Publications by authors named "Aravanan A Chakkarapani"

Introduction: Magnetic resonance imaging (MRI) is a common procedure in tertiary care neonatal intensive care units (NICUs). MRIs aid in detailing structural anatomy and are increasingly utilized for prognostication. Keeping babies calm and motion-free in the MRI suite is challenging, and various approaches have been adopted to obtain the best image quality.

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Transitional circulation is normally transient after birth but can vary markedly between infants. It is actually in a state of transition between fetal (in utero) and neonatal (postnatal) circulation. In the absence of definitive clinical trials, information from applied physiological studies can be used to facilitate clinical decision making in the presence of hemodynamic compromise.

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This study aims to assess the effects of inhaled nitric oxide (iNO) on oxygenation in the management of pulmonary hypertension (PH) secondary to arteriovenous malformations (AVMs) in neonates. This is a matched retrospective cohort study from January 1, 2013, to December 31, 2017. The European inhaled nitric oxide registry from 43 neonatal and pediatric ICUs in 13 countries across Europe was used to extract data.

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In term and near-term neonates with neonatal encephalopathy, therapeutic hypothermia protocols are well established. The current focus is on how to improve outcomes further and the challenge is to find safe and complementary therapies that confer additional protection, regeneration or repair in addition to cooling. Following hypoxia-ischemia, brain injury evolves over three main phases (latent, secondary and tertiary), each with a different brain energy, perfusion, neurochemical and inflammatory milieu.

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Article Synopsis
  • Mechanical ventilation can save the lives of critically ill newborns but may also harm their lungs and lead to long-term issues.
  • It's crucial for healthcare providers to understand how both conventional and high-frequency ventilation work in order to manage neonatal respiratory needs effectively.
  • The review discusses different ventilation types used in neonatal care and suggests personalized strategies based on specific diseases for better patient outcomes.
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Objective: Transport teams perform multiple procedural interventions during the stabilization of critically ill neonates. The setting of this study was a national cohort of interfacility neonatal transports from nontertiary centers.

Methods: A retrospective cohort study of neonatal transports having interventional procedures using the Canadian Neonatal Transport Network database during 2014 to 2016.

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Article Synopsis
  • - Mechanical ventilation is crucial for neonatal patients with respiratory failure, as it helps ensure proper oxygen delivery and carbon dioxide excretion.
  • - Advanced techniques like volume-targeted ventilation have been developed for very premature infants, allowing for precise control of airflow and tidal volumes.
  • - A solid grasp of respiratory physiology and the specific disease mechanisms is essential for selecting appropriate ventilation modes and settings to enhance gas exchange while minimizing lung damage.
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This prospective observational study on 36 neonates aimed to estimate the correlation between the new Saturation Oxygen distending Pressure Index (SOPI) and Oxygenation index. SOPI had high correlation (r=0.94) with oxygenation index.

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