Pediatric cardiac services in Iraq: current status and future plans

Almandel, A; Younis, Hina; Gilbert, Clare; Marr, Susan; Bowtell, Karen; Forsberg, Brian C.; Shauchenka, P; Suslin, E; Molloy, Frank; Novick, William M.

doi:10.1186/1749-8090-8-s1-o303

Cited by 2 publications

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“…But the surgeries have increased over time through cardiothoracic surgery programs in underserved countries. At that time, neonatal cardiac surgery started for the first time in Iraq (Almandel et al, 2013). The other one stated that many children in Iraq are waiting to have complex surgeries done for their congenital heart diseases, and even more infants are born every day with complex congenital heart illnesses.…”

Section: Discussionmentioning

confidence: 99%

High-sensitivity Troponin-t Level after Pediatric Congenital Heart Disease Surgery

Mahmood

2022

UOD

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Cardiac tissue ischemia can be assessed by a troponin biomarker in adults. However, its effectiveness after pediatric open-heart surgery is still being debated despite the increased demand for congenital heart surgeries. This study assesses the relationship of troponin T levels with many surgical, biochemical, and prognostic variables. This prospective, longitudinal study included 70 patients collected over one year. These patients underwent open-heart surgery and required a cardiopulmonary bypass machine at the Cardiac Center in Erbil, Iraq. Troponin T measurements were taken 4 times for each patient: the day before the operation, 4 and 24 hours post-surgery, and on the discharge day from the hospital. These measurements were correlated with many variables. The study revealed significantly higher troponin levels in children younger than three years old and in those with Fallot surgeries. Most patients with high 4-hour troponin levels developed short-term complications. Furthermore, significant correlations were observed between troponin levels with the duration of the whole operation and the durations of these specific procedures: cardiopulmonary bypass, aortic cross-clamp, and inotropic support. We also found that high troponin levels, particularly 4 hours post-surgery, can predict a longer-than-usual stay in the intensive care unit and hospital, as well as short-term complications

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Section: Discussionmentioning

confidence: 99%

High-sensitivity Troponin-t Level after Pediatric Congenital Heart Disease Surgery

Mahmood

2022

UOD

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“…A very ambitious model is the Team in Residence (TIR) model. The concept is to place a team of specialists in-country residence for periods of 1–2 years on a nearly continuous basis (39). We have essentially 3 different but interconnected teams with this model; surgical team (surgeon, anesthesiologist, perfusionist, ± scrub nurse), the ICU team [(one or two Intensivists, a ICU Nurse Practitioner and/or Nurse Educator and 2 ICU nurses) and the cardiology team (interventional cardiologist].…”

Section: Program Modelsmentioning

confidence: 99%

Pediatric Cardiac Service Development Programs for Low- and Middle-Income Countries in Need of Improving or Initiating Local Services

Novick

Molloy

Bowtell³

et al. 2019

Front. Pediatr.

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Pediatric cardiac services are deficient in most of the world. Various estimates are that between 80 and 90% of the world's children do not receive adequate cardiac care for their congenital or acquired heart disease. We began a modest effort in 1992 to assist in the development of pediatric cardiac services in low- and middle-Income countries (LMIC). Since then, we have provided services in 32 countries based on 3 distinctive development strategies, in order to meet the local needs for pediatric cardiac services. Our goal has always been to provide education, training and sufficient experience so that eventually we leave a site with a fully functional, independently operating pediatric cardiac service that is sustainable over time. The margin between success and failure is dependent upon a number of factors and we hope that this chapter will provide others with the tools for success.

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Pediatric cardiac services in Iraq: current status and future plans

Cited by 2 publications

References 0 publications

High-sensitivity Troponin-t Level after Pediatric Congenital Heart Disease Surgery

High-sensitivity Troponin-t Level after Pediatric Congenital Heart Disease Surgery

Pediatric Cardiac Service Development Programs for Low- and Middle-Income Countries in Need of Improving or Initiating Local Services

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