Paediatric anaesthesia
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Paediatric anaesthesia · Dec 2011
Cystatin C: influence of perfusion and myocardial injury on early (<24 h) renal function after pediatric cardiac surgery.
Cardiopulmonary bypass (CPB)-associated renal dysfunction following cardiac surgery is well recognized. In patients with renal disease, cystatin C has emerged as a new biomarker which in contrast to creatinine (Cr) is sensitive to minor changes in glomerular filtration rate (GFR). ⋯ Cystatin C is a sensitive marker of early renal dysfunction following pediatric heart surgery. Variations in bypass parameters, myocardial injury, and ultimately critical oxygen delivery are significantly associated with the degree of renal impairment.
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Paediatric anaesthesia · Dec 2011
Factors influencing blood loss and allogeneic blood transfusion practice in craniosynostosis surgery.
OBJECTIVE/AIMS: To identify factors influencing perioperative blood loss and transfusion practice in craniosynostotic corrections. ⋯ In this study, craniosynostotic corrections were associated with large amounts of blood loss and high ABT rates. The amount of ABT could possibly be reduced by appointing a dedicated team of physicians, by using new less-invasive surgical techniques, and by adjusting anesthetic techniques.