Publications by authors named "Erin Trakas"

Background: There are no tests to identify critically ill children at high risk of deep venous thrombosis (DVT). In this exploratory study, we aimed to identify proteins that are associated with incident DVT in critically ill adolescents.

Procedure: Plasma samples were obtained from critically ill adolescents within 24 hours after initiation of cardiopulmonary support.

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Objectives: The epidemiology of clinically relevant bleeding in critically ill adolescents, particularly those who are at high risk of venous thromboembolism, is unclear. In preparation for a randomized clinical trial of pharmacologic prophylaxis against venous thromboembolism, we characterized the epidemiology of clinically relevant bleeding in critically ill adolescents.

Design: Post hoc analysis of data from a pediatric multicenter observational study of venous thromboembolism.

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Article Synopsis
  • This study investigated how common lower extremity deep venous thrombosis (DVT) is in critically ill adolescents aged 13-17, as the existing data on this topic is limited.
  • The research involved 88 adolescents in pediatric intensive care units, with serial ultrasounds revealing a DVT occurrence rate of 12.4%, particularly among those on mechanical ventilation.
  • The findings suggest that factors like femoral central venous catheter placement and the severity of illness contribute to DVT risk, highlighting the need for further research on prevention strategies in this population.
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Background: Newborns with congenital heart disease have associated brain damage that affects short-and long-term neurodevelopment. Several neuronal biomarkers exist that could predict brain damage. We investigated the pattern of neuron-specific enolase (NSE) and s100B levels after cardiopulmonary bypass surgery in neonates with congenital heart disease.

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Early recognition and treatment of pediatric shock, regardless of cause, decreases mortality and improves outcome. In addition to the conventional parameters (eg, heart rate, systolic blood pressure, urine output, and central venous pressure), biomarkers and noninvasive methods of measuring cardiac output are available to monitor and treat shock. This article emphasizes how fluid resuscitation is the cornerstone of shock resuscitation, although the choice and amount of fluid may vary based on the cause of shock.

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