Publications by authors named "Modesto Fernandez"
Article Synopsis
- This study aimed to explore the link between the minimum lymphocyte count (Ly_Min) after cardiac surgery with cardiopulmonary bypass and the risk of infections within the first 30 days post-surgery.
- Researchers analyzed data from 1,428 pediatric cardiac surgeries and found that 8% of patients developed infections, with a significant correlation between lower Ly_Min and increased infection risk.
- The findings suggest that a Ly_Min below 1.105 x 10^9/L in the first postoperative day is a strong predictor of infections, highlighting the importance of monitoring lymphocyte levels in pediatric patients after surgery.
Objectives: The antiarrhythmic effects of dexmedetomidine (DEX) have been suggested, but there are controversial reports on the effectiveness of intraoperative use of DEX to reduce the incidence of postoperative tachyarrhythmia (POT).
Methods: From a local European Congenital Heart Surgery Association database, we included patients operated for congenital heart diseases under cardiopulmonary bypass within a 5-year period (2017-2021), during which intraoperative use of high dose of DEX (1-1.4 µg/kg/h) was implemented.
Article Synopsis
- This study aimed to evaluate the use of extracorporeal membrane oxygenation (ECMO) in critically ill neonates and children across a pediatric critical care network in West France, focusing on decision-making for patients initially admitted to non-ECMO facilities.
- Over a four-year period, 8,189 children and 3,947 newborns were treated, with 8.1% of children and 9.4% of newborns requiring ECMO; most patients needing ECMO were admitted first to non-ECMO centers, and various critical conditions were noted.
- The survival rates after 28 days post-ICU were similar for patients from non-ECMO centers compared to those from ECMO centers,
Airway surgery involving trachea or main stem bronchi in neonates and children is challenging. The use of extracorporeal support for such unusual indications is poorly described. Here, we report on three patients receiving peripheral extracorporeal membrane oxygenation (ECMO) to maintain adequate ventilation while improving surgical site exposure.
View Article and Find Full Text PDFBackground: Single-breath vital capacity technique is currently administered for inhalation induction of anesthesia with sevoflurane in adults. Because sevoflurane is used in children, the aim of this open nonrandomized trial was to explore the feasibility and acceptance of this technique in midazolam premedicated patients aged from 4 to 15 years old.
Methods: A pediatric population (n = 118) was instructed in the vital capacity technique after their arrival in the induction room in a standardized and playful manner.
Background And Objectives: The benefit of adding a sciatic nerve block to the femoral block to improve analgesia after total knee replacement is controversial. The aim of this study is to address this controversy in a prospective, comparative, and randomized study.
Methods: Patients were allocated randomly to receive a continuous femoral nerve block or continuous blocks of both the femoral and sciatic nerves.