Paediatric anaesthesia
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Paediatric anaesthesia · Mar 2017
Congenital diaphragmatic hernia: outcomes of neonates treated at Mayo Clinic with and without extracorporeal membrane oxygenation.
Congenital diaphragmatic hernia (CDH) is a rare anomaly with high mortality and long-term comorbid conditions. ⋯ The overall survival of neonates with CDH was 79%. Intrathoracic liver herniation was associated with more frequent use of ECMO and greater mortality. A substantial number of survivors, especially those who required ECMO, experienced chronic conditions after discharge.
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Paediatric anaesthesia · Mar 2017
Natural history of nonimmune-mediated thrombocytopenia and acute kidney injury in pediatric open-heart surgery.
Thrombocytopenia and acute kidney injury (AKI) are common following pediatric cardiac surgery with cardiopulmonary bypass (CPB). However, the relationship between postoperative nadir platelet counts and AKI has not been investigated in the pediatric population. Our objective was to investigate this relationship and examine independent predictors of AKI. ⋯ In pediatric open-heart surgery, thrombocytopenia and AKI occur commonly following CPB. Our findings show a strong association between nadir platelet counts and the severity of AKI.
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Paediatric anaesthesia · Mar 2017
Comment LetterReply to Nielsen, Dominic; Visram, Anil, regarding their comment 'Comment on Tait AR, Bickham R, O'Brien LM, Quinlan M, Voepel-Lewis T. The STBUR questionnaire for identifying children at risk for sleep-disordered breathing and postoperative opioid-related adverse events - potential confounders'.
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Paediatric anaesthesia · Mar 2017
A qualitative exploration of anesthesia trainees' experiences during transition to a children's hospital.
The stresses of starting a new job can make anyone feel tired and inefficient. In health care, this may impair the ability to learn at a time when there is most to learn, and increase the risk of error in a context where errors may lead to patient harm. ⋯ The impact of disorientation and anxiety on anesthesia trainees as they adapt to a highly specialized clinical environment such as a children's hospital should not be underestimated. Study findings illustrate the importance of helping new trainees to feel less afraid, more useful, and more realistic in assessing their own performance during the transition period.