scholarly journals Preliminary data: PIM and Prism in infants and children post cardiac surgery in a UK PICU

Critical Care ◽  
10.1186/cc621 ◽  
1999 ◽  
Vol 3 (Suppl 1) ◽  
pp. P248 ◽  
Author(s):  
G D Jones ◽  
M Hatherill ◽  
IA Murdoch
Keyword(s):  
Cardiac Surgery ◽  
Preliminary Data ◽  
Infants And Children ◽  
Post Cardiac Surgery ◽  
In Infants And Children

scholarly journals Acute Kidney Injury Post-cardiac Surgery in Infants and Children: A Single-Center Experience in a Developing Country

2021 ◽  
Vol 9 ◽  
Author(s):  
Bilal Aoun ◽  
Ghadi Abu Daher ◽  
Karim N. Daou ◽  
Sami Sanjad ◽  
Hani Tamim ◽  
...  
Keyword(s):  
Acute Kidney Injury ◽  
Cardiac Surgery ◽  
Heart Disease ◽  
Developing Country ◽  
Kidney Injury ◽  
Infants And Children ◽  
Cyanotic Heart Disease ◽  
Incidence And Mortality ◽  
Post Cardiac Surgery ◽  
In Infants And Children

Introduction: The incidence of acute kidney injury (AKI) in pediatric patients following cardiac surgery varies between 15 and 64%, with a mortality rate of 10–89% among those requiring dialysis. This variation in the incidence and mortality of AKI across studies is probably due to the inconsistent definitions used for AKI. The purpose of this study is to present our experience with AKI post-cardiac surgery with emphasis on predisposing or aggravating factors.Patients and Methods: We evaluated the incidence of AKI using the KDIGO criteria in 150 infants and children undergoing cardiac surgeries between 2015 and 2017. Post-operatively, all patients were admitted to the pediatric intensive care unit (PICU) at a tertiary care center in a developing country. This is a retrospective chart review in which data collected included age, gender, type of heart disease, prior cardiac surgeries, RACHS-1 category, and pre- and post-operative creatinine levels. Neonates were not included in this study.Results: Six percent of the studied patients were below 1 year of age, 84% 1–10 years, and 10% 10–18 years. Fourteen patients (9.3%) developed AKI. Patients with cyanotic heart disease were more prone to develop AKI (78%) compared to those with non-cyanotic heart disease (44%). Children with AKI had a higher length of stay in PICU, 2.56 ± 1.44 vs. 4 ± 2.66 (p- 0.02). Serum lactic acid was higher in patients who developed AKI with a mean value of 6.8 ± 6.9 vs. 2.85 ± 1.55 mmol/l in the non-AKI group (p- 0.03). Lower hemoglobin levels and hyperlactic acidemia were significantly more prevalent in the AKI group. There were five deaths in this series (3.3%), and four of those (80%) were in the AKI group.Conclusion: Using the KDIGO criteria, the incidence of AKI in infants and children following cardiac surgery was 9.3%. This is slightly lower than in previously published studies where the range was between 15 and 64%. Children with cyanotic cardiac disease, hyperlactic acidemia, and anemia were more prone to developing AKI. Identifying patients at risk might help decrease the risk of post-operative AKI.

Femoral arterial cannulation performed by residents: a comparison between ultrasound-guided and palpation technique in infants and children undergoing cardiac surgery

2016 ◽  
Vol 26 (8) ◽  
pp. 823-830 ◽  
Author(s):  
Sahar M. Siddik-Sayyid ◽  
Marie T. Aouad ◽  
Muhammad H. Ibrahim ◽  
Samar K. Taha ◽  
Maud F. Nawfal ◽  
...  
Keyword(s):  
Cardiac Surgery ◽  
Infants And Children ◽  
Arterial Cannulation ◽  
Ultrasound Guided ◽  
In Infants And Children

Hyperamylasemia after cardiac surgery in infants and children

1996 ◽  
Vol 22 (9) ◽  
pp. 959-963
Author(s):  
T. Tikanoja ◽  
P. Rautiainen ◽  
M. Leijala ◽  
E. Svens ◽  
S. Tikanoja
Keyword(s):  
Cardiac Surgery ◽  
Infants And Children ◽  
In Infants And Children

Perioperative Hemodynamic Effects of Nesiritide Following Cardiac Surgery in Infants and Children

2005 ◽  
Vol 6 (1) ◽  
pp. 115
Author(s):  
J D Tobias ◽  
J M Simsic ◽  
M Scheurer ◽  
J W Berkenbosch ◽  
W S Schechter ◽  
...  
Keyword(s):  
Cardiac Surgery ◽  
Infants And Children ◽  
Hemodynamic Effects ◽  
In Infants And Children

Hyperamylasemia after cardiac surgery in infants and children

1996 ◽  
Vol 22 (9) ◽  
pp. 959-963 ◽  
Author(s):  
T. Tikanoja ◽  
P. Rautiainen ◽  
M. Leijala ◽  
E. Svens ◽  
S. Tikanoja
Keyword(s):  
Cardiac Surgery ◽  
Infants And Children ◽  
In Infants And Children
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