Outcomes using a clinical practice pathway for the management of pulse loss following pediatric cardiac catheterization

2014 ◽  
Vol 85 (1) ◽  
pp. 111-117 ◽  
Author(s):  
Andrew C. Glatz ◽  
Rachel Keashen ◽  
Julie Chang ◽  
Lisa-Ann Balsama ◽  
Yoav Dori ◽  
...  
Keyword(s):  
Clinical Practice ◽  
Cardiac Catheterization ◽  
Pediatric Cardiac Catheterization

Is the Addition of Dexmedetomidine to a Ketamine–Propofol Combination in Pediatric Cardiac Catheterization Sedation Useful?

2012 ◽  
Vol 33 (5) ◽  
pp. 770-774 ◽  
Author(s):  
Ayşe Ülgey ◽  
Recep Aksu ◽  
Cihangir Bicer ◽  
Aynur Akin ◽  
Resul Altuntaş ◽  
...  
Keyword(s):  
Cardiac Catheterization ◽  
Pediatric Cardiac Catheterization

Use of Low-Dose Ketamine and/or Midazolam for Pediatric Cardiac Catheterization

2003 ◽  
Vol 24 (3) ◽  
pp. 236-243 ◽  
Author(s):  
A.A. Schmaltz ◽  
A. Jobeir ◽  
M.O. Galal ◽  
Z.R. Bulbul ◽  
L. Solymar ◽  
...  
Keyword(s):  
Cardiac Catheterization ◽  
Low Dose ◽  
Pediatric Cardiac Catheterization

scholarly journals Pediatric Diagnostic Reference Levels for Diagnostic and Therapeutic Cardiac Catheterization in Japan

2021 ◽  
Author(s):  
Toru Ishibashi ◽  
Yasutaka Takei ◽  
Mamoru Kato ◽  
Yukari Yamashita ◽  
Atsuko Tsukamoto ◽  
...  
Keyword(s):  
Cardiac Catheterization ◽  
Pediatric Patients ◽  
Age Groups ◽  
Diagnostic Reference Levels ◽  
Reference Levels ◽  
Air Kerma ◽  
Cardiac Angiography ◽  
Pediatric Cardiac Catheterization ◽  
One Year ◽  
Area Product

Abstract To propose Japanese national DRLs for air-kerma at the reference point (Ka,r), air-kerma area product (PKA), fluoroscopy time (FT), and number of cine images (CI) for four age groups. We posted a nationwide questionnaire to 132 facilities. Questions focused on identifying the procedure, age, weight, height, Ka,r, PKA, FT, and CI during diagnostic and therapeutic pediatric cardiac catheterization. For diagnostic cardiac angiography, the 75th percentile values were as follows; Ka,r: 103, 127, 194, and 351 mGy; PKA: 7.0, 12.3, 14.3, and 47.2 Gy.cm2; FT: 36.8, 30.7, 33.4, and 35.7 min; and CI: 2018, 2313, 2408, and 2016 images for less than one year, 1–5 years, 6–10 years, and 11–15 years respectively. For therapeutic cardiac angiography, the 75th percentile values were as follows: Ka,r: 146, 209, 130, and 501 mGy; PKA: 7.54, 16.0, 8.35, and 46.0 Gy.cm2; FT: 56.5, 52.0, 49.4, and 52.0 min; and CI: 4075, 4514, 3576, and 5984 images for less than one year, 1–5 years, 6–10 years, and 11–15 years respectively. Our survey of diagnostic and therapeutic cardiac catheterization in Japanese pediatric patients showed that all age-based Japanese 75th percentiles for the Ka,r, PKA, FT, and CI were higher than in other surveys. Based on the result of our study, it is necessary to establish DRLs for pediatric cardiac catheterization examinations in Japan, in order to optimize the safety of pediatric protocols for diagnostic and therapeutic cardiac catheterization.

A Pen-based Interface for Generating Graphical Reports of Findings in Cardiac Catheterization

2007 ◽  
Vol 46 (06) ◽  
pp. 694-699
Author(s):  
T. Igarashi ◽  
R. Haraguchi ◽  
K. Nakazawa ◽  
Y. Mori
Keyword(s):  
Clinical Practice ◽  
Cardiac Catheterization ◽  
Coronary Arteries ◽  
American Heart Association ◽  
Semantic Information ◽  
American Heart ◽  
Graphical Representation ◽  
Heart Association ◽  
Medical Professionals ◽  
Current Implementation

Summary Objectives : This paper introduces a pen-based interface for the graphical reporting of findings in cardiac catheterization. Methods : The user can interactively draw, erase, move, and deform coronary arteries as well as record stenoses on them. The location and degree of each stenosis is represented visually and the doctor can record various treatments such as bypasses and stents on the diagram. In addition, the system automatically extracts semantic information from the graphical representation and stores it in XML format. The system can also generate a table in the format specified by the American Heart Association. Results : Our current implementation is a research prototype and is not yet being used in clinical practice. However, we have already demonstrated it to medical professionals and confirmed the following benefits. Conclusions : This system is useful not only as a tool for efficiently generating reports of findings but also as an effective explanation tool for patients.

Cardiac catheterization in children as outpatients: potential, eligibility, safety and costs

2003 ◽  
Vol 13 (3) ◽  
pp. 275-283 ◽  
Author(s):  
Monica Arpagaus ◽  
Darryl Gray ◽  
Brenda Zierler
Keyword(s):  
Cardiac Catheterization ◽  
Medical Records ◽  
Nursing Interventions ◽  
Prospective Evaluation ◽  
Pediatric Hospital ◽  
Consequence Analysis ◽  
Same Day Discharge ◽  
Cost Consequence ◽  
Pediatric Cardiac Catheterization ◽  
Inpatient Management

Background:Outcomes and costs of inpatient versus outpatient pediatric cardiac catheterization have not been extensively evaluated.Methods:For a cost-consequence analysis, we reviewed the medical records and cost data in a Swiss pediatric hospital. We compared outcomes and costs of observed inpatient management versus hypothetical planned same-day discharge for patients meeting the outpatient catheterization criterions for an American pediatric hospital.Results:Among 346 catheterization admissions occurring from January, 1998 through December, 1999, 179 met the American criterions for outpatient catheterization. Complications observed, and/or nursing interventions begun within 5 hours of catheterization, might have required overnight observation in 41 of the 179 admissions (22.9%). The remaining 138 patients were stable at five hours, and presumably could have been discharged the day of the procedure. Routine pre-discharge imaging detected significant complications following three interventional procedures. Postulated costs from the perspective of the provider, counting hospital and physician expenditure were calculated for the Swiss franc in 2000 at a rate of 1.69 francs for each American dollar, averaged 10,946 francs per inpatient, versus 9790 francs for outpatient treatment (p < 0.001 by paired t-test). Estimated revenue deficits, calculated as costs minus reimbursement, averaged 8565 francs per inpatient versus 1756 francs per patient treated as an outpatient.Conclusions:Half the patients being catheterized in the Swiss hospital met the external criterions for attempted outpatient catheterization. Most might have been safely discharged on the same day, with modest savings in costs, and reduced deficits in terms of revenue. Routine pre-discharge imaging may be more important than overnight observation. Outpatient catheterization merits prospective evaluation in Switzerland.

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