Paediatric cardiac surgery in less privileged parts of the world

Neirotti, Rodolfo A.

doi:10.1017/s1047951104003191

Cited by 45 publications

(52 citation statements)

References 8 publications

(7 reference statements)

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“…Fast-track surgery is not a new concept; it was common practice in the UK in the 1960s and 1970s due to the older patient population, limited drug availability and inferior ventilator technology of the time. For similar reasons, fasttrack practices remain a mainstay of treatment for congenital heart surgery in the developing world [6,14,15]. As the complexity of case mix and available technology have evolved in the 1990s and beyond, prolonged postoperative ventilation has become more common after open-heart surgery [12].…”

Section: Discussionmentioning

confidence: 99%

Fast-track paediatric cardiac surgery: the feasibility and benefits of a protocol for uncomplicated cases

Howard

Brown

Garside

et al. 2010

European Journal of Cardio-Thoracic Surgery

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Section: Discussionmentioning

confidence: 99%

Fast-track paediatric cardiac surgery: the feasibility and benefits of a protocol for uncomplicated cases

Howard

Brown

Garside

et al. 2010

European Journal of Cardio-Thoracic Surgery

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“…The difficulty of access is just one of the problems generated by poverty and inequality where pediatric cardiac surgery is not considered a priority and it cannot be done if there is lack of money or infrastructure [4]. If some states require larger number of centers, others will benefit from improvements in existing centers.…”

Section: Introductionmentioning

confidence: 99%

A reflection on the performance of pediatric cardiac surgery in the State of São Paulo

Canêo¹,

Jatene²,

Yatsuda³

et al. 2012

Revista Brasileira De Cirurgia Cardiovascular

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“…Pediatric cardiac surgery is a complex system, where outcomes depend not only on surgical skills, but also on the interaction between human resources, hospitals facilities and processes [2] .…”

Section: Introductionmentioning

confidence: 99%

“…Even well-trained and skillful surgeons, while being able to generate excellent results in children, have difficulties reproducing the same kind of outcomes with neonates and infants [2] .…”

Section: Introductionmentioning

confidence: 99%

In-Vitro Evaluation of Two Types of Neonatal Oxygenators in Handling Gaseous Microemboli and Maintaining Optimal Hemodynamic Stability During Cardiopulmonary Bypass

Marupudi¹,

Wang²,

Canêo³

et al. 2016

Brazilian Journal of Cardiovascular Surgery

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ObjectiveUsually only FDA-approved oxygenators are subject of studies by the international scientific community. The objective of this study is to evaluate two types of neonatal membrane oxygenators in terms of transmembrane pressure gradient, hemodynamic energy transmission and gaseous microemboli capture in simulated cardiopulmonary bypass systems.MethodsWe investigated the Braile Infant 1500 (Braile Biomédica, São José do Rio Preto, Brazil), an oxygenator commonly used in Brazilian operating rooms, and compared it to the Dideco Kids D100 (Sorin Group, Arvada, CO, USA), that is an FDA-approved and widely used model in the USA. Cardiopulmonary bypass circuits were primed with lactated Ringer's solution and packed red blood cells (Hematocrit 40%). Trials were conducted at flow rates of 500 ml/min and 700 ml/min at 35ºC and 25ºC. Real-time pressure and flow data were recorded using a custom-based data acquisition system. For gaseous microemboli testing, 5cc of air were manually injected into the venous line. Gaseous microemboli were recorded using the Emboli Detection and Classification Quantifier.ResultsBraile Infant 1500 had a lower pressure drop (P<0.01) and a higher total hemodynamic energy delivered to the pseudopatient (P<0.01). However, there was a higher raw number of gaseous microemboli seen prior to oxygenator at lower temperatures with the Braile oxygenator compared to the Kids D100 (P<0.01).ConclusionBraile Infant 1500 oxygenator had a better hemodynamic performance compared to the Dideco Kids D100 oxygenator. Braile had more gaseous microemboli detected at the pre-oxygenator site under hypothermia, but delivered a smaller percentage of air emboli to the pseudopatient than the Dideco oxygenator.

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Paediatric cardiac surgery in less privileged parts of the world

Cited by 45 publications

References 8 publications

Fast-track paediatric cardiac surgery: the feasibility and benefits of a protocol for uncomplicated cases

Fast-track paediatric cardiac surgery: the feasibility and benefits of a protocol for uncomplicated cases

A reflection on the performance of pediatric cardiac surgery in the State of São Paulo

In-Vitro Evaluation of Two Types of Neonatal Oxygenators in Handling Gaseous Microemboli and Maintaining Optimal Hemodynamic Stability During Cardiopulmonary Bypass

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