a sippy cup of water, he threw back his head and drained it. He put his hands together, fingertips touching, and made the sign for “more.” None of this is unusual for a 2-year-old, but it is for Collier. He spent the first 15 months of his life at Duke Children’s Hospital af ter being born with severely underdeveloped lungs. Hero Imagecollier_hart_patient_experience.jpg Content Blocks Header Against All Odds Content“All the odds were against this kid,” saidWilliam  Malcolm, MD, a neonatologist and medical director of Duke's  Special Infant Care Clinic. “He’s thriving, and the reasons he’s thriving are his parents, the amount of services we provided at Duke, and Collier himself. You get emotional about outcomes like this.”Before Collier was born, tests atDuke Children ’s Hospital showed a problem with the baby’s lungs. When Natalie Hart went into premature labor, the neonatology team was ready.On July 3, 2014, Collier arrived at 32 weeks weighing 4 pounds, 3 ounces — and crying. No one expected him to be able to cry. Natalie and husband Eric Hart were ecstatic even as their new baby was whisked away to be placed on a ve...
Source: dukehealth.org: Health Tips - Category: Primary Care Authors: Source Type: news

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Congenital diaphragmatic hernia (CDH) continues to be one of the most challenging conditions in neonatal intensive care. Despite the wide adoption of lung protective strategies for pulmonary hypoplasia and selective vasodilators for pulmonary hypertension, the overall number of babies cannulated for extracorporeal support (ECMO) has been largely unchanged over the last decade. Even more puzzling is that randomized trials did not find any benefit of inhaled nitric oxide (iNO) in reducing need for ECMO in babies with CDH.
Source: The Journal of Pediatrics - Category: Pediatrics Authors: Tags: The Editors' Perspectives Source Type: research
We report successful percutaneous pulmonary artery debanding in a baby complicated by muscular ventricular septal defect (VSD), that was initially large and multiple, but closed spontaneously later. The 5-month-old boy was referred to our hospital on day 3, diagnosed as having aortic coarctation (CoA), with multiple muscular VSDs and severe PH. On day 6, he underwent CoA repair and PAB using expanded polytetrafluoroethylene (ePTFE), while the muscular VSDs were left open. We planned percutaneous pulmonary debanding at the age of 5 months, as the muscular VSDs had become small. After dilation with a Mustang® (Boston Sci...
Source: Journal of Cardiology Cases - Category: Cardiology Source Type: research
Opinion statementAll providers who care for reproductive-aged women with cardiac disease should assess these patients ’ desires and plans for pregnancy at every encounter. For those considering pregnancy, preconception counseling, often performed by a maternal-fetal medicine specialist, can help patients understand the potential implications of pregnancy on their health and estimate the risks of an adverse cardia c event prior to conceiving. There are cardiac conditions, such as pulmonary hypertension and aortic stenosis, in which pregnancy may be contraindicated given the high morbidity and mortality; there are tool...
Source: Current Treatment Options in Cardiovascular Medicine - Category: Cardiology Source Type: research
[12-14-2011] The U.S. Food and Drug Administration (FDA) is updating the public on the use of selective serotonin reuptake inhibitor (SSRI) antidepressants by women during pregnancy and the potential risk of a rare heart and lung condition known as persistent pulmonary hypertension of the newborn (PPHN).
Source: FDA Center for Drug Evaluation and Research - What's New - Category: Drugs & Pharmacology Source Type: news
Inhaled nitric oxide (iNO) relaxes blood vessels in the lungs and is an important and life-saving treatment for pulmonary hypertension. Current iNO delivery solutions are estimated to cost $2,800 per day and rely on compressed gas delivery which limits accessibility and applicability of this technology worldwide. Dr. Warren Zapol and team, led by his son David Zapol, have launched the company Third Pole with technology licensed from Massachusetts General Hospital (MGH) with the goal of developing next generation life-­saving therapies capable of serving new cardio-pulmonary markets. Their initi...
Source: Medgadget - Category: Medical Devices Authors: Tags: Anesthesiology Cardiac Surgery Cardiology Critical Care Exclusive Medicine Source Type: blogs
By NIRAN AL-AGBA, MD As southern states entertain legislation granting nurse practitioners independent practice rights, there are some finer details which deserve careful deliberation. While nurse practitioners are intelligent, capable, and contribute much to our healthcare system, they are not physicians and lack the same training and knowledge base. They should not identify themselves as “doctors” despite having a Doctor of Nursing Practice (DNP) degree. It is misleading to patients, as most do not realize the difference in education necessary for an MD or DO compared to a DNP. Furthermore, until they are req...
Source: The Health Care Blog - Category: Consumer Health News Authors: Tags: Uncategorized Source Type: blogs
When a child is born ill or with disabilities, there is love, but there is also fear. Fear of what will happen during the endless medical procedures, what kind life the child might live, how life will be different than what was imagined and fear of paying for it all. When my daughter Claire was born almost 11 years ago, her health and future were uncertain. Born with a rare genetic disorder that affects nearly every part of her body, Claire spent time in the neo-natal intensive care unit, had heart surgery when she was 4 months old, and endured test after test after test to figure out the extent of the impact of her extra ...
Source: Healthy Living - The Huffington Post - Category: Consumer Health News Source Type: news
When a child is born ill or with disabilities, there is love, but there is also fear. Fear of what will happen during the endless medical procedures, what kind life the child might live, how life will be different than what was imagined and fear of paying for it all. When my daughter Claire was born almost 11 years ago, her health and future were uncertain. Born with a rare genetic disorder that affects nearly every part of her body, Claire spent time in the neo-natal intensive care unit, had heart surgery when she was 4 months old, and endured test after test after test to figure out the extent of the impact of her extra ...
Source: Healthy Living - The Huffington Post - Category: Consumer Health News Source Type: news
In December 2015, doctors told Johanna Morton she was going to miscarry. Just a few weeks ago, she watched her daughter see snow for the first time.  Morton told The Huffington Post that when she was 12 weeks pregnant, doctors discovered something was wrong with her baby’s heart based on the way it sounded.   “They told me I was going to miscarry,” Morton said. “A week or two after when I didn’t miscarry, it seemed like every appointment we would be told something else was wrong with her heart, another diagnosis.” Doctors later told Morton that her baby would be stillborn. Her ...
Source: Healthy Living - The Huffington Post - Category: Consumer Health News Source Type: news
ConclusionThis is the first study of CPU during retrieval of high risk infants. Ultrasound in retrieval is feasible, allows accurate triage of babies to cardiac centres and may allow more accurate targeting of fluid and inotrope support.This article is protected by copyright. All rights reserved.
Source: Acta Paediatrica - Category: Pediatrics Authors: Tags: Regular Article Source Type: research
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