Effect of timing and route of methylprednisolone administration during pediatric cardiac surgical procedures.

Background: We compared the antiinflammatory and cardioprotective effects of the two most common regimens of corticosteroid administration in pediatric cardiac surgical procedures: a single dose delivered either at anesthesia induction or by cardiopulmonary bypass (CPB) prime.

Methods: Forty-five children, aged between 1 and 18 months and undergoing ventricular septal or atrioventricular septal defect correction, were randomized in double-blind fashion into three groups. The anesthesia induction group received 30 mg/kg methylprednisolone intravenously after anesthesia induction, and the CPB-prime group received 30 mg/kg methylprednisolone by CPB circuit.

Methylprednisolone in neonatal cardiac surgery: reduced inflammation without improved clinical outcome.

Background: Corticosteroids are widely used in pediatric open-heart surgery to reduce systemic inflammatory response and to mediate possible cardioprotective effects. However, the optimal dosing of corticosteroids is unknown and their administration varies considerably between different institutions.

Methods: Forty neonates undergoing open-heart surgery were randomized in a double-blind fashion equally into 2 groups.

Microbial growth inside insulated external walls as an indoor air biocontamination source.

The association between moisture-related microbial growth (mesophilic fungi and bacteria) within insulated exterior walls and microbial concentrations in the indoor air was studied. The studied apartment buildings with precast concrete external walls were situated in a subarctic zone. Actinomycetes in the insulation layer were found to have increased concentrations in the indoor air.