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SyndromeCatheterizationAnesthesiaPulmonaryIntensiveArterialSurgicalSurgeryRoutinePatientsStrokeEvaluateSignificantIndexIncludeImproveMonitorCongenital heart dPediatricPostoperativeLevosimendanAorticDysfunctionSurgery patientsChildrenResults

Syndrome9

• They all belonged to the conventional group and died of low cardiac output syndrome. (biomedcentral.com)
• Join Host Dr. Niranjan Vijayakumar, MBBS of Boston Children's Hospital (Harvard University) as he interviews Dr. Meena Nathan MD, MPH, FRCS also of Boston Children's Hospital (Harvard University) on the factors such as residual lesions that can influence low cardiac output syndrome (LCOS) after cardiac surgery. (pcics.org)
• Thus, the aim of this study is to evaluate the correlation of NIRS with cardiac index in low cardiac output syndrome (LCOS). (fortuneonline.org)
• Background Low cardiac output syndrome (LCOS) is a serious complication after coronary artery bypass grafting (CABG) surgery. (bvsalud.org)
• Objective To find out the frequency of Low cardiac output syndrome following on pump coronary artery bypass grafting surgery, to determine the association of Low cardiac output syndrome with degree of pre-operative left ventricular dysfunction and to compare in hospital outcomes of coronary bypass surgery with and without low cardiac output syndrome. (bvsalud.org)
• Post-operatively frequency of low cardiac output syndrome was compared between the groups and in-hospital outcomes were studied. (bvsalud.org)
• Left ventricular dysfunction pre-operatively is associated with high frequency of low cardiac output syndrome following surgery. (bvsalud.org)
• There is significantly poor outcome of coronary artery bypass surgery with low cardiac output syndrome in terms of stroke, respiratory failure, acute kidney injury, mortality and significant ICU stay, hospital stay in compare to patients without low cardiac output syndrome. (bvsalud.org)
• Low cardiac output syndrome (LCOS) does occur in the postoperative patient, but appropriate anticipation and intervention can do much to avert morbidity or the need for mechanical support. (aneskey.com)

Catheterization1

• The condition was diagnosed almost all by echocardiography, but cardiac catheterization (30%), computed tomography (96%), and magnetic resonance imaging (14%) were also performed. (biomedcentral.com)

Anesthesia2

• Executive Producers: David Werho, Saidie Rodriguez, and Deanna Tzanetos organize discussions on various topics in pediatric cardiac intensive care, cardiology, cardiac surgery, and anesthesia. (pcics.org)
• Join Chris Knoll and Lillian Su, 2 cardiac intensivists at Phoenix Children as they interview Dr. Jim DiNardo who is the former Chief of CV Anesthesia at Boston Children's. (pcics.org)

Pulmonary2

• and (5) surgical management when cardiac, pulmonary, renal, and central nervous systems (CNS) are optimized. (aneskey.com)
• In the cardiac ICU, a dead space fraction >10% often represents decreased pulmonary blood flow. (bchcicu.org)

Intensive1

• The PCICS Podcast is the official podcast of the Pediatric Cardiac Intensive Care Society and is the longest-running podcast for pediatric cardiology and pediatric cardiac critical care. (pcics.org)

Arterial2

• Cardiac index ( left axis ) measured in infants after the arterial switch operation declines during the first 12 hours and was not the result of any reduction in inotropic support ( right axis ). (aneskey.com)
• Patients with a high SVR and a low stroke volume may have a normal or even high SBP but an arterial impulse that lasts into only early systole. (bchcicu.org)

Surgical1

• Average baseline value for cardiac surgical patients is 62%, ranging from 56 to 67% [1,2]. (fortuneonline.org)

Surgery10

• Join the PCICS Podcast as we talk about the 8th World Congress of Pediatric Cardiology and Cardiac Surgery, live, unedited, and unfiltered. (pcics.org)
• 8th World Congress of Pediatric Cardiology and Cardiac Surgery: Sneak Peek of Nursing, NICU and CICU Tracks. (pcics.org)
• While cerebral near infrared spectroscopy (NIRS) is a valuable diagnostic tool to monitor brain oxygenation during cardiac surgery, its value in situations of low cardiac output in critical care patients has not been thoroughly evaluated. (fortuneonline.org)
• therefore MRI can be performed in patients who have undergone previous cardiac surgery. (aneskey.com)
• Objective: Neonatal cardiac surgery requiring cardiopulmonary bypass results in a heightened inflammatory response. (elsevierpure.com)
• Perioperative glucocorticoid administration is commonly used in an attempt to reduce the inflammatory cascade, although characterization of the cytokine response to steroids in neonatal cardiac surgery remains elusive because of highly variable approaches in administration. (elsevierpure.com)
• This randomized trial was designed to prospectively evaluate the effect of specific glucocorticoid dosing protocols on inflammatory markers in neonatal cardiac surgery requiring cardiopulmonary bypass. (elsevierpure.com)
• Methods: Neonates scheduled for cardiac surgery were randomly assigned to receive either 2-dose (8 hours preoperatively and operatively, n = 36) or single-dose (operatively, n = 32) methylprednisolone at 30 mg/kg per dose in a prospective double-blind trial. (elsevierpure.com)
• Conclusions: The addition of a preoperative dose of methylprednisolone to a standard intraoperative methylprednisolone dose does not improve markers of inflammation after neonatal cardiac surgery. (elsevierpure.com)
• The routine administration of preoperative glucocorticoids in neonatal cardiac surgery should be reconsidered. (elsevierpure.com)

Routine2

• The hypothesis of this study is that NIRS shows significant decline during LCOS earlier than routine hemodynamic measurements. (fortuneonline.org)
• Findings of this research potentially impact guideline recommendations on routine hemodynamic monitoring on cardiac ICU. (fortuneonline.org)

Patients3

• Assuming a 20% LCOS rate in patients with baseline ejection fraction below 35%, at least 68 individuals need to be included in the study to gain enough data to reach statistical significance. (fortuneonline.org)
• The frequency of LCOS was 15 vs 28% (p - 0.038) in patients with preoperative LV EF ≥ 40% and (bvsalud.org)
• In many patients, though, PBF is closely tied with systemic blood flow, such that concern should be raised for decreased cardiac output. (bchcicu.org)

Stroke1

• When this is not the case, it also indicates an elevated SVR and low stroke volume state and almost always follows the pattern above as the circulation improves. (bchcicu.org)

Evaluate1

• Mixed venous oxygen saturation, whole blood pH, and lactate are laboratory measures commonly used to evaluate the adequacy of tissue perfusion and hence cardiac output. (aneskey.com)

Significant1

• if the distal MABP is lower than central, it indicates a significant LCOS and elevated SVR. (bchcicu.org)

Index3

• The reference diagnostic test for comparison is continuous cardiac index measurement through Swan-Ga\gnz ca\gtheter. (fortuneonline.org)
• In addition to correlation of NIRS values with cardiac index, sensitivity and specificity analyses will be performed after adjustment for confounders (systemic vascular resistance, hemoglobin). (fortuneonline.org)
• One fourth of these newborns reached a nadir of cardiac index that was less than 2 L/min/m 2 on the first postoperative night. (aneskey.com)

Include1

• Episodes include challenging cases, new science, journal clubs, humanity topics, current events, education, and novel ICU therapies with guests from pediatric cardiac ICUs across the world and other leaders in the field. (pcics.org)

Improve1

• This study could improve understanding the value of NIRS in LCOS. (fortuneonline.org)

Monitor1

• This tool is also useful to monitor a threatened limb, e.g. following a cardiac cath. (bchcicu.org)

Congenital heart d3

• Altered metabolic and inflammatory transcriptomics after cardiac surgery in neonates with congenital heart disease. (nih.gov)
• The study examines the whole blood transcriptome profile before and after cardiopulmonary bypass (CPB) in neonates with hypoplastic left heart syndrome (HLHS), a severe form of congenital heart disease, that can develop low cardiac output syndrome (LCOS). (nih.gov)
• To determine the predictive value of the inotropic score (IS) and vasoactive-inotropic score (VIS) in low cardiac output syndrome (LCOS) in children after congenital heart disease surgery involving cardiopulmonary bypass (CPB), and to establish whether mid-regional pro-adrenomedullin (MR-proADM) and cardiac troponin I (cTn-I), associated to the IS and VIS scores, increases the predictive capacity in LCOS. (medintensiva.org)

Pediatric2

• Complex pediatric cardiac disease is associated with brain impairment and neurodevelopmental disorders, particularly in patients requiring cardiac surgery for aortic arch anomalies. (bvsalud.org)
• The presentation of pediatric HF is diverse because of the numerous underlying cardiac etiologies ( table 1 ) and varying clinical settings. (medilib.ir)

Postoperative3

• We assessed the incidence of postoperative kidney failure in cardiac surgery patients. (medscape.com)
• The incidence of kidney failure decreased with the postoperative administration of levosimendan to cardiac surgery patients with LCOS, as compared to beta-agonists. (medscape.com)
• Beyond its principal indication in the management of acutely decompensated chronic heart failure (AHF), levosimendan has been evaluated for its potential in a range of emergency and critical care applications, including postoperative (predominantly cardiac surgery) situations, sepsis/septic shock, renal impairment/failure and cardiogenic shock (CS). (biomedcentral.com)

Levosimendan1

• A total of 100 patients with LCOS received either beta-agonists or levosimendan. (medscape.com)

Aortic1

• There was no significant difference between CPB, aortic cross clamp, deep hypothermic cardiac arrest times between patients that develop LCOS and those that do not. (nih.gov)

Dysfunction1

• Reversible contributors - Patients with HF may have comorbidities that can exacerbate or contribute to cardiac dysfunction. (medilib.ir)

Surgery patients1

• Up to 30% of cardiac surgery patients had kidney failure at diagnosis of LCOS. (medscape.com)

Children2

• We investigated MBL2 and MASP2 genotypes, serum MBL (mannose-binding lectin) levels and activities of its complexes with associated serine proteases (MASP-1, MASP -2), in relation to complications following cardiac surgery in 195 children. (nih.gov)
• RESULTS: Multiple linear regression showed that preoperative levels of serum cortisone were positively correlated with the gyrification index of the left inferior parietal gyrus in children with TOF and negatively related to their lower visual spaces index and nonverbal index. (bvsalud.org)

Results1

• INTRODUCTION - Heart failure (HF) results from structural or functional cardiac disorders that impair the ability of the ventricle(s) to fill with and/or eject blood. (medilib.ir)