Paediatric anaesthesia
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Paediatric anaesthesia · Feb 2015
Review Meta AnalysisSystematic Review and Meta-Analysis of benefits and risks between normothermia and hypothermia during cardiopulmonary bypass in pediatric cardiac surgery.
The controversy over the benefits between normothermic and hypothermic cardiopulmonary bypass (CPB) for children is still uncertain. The purpose of this systematic review and meta-analysis is to investigate the benefits and risks of normothermia comparing with hypothermia in pediatric cardiac surgery by randomized controlled trials. ⋯ Normothermic CPB is as safe as hypothermic CPB in children requiring correction of simple congenital cardiac defects.
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Paediatric anaesthesia · Feb 2015
ReviewClinical utility of B-type natriuretic peptide (NP) in pediatric cardiac surgery - a systematic review.
NP is a biomarker that has been used in the diagnosis, management, and prognostication of a number of cardiovascular disorders in the pediatric population. The physiological role of this hormone is to allow the myocardium to adapt to stress or strain imposed by a volume and/or pressure load. ⋯ NPs provide a simple, noninvasive and complementary tool to echocardiography that can be used to assist clinicians in the assessment and management of pediatric patients with congenital heart disease in the perioperative period.