Cardiac surgery: the infinite quest. Part III - Pediatric cardiac surgery: a discipline on its own

Neirotti, Rodolfo A.

doi:10.5935/1678-9741.20130035

Cited by 8 publications

(8 citation statements)

References 15 publications

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“…We believe that following and adapting theses recommendations to regional care will certainly promote an adequate assistance to the increasing population of GUCH patients. As recently suggested [ 44 ] the development of a specific model of assistance is necessary for these patients to minimize risks and offer good treatment.…”

Section: Discussionmentioning

confidence: 99%

Recommendations for starting a grown up congenital heart disease (GUCH) unit

Amaral¹,

Manso²,

Schmidt³

et al. 2015

Revista Brasileira De Cirurgia Cardiovascular

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During the last decades, advances in diagnosis and treatment of congenital heart disease have allowed many individuals to reach adulthood. Due mainly to the great diagnostic diversity and to the co-morbidities usually present in this age group, these patients demand assistance in a multidisciplinary facility if an adequate attention is aimed. In this paper we reviewed, based in the international literature and also on the authors’ experience, the structural conditions that should be available for these patients. We highlighted aspects like the facility characteristics, the criteria usually adopted for patient transfer from the paediatric setting, the composition of the medical and para- medical staff taking into account the specific problems, and also the model of outpatient and in-hospital assistance. We also emphasized the importance of patient data storage, the fundamental necessity of institutional support and also the compromise to offer professional training. The crucial relevance of clinical research is also approached, particularly the development of multicenter studies as an appropriate methodology for this heterogeneous patient population.

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Section: Discussionmentioning

confidence: 99%

Recommendations for starting a grown up congenital heart disease (GUCH) unit

Amaral¹,

Manso²,

Schmidt³

et al. 2015

Revista Brasileira De Cirurgia Cardiovascular

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“…Still, new challenges remain regarding the incorporation of MCS by LATAM centers, in which education and training required to use these devices is the key issue to achieve similar results to the centers of excellence abroad. International partnership plays an important role in this scenario, where foreign assistance should be adjusted to the local context avoiding dropping a replica of a proven model into an obsolete system . Limited resources are a barrier to development of academic, teaching, and cost‐effectiveness MCS programs in LATAM.…”

Section: The Heart Transplantation and Mcs In Latin Americamentioning

confidence: 99%

Pediatric Mechanical Circulatory Support Systems in Latin America

Canêo

Jatene

2016

Artificial Organs

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“…Centers of development, with the necessary funds and manpower for research to generate and accumulate know-how can advance a diversity of new procedures requiring their use for a more efficient treatment, cost benefit ratio, and sustainability of care. These centers, can then disseminate the new knowledge, minimizing or even eliminating the learning curve as well as producing policies for the future of the specialty [ 7 ] .…”

Section: Concepts and Practicesmentioning

confidence: 99%

ECMO: Improving our results by chasing the rabbits

Canêo¹,

Neirotti²

2015

Revista Brasileira De Cirurgia Cardiovascular

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As Marcelo Giugale published in the Financial Times, Latin America, on the whole, has not excelled at innovation - doing the same things in a new and better way or at doing new things. It has been slow to acquire, adopt and adapt technologies by this time available in other places[1]. Although extracorporeal membrane oxygenation (ECMO) is not a new technology, its use in Latin America is not widespread as needed. Furthermore, we still have a number centers doing ECMO, not reporting their cases, lacking a structured training program and not registered with the extracorporeal life support organization (ELSO). With this scenario, and accepting that ECMO is the first step in any circulatory support program, it is difficult to anticipate the incorporation of new and more complex devices as the technologically advanced world is currently doing. However, the good news is that with the support of experts from USA, Europe and Canada the results in Latin America ELSO'S centers are improving by following its guidelines for training, and using a standard educational process. There is no doubt that we can learn a great deal from the high velocity organizations - the rabbits - whom everyone chases but never catches, that manage to stay ahead because of their endurance, responsiveness, and their velocity in self-correction[2].

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Cardiac surgery: the infinite quest. Part III - Pediatric cardiac surgery: a discipline on its own

Cited by 8 publications

References 15 publications

Recommendations for starting a grown up congenital heart disease (GUCH) unit

Recommendations for starting a grown up congenital heart disease (GUCH) unit

Pediatric Mechanical Circulatory Support Systems in Latin America

ECMO: Improving our results by chasing the rabbits

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