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Total 158228 results found since Jan 2013.

Variation in Pediatric Post-Ablation Care: A  Survey of the Pediatric and Congenital Electrophysiology Society (PACES)
This study describes the variation in post-ablation practices identified through a survey of the pediatric and congenital electrophysiology society (PACES). Pediatric and congenital electrophysiology society members were invited to participate in an online survey of post-ablation practices in September 2014. Survey questions targeted routine post-ablation practices for three common arrhythmia substrates: atrioventricular nodal reentry tachycardia, concealed accessory pathways (AP), and manifest APs. Significant practice variation was defined as  <90% concordance among respondents. There were 70 respondents from 67 cent...
Source: Pediatric Cardiology - June 15, 2017 Category: Cardiology Source Type: research

Pediatric Heart Transplantation: Transit ioning to Adult Care (TRANSIT): Baseline Findings
We report baseline findings between groups regarding (1) patient-level outcomes and (2) components of the intervention. From 3/14 to 9/16, 88 subjects enrolled and randomized to intervention (n = 43) or usual care (n = 45) at six pediatric HT centers. Patient self-report questionnaires and medical records data were collected at baseline, and 3 and 6 months after transfer. For this report, baseline findings (at enrollment and prior to transfer to adult care) were analyzed using Chi-square and t-tests. Level o f significance wasp <  0.05. Baseline demographics were similar in the intervention and usual care arms: a...
Source: Pediatric Cardiology - November 3, 2017 Category: Cardiology Source Type: research

The design and implementation of the integrated pediatric heart failure care program
The heart failure and heart transplant program at St. Louis Children's Hospital and Washington University School of Medicine began as one cardiologist and nurse coordinator serving as consultants for heart transplant patients in the hospital. As patient volumes increased, the program grew accordingly and has developed into an integrated heart failure program, which is part of a larger multidisciplinary team. The heart failure and heart transplant program provides comprehensive care for patients both in the hospital and at home, from the initial diagnosis of cardiomyopathy, through advanced heart failure, heart transplant and post-transplant.
Source: Progress in Pediatric Cardiology - February 3, 2018 Category: Cardiology Authors: Jamie Backowski, Chesney Castleberry, Kathleen Hurley, Mary Mehegan, Mary Fujarski, Crystal Buesking, Peggy Rasp, Charles Canter, Kathleen Simpson Tags: Review Source Type: research

Applying Practice Analysis to Develop a New Test Content Outline for the Pediatric Cardiology Certification Examination
We report the process of the American Board of Pediatrics (ABP) for conducting such a practice analysis and revising the test content outline (TCO) for the pediatric cardiology subspecialty certification exam. A panel of 15 pediatric cardiologists conducted seven 2-h virtual meetings, during which they identified 37 unique tasks that represent the work a pediatric cardiologist may reasonably expect to perform within the first 5  years after training. These tasks were grouped into nine performance domains, similar to the entrustable professional activities (EPA), previously endorsed by the ABP in collaboration with the ped...
Source: Pediatric Cardiology - December 12, 2022 Category: Cardiology Source Type: research

Information and Training on the Use of Telemedicine in Pediatric Population: Consensus Document of the Italian Society of Telemedicine (SIT), of the Italian Society of Preventive and Social Pediatrics (SIPPS), of the Italian Society of Pediatric Primary Care (SICuPP), of the Italian Federation of Pediatric Doctors (FIMP), and of the Syndicate of Family Pediatrician Doctors (SIMPeF)
J Pers Med. 2023 Feb 11;13(2):314. doi: 10.3390/jpm13020314.ABSTRACTTelemedicine has entered the daily lives of doctors, although the digital skills of healthcare professionals still remain a goal to be achieved. For the purpose of a large-scale development of telemedicine, it is necessary to create trust in the services it can offer and to favor their acceptance by healthcare professionals and patients. In this context, information for the patient regarding the use of telemedicine, the benefits that can be derived from it, and the training of healthcare professionals and patients for the use of new technologies are fundam...
Source: Atherosclerosis - February 25, 2023 Category: Cardiology Authors: Susanna Esposito Cristiano Rosafio Francesco Antodaro Alberto Argentiero Marta Bassi Paolo Becherucci Fabio Bonsanto Andrea Cagliero Giulia Cannata Fabio Capello Fabio Cardinale Tiziana Chiriaco Alessandro Consolaro Angelica Dess ì Giuseppe Di Mauro Vale Source Type: research

Team Communication and Expectations Following Pediatric Cardiac Surgery: A Multi-Disciplinary Survey
AbstractPatients and families desire an accurate understanding of the expected recovery following congenital cardiac surgery. Variation in knowledge and expectations within the care team may be under-recognized and impact communication and care delivery. Our objective was to assess knowledge of common postoperative milestones and perceived efficacy of communication with patients and families and within the care team. An 18-question survey measuring knowledge of expected milestones for recovery after four index operations and team communication in the postoperative period was distributed electronically to multidisciplinary ...
Source: Pediatric Cardiology - March 31, 2023 Category: Cardiology Source Type: research

Risk of Hypovitaminosis and Vitamin C Deficiency in Pediatric Patients Undergoing Cardiopulmonary Bypass
AbstractVitamin C levels are known rapidly decrease in adult critical illness. Vitamin C scavenges free radicals, provides critical protection of the endothelial barrier, and improves endothelial responsiveness to catecholamines. Children with congenital heart disease and undergoing cardiac surgery might be at increased risk for low circulating vitamin C levels. A prospective single-center observational study investigated perioperative changes in vitamin C levels in critically ill Children who underwent congenital heart surgery using CPB. Vitamin C serum levels were collected preoperatively and postoperatively (upon admiss...
Source: Pediatric Cardiology - August 20, 2023 Category: Cardiology Source Type: research

Evaluation and Management of the Atrial Fibrillation Patient: A Report From the Society of Cardiovascular Patient Care
Atrial fibrillation (AF) is the most common cardiac dysrhythmia, and its prevalence is growing. The care of patients with AF is complex and involves multiple specialties and venues of care. Guideline recommendations are available for AF therapy; however, their implementation can be challenging. The Society of Cardiovascular Patient Care has developed an accreditation program, formulated by an expert committee on AF. Accreditation is based on specific criteria in 7 domains: (1) community outreach, (2) prehospital care, (3) early stabilization, (4) acute care, (5) transitions of care, (6) clinical quality measures, and (7) g...
Source: Critical Pathways in Cardiology: A Journal of Evidence-Based Medicine - July 29, 2013 Category: Cardiology Tags: Scpc Source Type: research

Pediatric Pit Crew CPR
A reader asks, “Does your Pit Crew CPR process work for pediatrics?” See also: Pit Crew CPR – The Explicit Details The answer is, “Yes!” with some minor modifications. We are developing a class for Pediatric Pit Crew CPR. It has not yet been implemented so consider this a beta version. I hate to give a disclaimer but you should have your Medical Director review this Pediatric Pit Crew CPR concept and the accuracy of our airway chart before using it. Some things to keep in mind: Pediatric cardiac arrest is more likely to be respiratory / asphyxial so there is less emphasis on “patient&#...
Source: EMS 12-Lead - June 26, 2014 Category: Cardiology Authors: Tom Bouthillet Tags: ems-topics patient-management pediatrics Pediatric Pit Crew CPR Source Type: research

Developing evidence-based treatments for the management of pediatric heart failure
There has been a plethora of evidence-based guidelines published over the last decade in all areas of medicine, including cardiovascular medicine. Most of these cardiovascular guidelines have been in the area of adult cardiovascular medicine, including heart failure [1]. Despite the robust efforts to develop evidence base for practice guidelines in adult cardiovascular medicine, recommendations are largely developed from lower levels of evidence [2]. Unfortunately, this situation is only worse in pediatric cardiovascular medicine.
Source: Progress in Pediatric Cardiology - January 31, 2015 Category: Cardiology Authors: Robert E. Shaddy Tags: Review Source Type: research

Part 6: Pediatric Basic Life Support and Pediatric Advanced Life Support: 2015 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations.
apter Collaborators PMID: 26472853 [PubMed - in process]
Source: Circulation - October 18, 2015 Category: Cardiology Authors: de Caen AR, Maconochie IK, Aickin R, Atkins DL, Biarent D, Guerguerian AM, Kleinman ME, Kloeck DA, Meaney PA, Nadkarni VM, Ng KC, Nuthall G, Reis AG, Shimizu N, Tibballs J, Veliz Pintos R, Pediatric Basic Life Support and Pediatric Advanced Life Support C Tags: Circulation Source Type: research

Challenges of healthcare administration: optimizing quality and value at an affordable cost in pediatric cardiology
Purpose of review The purpose of this review is to explore the paradigm shift in healthcare delivery that will need to take place over the next few years away from an emphasis on supply-driven health care to better quality transparent-driven health care whose focus is on the consumer's best interest. Recent findings The current healthcare system is fragmented and costs continue to rise. The best way to contain costs is to improve quality to the consumer, the patient. Physicians and hospitals need to align in a team-based approach that allows physicians to understand current costs and how to strive toward a focus on he...
Source: Current Opinion in Cardiology - December 7, 2017 Category: Cardiology Tags: PEDIATRIC CARDIOLOGY: Edited by Mitchell I. Cohen Source Type: research