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Recommendations for Cardiac Point-of-Care Ultrasound in Children: A Report from the American Society of Echocardiography ∗∗Endorsed by the Society of Critical Care Medicine
Cardiac point-of-care ultrasound has the potential to improve patient care, but its application to children requires consideration of anatomic and physiologic differences from adult populations, and corresponding technical aspects of performance. This document is the product of an American Society of Echocardiography task force composed of representatives from pediatric cardiology, pediatric critical care medicine, pediatric emergency medicine, pediatric anesthesiology, and others, assembled to provide expert guidance.
Source: Journal of the American Society of Echocardiography - January 23, 2023 Category: Cardiology Authors: Jimmy C. Lu, Alan Riley, Thomas Conlon, Jami C. Levine, Charisse Kwan, Wanda C. Miller-Hance, Neha Soni-Patel, Timothy Slesnick Tags: Guidelines and Standards Source Type: research
Evidence based chaos in critical care units !
Critical and intensive medical care is meant for supporting an individual organ (or multiple organs ) at times of extreme distress , till the healing process prevails over .Later , the patient shall be shifted safely out of the unit .
Whatever be the modern technology , the single most important factor that determines the success of ICU outcome lies within the patient body ( One estimate says patient factor constitutes almost 85-90% -Dukes medical center )
Ironically , the modern gadgets, drugs , devices threatens . . . rather fights . . . with this inherent patient fighting mechanis...
Source: Dr.S.Venkatesan MD - February 8, 2013 Category: Cardiology Authors: drsvenkatesan Tags: Cardiology -guidelines cardiology -Therapeutics cardiology-ethics appache score critical care medicine critical care outcome ebm evidence based chaos evidence based verses experience based hippocrates modern medicine Source Type: blogs
Door-to-Balloon Time Not Most Critical Factor in STEMI OutcomeDoor-to-Balloon Time Not Most Critical Factor in STEMI Outcome
A new metric for STEMI patients may be on the near horizon. Find out more. Critical Care Medicine
Source: Medscape Cardiology Headlines - August 20, 2014 Category: Cardiology Tags: Critical Care Journal Article Source Type: news
Impact of intensive care unit attending physician training background on outcomes in children undergoing heart operations
Conclusions : This large observational study did not demonstrate any impact of ICU attending training background on outcomes in children undergoing heart operations.
Source: Annals of Pediatric Cardiology - January 18, 2018 Category: Cardiology Authors: Priya Bhaskar Mallikarjuna Rettiganti Jeffrey M Gossett Punkaj Gupta Source Type: research
Critical Care Management of the Adult Patient with Congenital Heart Disease: Focus on Postoperative Management and Outcomes
Opinion statement
Advances in surgical techniques and in the medical management of children with congenital heart disease has increased survival into adulthood, resulting in a population of adults with congenital heart disease now surpassing the pediatric population in numbers. Furthermore, many of the patients will require repeat surgical, catheter-based, procedures and/or obstetrical care in their adult lives, and understanding the specific cardiopulmonary physiology and the involvement of other organ systems is critical to successful intervention. A team approach, with consultants from medical specialties in t...
Source: Current Treatment Options in Cardiovascular Medicine - February 5, 2015 Category: Cardiology Source Type: research
Why This Cardiologist Trained in Critical Care Medicine Why This Cardiologist Trained in Critical Care Medicine
Michelle O ' Donoghue and Erin Bohula discuss issues in critical care cardiology, such as challenges for trainees and the need for more research to strengthen the lacking evidence base.theheart.org on Medscape
Source: Medscape Cardiology Headlines - October 15, 2019 Category: Cardiology Tags: Cardiology Commentary Source Type: news
The Role and Impact of Extracorporeal Membrane Oxygenation in Critical Care.
Abstract
Use of extracorporeal membrane oxygenation (ECMO) has been exponentially increasing over the last decade and is now considered a mainstream lifesaving treatment modality in critical care medicine. However, the need for physician education, training, and experience remains imperative. Although ECMO has traditionally been used in end-stage lung disease and circulatory collapse, it is being adopted for use in right heart failure, as a bridge to heart and lung transplantation, and as rescue therapy for both sepsis and post-organ transplantation. The following article discusses indications, management, complic...
Source: Methodist DeBakey Cardiovascular Journal - April 1, 2018 Category: Cardiology Authors: Ratnani I, Tuazon D, Zainab A, Uddin F Tags: Methodist Debakey Cardiovasc J Source Type: research
Transcranial Doppler ultrasound: a review of the physical principles and major applications in critical care.
Authors: Naqvi J, Yap KH, Ahmad G, Ghosh J
Abstract
Transcranial Doppler (TCD) is a noninvasive ultrasound (US) study used to measure cerebral blood flow velocity (CBF-V) in the major intracranial arteries. It involves use of low-frequency (≤2 MHz) US waves to insonate the basal cerebral arteries through relatively thin bone windows. TCD allows dynamic monitoring of CBF-V and vessel pulsatility, with a high temporal resolution. It is relatively inexpensive, repeatable, and portable. However, the performance of TCD is highly operator dependent and can be difficult, with approximately 10-20% of patients having in...
Source: International Journal of Vascular Medicine - December 1, 2014 Category: Cardiology Tags: Int J Vasc Med Source Type: research
Pediatric cardiovascular care in Uganda: Current status, challenges, and opportunities for the future
Twalib Olega Aliku, Sulaiman Lubega, Judith Namuyonga, Tom Mwambu, Michael Oketcho, John O Omagino, Craig Sable, Peter LwabiAnnals of Pediatric Cardiology 2017 10(1):50-57In many developing countries, concerted action against common childhood infectious diseases has resulted in remarkable reduction in infant and under-five mortality. As a result, pediatric cardiovascular diseases are emerging as a major contributor to childhood morbidity and mortality. Pediatric cardiac surgery and cardiac catheterization interventions are available in only a few of Sub-Saharan African countries. In Uganda, open heart surgeries (OHSs) and ...
Source: Annals of Pediatric Cardiology - December 28, 2016 Category: Cardiology Authors: Twalib Olega Aliku Sulaiman Lubega Judith Namuyonga Tom Mwambu Michael Oketcho John O Omagino Craig Sable Peter Lwabi Source Type: research
Resuscitation fluid composition affects hepatic inflammation in a murine model of early sepsis.
CONCLUSIONS: Electrolyte concentrations and buffer constituents of resuscitation fluids can modulate hepatic cytokine production and leukocyte recruitment in septic mice, while the effects of albumin are modest during early sepsis. Therefore, crystalloid fluid choice should be an important consideration for resuscitation in sepsis, and the effects of fluid composition on inflammation in other organ systems should be studied to better understand the physiological impact of this vital sepsis therapy.
PMID: 28105603 [PubMed - in process]
Source: Atherosclerosis - January 22, 2017 Category: Cardiology Authors: Patrick AL, Grin PM, Kraus N, Gold M, Berardocco M, Liaw PC, Fox-Robichaud AE, Canadian Critical Care Translational Biology Group Tags: Intensive Care Med Exp Source Type: research
Pediatric Post-Cardiac Arrest Care: A Scientific Statement From the American Heart Association.
ion Emergency Cardiovascular Care Pediatric Emphasis Group; Council on Cardiopulmonary, Critical Care, Perioperative and Resuscitation; Council on Cardiovascular and Stroke Nursing; Council on Clinical Cardiology; Council on Genomic and Precision Medicine; and Stroke Council
Abstract
Successful resuscitation from cardiac arrest results in a post-cardiac arrest syndrome, which can evolve in the days to weeks after return of sustained circulation. The components of post-cardiac arrest syndrome are brain injury, myocardial dysfunction, systemic ischemia/reperfusion response, and persistent precipitating pathophysiolo...
Source: Circulation - June 26, 2019 Category: Cardiology Authors: Topjian AA, de Caen A, Wainwright MS, Abella BS, Abend NS, Atkins DL, Bembea MM, Fink EL, Guerguerian AM, Haskell SE, Kilgannon JH, Lasa JJ, Hazinski MF, American Heart Association Emergency Cardiovascular Care Science Subcommittee; American Heart Associa Tags: Circulation Source Type: research
Incorporating Three‐dimensional Printing into a Simulation‐based Congenital Heart Disease and Critical Care Training Curriculum for Resident Physicians
ConclusionsThe utilization of three‐dimensional printing in a simulation‐based congenital heart disease and critical care training curriculum is feasible and improves pediatric resident physicians' understanding of a common congenital heart abnormality.
Source: Congenital Heart Disease - September 1, 2014 Category: Cardiology Authors: John P. Costello, Laura J. Olivieri, Lillian Su, Axel Krieger, Fahad Alfares, Omar Thabit, M. Blair Marshall, Shi‐Joon Yoo, Peter C. Kim, Richard A. Jonas, Dilip S. Nath Tags: Original Article Source Type: research
Cardiac Point-of-Care Ultrasound (POCUS): Extending the Reach
This issue of JASE features a new ASE Guidelines and Standards document, Recommendations for Cardiac Point-of-Care Ultrasound in Children: A Report from the American Society of Echocardiography.1 This document is the result of a unique collaboration of experts from pediatric departments of cardiology, critical care medicine, emergency medicine, and anesthesiology. Whereas cardiac POCUS has become a required skill in adult emergency medicine and critical care training programs, similar standardization of training in pediatric non-cardiology specialties has not been established.
Source: Journal of the American Society of Echocardiography - March 1, 2023 Category: Cardiology Authors: Patricia A. Pellikka Tags: Editor's Page Source Type: research
Association Between Diastolic Blood Pressure During Pediatric In-Hospital Cardiopulmonary Resuscitation and Survival.
Conclusions -These data demonstrate that mean DBP ≥25 mmHg during CPR in infants and ≥30 mmHg in children ≥1 year old was associated with greater likelihood of survival to hospital discharge and survival with favorable neurologic outcome.
PMID: 29279413 [PubMed - as supplied by publisher]
Source: Circulation - December 26, 2017 Category: Cardiology Authors: Berg RA, Sutton RM, Reeder RW, Berger JT, Newth CJ, Carcillo JA, McQuillen PS, Meert KL, Yates AR, Harrison RE, Moler FW, Pollack MM, Carpenter TC, Wessel DL, Jenkins TL, Notterman DA, Holubkov R, Tamburro RF, Dean JM, Nadkarni VM, Eunice Kennedy Shriver Tags: Circulation Source Type: research
Interim Guidance for Basic and Advanced Life Support in Adults, Children, and Neonates With Suspected or Confirmed COVID-19: From the Emergency Cardiovascular Care Committee and Get With the Guidelines ®-Resuscitation Adult and Pediatric Task Forces of the American Heart Association in Collaboration with the American Academy of Pediatrics, American Association for Respiratory Care, American College of Emergency Physicians, The Society of Critical Care Anesthesiologists, and American Society of An esthesiologists: Supporting Organizations: American Association of Critical Care Nurses and National EMS Physicians.
Interim Guidance for Basic and Advanced Life Support in Adults, Children, and Neonates With Suspected or Confirmed COVID-19: From the Emergency Cardiovascular Care Committee and Get With the Guidelines®-Resuscitation Adult and Pediatric Task Forces of the American Heart Association in Collaboration with the American Academy of Pediatrics, American Association for Respiratory Care, American College of Emergency Physicians, The Society of Critical Care Anesthesiologists, and American Society of Anesthesiologists: Supporting Organizations: American Association of Critical Care Nurses and National EMS Physicians.
Cir...
Source: Circulation - April 8, 2020 Category: Cardiology Authors: Edelson DP, Sasson C, Chan PS, Atkins DL, Aziz K, Becker LB, Berg RA, Bradley SM, Brooks SC, Cheng A, Escobedo M, Flores GE, Girotra S, Hsu A, Kamath-Rayne BD, Lee HC, Lehotzky RE, Mancini ME, Merchant RM, Nadkarni VM, Panchal AR, Peberdy MAR, Raymond TT, Tags: Circulation Source Type: research
