Decreased Intraoperative Renal Tissue Oxygenation after Cardiopulmonary Bypass Predicts Cardiac Surgery-Associated Acute Kidney Injury in Neonates.

(1) Background: Near-infrared spectroscopy (NIRS) is a noninvasive tool frequently used during cardiac surgery and postoperatively in the cardiac intensive care unit to monitor regional tissue oxygen saturation. A relationship between trends of intraoperative renal oxygenation and the risk of developing cardiac surgery-associated acute kidney injury (AKI) post-operatively has not yet been established in the neonatal population. The objective of this study is to evaluate the relationship of cerebral and renal oxygenation during cardiopulmonary bypass with cardiac surgery-associated AKI in the first 72 h post-operation in neonates < 30 days of age.

Renal tissue oxygenation and development of AKI in preterm neonates born < 32 weeks' gestational age in the first week of age.

Objective: To evaluate the relationship between regional renal saturation of oxygen (RrSO) changes and serum creatinine (SCr) during the first eight days of age for preterm neonates born < 32 weeks' gestational age.

Design: Post-hoc analysis of multicenter prospectively measured neonatal RrSO values collected during the first 8 days of age in neonates born at < 32 weeks' gestation. Acute kidney injury (AKI) was defined by the neonatal modified Kidney Disease: Improving Global Outcomes (KDIGO) criteria.

Liver Transplantation for Refractory Congenital Cytomegaloviral Hepatitis.

Congenital cytomegalovirus (cCMV) is the most common congenital infection. Here, we report on a case of severe, refractory cCMV hepatitis resulting in end-stage liver disease. A male infant born at 37 weeks gestational age presented with petechiae, splenomegaly, and jaundice associated with a direct hyperbilirubinemia, elevated transaminases, and thrombocytopenia.

Renal oxygenation measured by near-infrared spectroscopy in preterm neonates in the first week.

Objective: To describe renal regional saturation of oxygen (RrSO) values during the first week of life for preterm neonates born at <32 weeks gestational age (GA).

Methods: RrSO values recorded over the first week of life using near-infrared spectroscopy were retrospectively analyzed in this two-center cohort study of preterm infants without known congenital anomalies of the kidney.

Results: A cohort of 109 neonates with a median GA of 26.

Adverse Childhood Experiences: Perceptions, Practices, and Possibilities.

Background: Adverse childhood experiences are negative life events occurring in childhood that can have long-term health effects. Many health professionals do not receive formal education surrounding childhood trauma, and few providers screen for adverse childhood experiences.

Objective: This scoping review examines how current literature describes the perceptions, attitudes, and practices of health professionals and trainees regarding childhood trauma, identifies educational opportunities aiming to increase awareness for child trauma, and discusses screening for adverse childhood experiences.

Requirements for cardiac interchange media and the role of recordable CD.

Over the past two years, representatives of the American College of Cardiology (ACC) have collaborated with the x-ray equipment industry through the National Electrical Manufacturers Association (NEMA) to develop a digital standard for the exchange of x-ray angiographic images. These efforts have resulted in an extension of the Digital Imaging and Communications in Medicine (DICOM) Standard and the selection of recordable CD as the medium for interchange. This report, which is based on an INCIS '94 presentation in Mainz, Germany, is focused on the results of the medium selection.

Comparative imaging technologies in the cardiac catheterization laboratory.

Evaluation of digital technology in the cardiac cath lab has introduced a desire to extend these technologies into electronic storage capability. Cine film is the current standard for image archiving because it meets the most important requirements of superior resolution, long-term stability, universal viewing and single-patient unit record capabilities. The major limitations of film include serial viewing (versus random access) and its incompatibility with computer techniques, such as quantitative angiography.

The role of cytosine arabinoside maintenance in acute nonlymphoblastic leukemia.

A series of 30 unselected patients with acute nonlymphoblastic leukemia (ANLL) was treated with combination chemotherapy, including three courses of cytosine arabinoside (Ara-C) by 5-day continuous i.v. infusion, vincristine i.