Publications by authors named "C L Ramamoorthy"

Article Synopsis
  • * Eighteen patients, mostly facing Fontan Associated Liver Disease, underwent the complex surgery with median surgical times and significant blood transfusions, highlighting issues like vasoplegia and the use of prothrombin complex concentrates.
  • * Post-surgery, patients experienced varying recovery times and complications, including a 30-day thromboembolism rate of 22%, with notable incidences of neurological events and renal issues during the hospital stay.
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Objective: To describe the acute hemodynamic effect of vasopressin on the Fontan circulation, including systemic and pulmonary pressures and resistances, left atrial pressure, and cardiac index.

Design: Prospective, open-label, nonrandomized study (NCT04463394).

Setting: Cardiac catheterization laboratory at Lucile Packard Children's Hospital, Stanford.

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The continuous monitoring of arterial blood pressure (BP) is vital for assessing and treating cardiovascular instability in a sick infant. Currently, invasive catheters are inserted into an artery to monitor critically-ill infants. Catheterization requires skill, is time consuming, prone to complications, and often painful.

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Analgesia, sedation, and anesthesia are a continuum. Diagnostic and/or therapeutic procedures in newborns often require analgesia, sedation, and/or anesthesia. Newborns, in general, and, particularly, those with heart disease, have an increased risk of serious adverse events, including mortality under anesthesia.

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Bronchopulmonary dysplasia is the most frequent adverse outcome of prematurity. Before implementation of antenatal steroids and surfactant therapy, bronchopulmonary dysplasia was mostly characterized by fibrotic, scarred, and hyper-inflated lungs due to pulmonary injury following mechanical ventilation and oxygen toxicity. With advances in neonatal medicine, this "old" bronchopulmonary dysplasia has changed to a "new" bronchopulmonary dysplasia characterized by an arrest in lung growth, leading to alveolar simplification and pulmonary vascular dysangiogenesis.

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