COVID-19 Related Myocarditis and Stroke in Children: Spared but not Safe
Arterial Ischemic Stroke as an Unusual First Manifestation of Parvovirus B19 Myocarditis in an Infant
Safety Checklist Implementation Did Not Reduce Central Venous Catheter Duration in Pediatric Cardiac ICU Patients
The Center for Disease Control recommends prompt removal of nonessential central venous catheters (CVCs) to reduce the risk for central line-associated bloodstream infections. Safety checklists have been trialed to reduce nonessential CVC days, but pediatric studies are lacking. Our specific aim was to detect >10% reduction in mean CVC duration after implementation of a safety checklist addressing CVCs in our unit.
Surgical palliation for an infant with hypoplastic left heart syndrome and congenital lobar emphysema: a case report
The Use of the Biomarker Procalcitonin in Pediatric Cardiovascular Disorders
Atrioventricular block after congenital heart surgery: Analysis from the Pediatric Cardiac Critical Care Consortium
OBJECTIVES/OBJECTIVE:Our primary aims were to describe the contemporary epidemiology of postoperative high-grade atrioventricular block (AVB), the timing of recovery and permanent pacemaker (PPM) placement, and to determine predictors for development of and recovery from AVB. METHODS:Patients who underwent congenital heart surgery from August 2014 to June 2017 were analyzed for AVB using the Pediatric Cardiac Critical Care Consortium registry. Predictors of AVB with or without PPM were identified using multinomial logistic regression. We used these predictors to model the probability of PPM for the subgroup of patients with intraoperative complete AVB. RESULTS:We analyzed 15,901 surgical hospitalizations; 422 (2.7%) were complicated by AVB and 162 (1.0%) patients underwent PPM placement. In patients with transient AVB, 50% resolved by 2Â days, and 94% resolved by 10Â days. In patients who received a PPM, 50% were placed by 8Â days and 62% were placed by 10Â days. Independent risk factors associated with PPM compared with resolution of AVB were longer duration of cardiopulmonary bypass (relative risk ratio, 1.04; PÂ =Â .023) and a high-risk operation (relative risk ratio, 2.59; PÂ <Â .001). Among patients with complete AVB originating in the operating room, those with the highest predicted probability of PPM had a PPM placed only 77% of the time. CONCLUSIONS:In this cohort, postoperative AVB complicated almost 3% of congenital heart surgery cases and 1% of patients underwent PPM placement. Because almost all patients (94%) with transient AVB had resolution by 10Â days, our results suggest there is limited benefit to delaying PPM placement beyond that time frame.
[S.l.] : American Association for Thoracic Surgery, 2018
Post-operative heart block following congenital heart surgery: analysis from the Pediatric Cardiac Critical Care Consortium(Website)
Donor predictors of allograft utilization for pediatric heart transplantation
Pediatric heart transplantations are limited by the supply of donor allografts. We sought to determine the cardiac allograft utilization rate for pediatric donors and identify donor factors that predict graft use for transplantation. The United Network for Organ Sharing deceased donor database was queried from April 30, 2006, to March 31, 2014. Donor risk factors that might affect graft use for cardiac transplantation were evaluated. The pediatric cardiac graft utilization rate was calculated, and logistic regression modeling was performed to determine the relationship of risk factors with graft use for transplantation. During the study period, 6682 eligible cardiac donors <18 years of age were identified, and 3758 (56.2%) grafts were utilized for transplantation. Grafts from male donors (OR 1.181) were significantly associated with graft utilization. Graft donor age >1 year (OR 0.363), non-O blood type (OR 0.586), CDC 'high-risk' donor status (OR 0.676), use of inotropes (OR 0.718), use of >2 inotropes (OR 0.328), and donor left ventricular ejection fraction <50% (OR 0.045) were significantly associated with graft nonutilization. The pediatric cardiac allograft utilization rate and risk factors for graft use for transplantation have been identified. Additional studies will be needed to assess the donor-recipient relationship on pediatric transplant outcomes.
REGIONAL DIFFERENCES IN PEDIATRIC CARDIAC GRAFT UTILIZATION AND TRENDS OVER TIME [Meeting Abstract]
A Standardized Postoperative Handover Protocol Improves Inter- Provider Communication after Pediatric Cardiac Surgery