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Predictors of severe postoperative hyperglycemia after cardiac surgery in infants: a single-center, retrospective, observational study

ConclusionAdding to hyperglycemia during the operation, longer CPB time younger age and chromosomal abnormality were identified as predictors of high blood glucose levels at ICU admission.
Source: Journal of Anesthesia - Category: Anesthesiology Source Type: research

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DURING THE LAST few decades, significant progress has occurred in the surgical management of congenital heart disease (CHD), which is performed regularly in tertiary hospitals worldwide. This progress has contributed to increased life expectancy, and since the advent of neonatal repair of complex lesions in the 1970s, an estimated 85% of patients survive into adult life.1 Moreover, to improve early postoperative recovery, the safest anesthetic management and correct choice of vasoactive drugs to facilitate weaning from cardiopulmonary bypass (CPB) are among the main challenges faced by anesthesiologists during these procedures.
Source: Journal of Cardiothoracic and Vascular Anesthesia - Category: Anesthesiology Authors: Tags: Review Article Source Type: research
DECIDING whether and how best to intervene for valvular heart disease at the time of coronary artery bypass graft (CABG) surgery remains a complex decision-making process. Recently, the guidelines published to assist with these decisions were revised in part due to new studies evaluating the appropriateness of surgical intervention for moderate ischemic mitral regurgitation (MR) at the time of CABG surgery and for mitral valve replacement (MVR) versus repair for severe symptomatic ischemic MR.1 –6 Known limitations of assessing the severity of MR with transesophageal echocardiography (TEE) in the operating room under...
Source: Journal of Cardiothoracic and Vascular Anesthesia - Category: Anesthesiology Authors: Tags: Editorial Source Type: research
In this study, we focused on two pathways of cardiomyocytes or heart cells: the Hippo pathway, which is involved in stopping renewal of adult cardiomyocytes, and the dystrophin glycoprotein complex (DGC) pathway, essential for cardiomyocyte normal functions." Previous work had hinted that components of the DGC pathway may somehow interact with members of the Hippo pathway. The researchers genetically engineered mice to lack genes involved in one or both pathways, and then determined the ability of the heart to repair an injury. These studies showed for the first time that dystroglycan 1, a component of the DGC ...
Source: Fight Aging! - Category: Research Authors: Tags: Newsletters Source Type: blogs
We present the anesthetic management of a 1-day-old neonate with a postnatally diagnosed aortopulmonary window for correction of a TEF.
Source: A&A Case Reports - Category: Anesthesiology Tags: Case Reports: Case Report Source Type: research
We report an incidence of transient CB in an 11-year-old child who was operated for double chambered right ventricle with ventricular septal defect. PMID: 28393793 [PubMed - in process]
Source: Annals of Cardiac Anaesthesia - Category: Anesthesiology Authors: Tags: Ann Card Anaesth Source Type: research
Abstract Challenging times are here for cardiac surgical and anesthesia team. The interventional cardiologist seem to have closed the flow of 'good cases' coming up for any of the surgery,; successful percutaneous interventions seem to be offering reasonable results in these patients, who therefore do not knock on the doors of the surgeons any more . It is a common experience among the cardiac anesthesiologists and surgeons that the type of the cases that come by now are high risk. That may be presence of comorbidities, ongoing medical therapies, unstable angina, uncontrolled heart failure and rhythm disturbances;...
Source: Annals of Cardiac Anaesthesia - Category: Anesthesiology Authors: Tags: Ann Card Anaesth Source Type: research
Discussion: EA is a rare and complex congenital cardiac malformation. There are about 80% to 90% of EA patients with combined atrial septal defect and patent foramen ovale. Sudden arterial occlusion is very rare especially in childhood. When thoracic roentgenoscopy, arterial blood gas analysis, coagulation test, and echocardiographic of lower extremity deep venous system are all normal, one should consider the possibility of a paradoxical embolism. If patients have the paradoxical embolism or worsening tricuspid regurgitation, the most suitable therapeutic regimen should be chosen according to patients’ condition. Wi...
Source: Medicine - Category: Internal Medicine Tags: Research Article: Clinical Case Report Source Type: research
A DOUBLE aortic arch results in a vascular ring that may compress the trachea and esophagus.1 Although the incidence of double aortic arch is unknown, they represent less than 1% of all congenital heart disease. Symptoms commonly include stridor, dyspnea, cough, recurrent upper respiratory tract infections, dysphagia, and feeding difficulty.1 –3 Although more common in children, adults may present with new symptoms or chronic symptoms misdiagnosed as other diseases, as was the case in a 47-yr-old woman who presented with long-standing dyspnea (presumed for decades to be due to asthma) and dysphagia. Her symptoms had ...
Source: Anesthesiology - Category: Anesthesiology Source Type: research
Abstract BACKGROUND AND AIMS: Several studies report the use of thromboelatography (TEG) to monitor coagulation in pediatric cardiac surgery. The aim of this study was to compare baseline and intraoperative TEG, TEG-functional fibrinogen, and standard coagulation assays in children with cyanotic and acyanotic congenital heart disease (CHD) undergoing cardiac surgery. METHODS: This is a prospective observational study of 63 children aged
Source: Paediatric Anaesthesia - Category: Anesthesiology Authors: Tags: Paediatr Anaesth Source Type: research
Summary Background and AimsSeveral studies report the use of thromboelatography (TEG) to monitor coagulation in pediatric cardiac surgery. The aim of this study was to compare baseline and intraoperative TEG, TEG‐functional fibrinogen, and standard coagulation assays in children with cyanotic and acyanotic congenital heart disease (CHD) undergoing cardiac surgery. MethodsThis is a prospective observational study of 63 children aged
Source: Pediatric Anesthesia - Category: Anesthesiology Authors: Tags: Research Report Source Type: research
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