Publications by authors named "R A Hirschl"
Introduction: Timing of repair for infants with congenital diaphragmatic hernia (CDH) requiring extracorporeal life support (ECLS) remains controversial. Approaches include early repair on ECLS, late repair on ECLS, or repair after ECLS decannulation; all have potential risks and benefits. To mitigate risk and maximize benefit, our group developed an individualized hybrid model in 2016 in which approach is based on prenatal risk stratification.
View Article and Find Full Text PDFBackground: Women have historically been underrepresented in surgical leadership and in specialty organizations. This study longitudinally examines representation of women across committee leadership within the American Pediatric Surgical Association (APSA).
Methods: Annual APSA committee chair and vice-chair rosters (2003-2023) were obtained.
Article Synopsis
- * It features a longer fiber length than its predecessor, leading to improved blood flow, gas exchange, and lower pressure drop during testing—showing a significant drop in resistance at pediatric flow rates.
- * In vivo tests indicate excellent performance, achieving 100% blood oxygen saturation and minimal pressure drop, making the PAL-LR a potential breakthrough in reducing strain on the heart for patients with pulmonary issues.
Article Synopsis
- Pneumoperitoneum caused by necrotizing enterocolitis or intestinal perforation is an urgent surgical condition, but there's no clear method to identify which preterm infants should receive initial peritoneal drainage (PD).
- A study reviewed data from very low birth weight neonates under 1500 g who received PD, classifying them into "responders" (who benefited from PD) and "nonresponders" (who needed further surgery or did not survive).
- Results showed that responders had better outcomes, including shorter hospital stays and lower mortality rates, while factors like birth weight and gestational age were similar across both groups.
Introduction: A radical paradigm shift in the treatment of premature infants failing conventional treatment is to recreate fetal physiology using an extracorporeal Artificial Placenta (AP). The aim of this study is to evaluate the effects of changing fetal hemoglobin percent (HbF%) on physiology and circuit function during AP support in an ovine model.
Methods: Extremely premature lambs ( = 5) were delivered by cesarean section at 117-121 d estimated gestational age (EGA) (term = 145d), weighing 2.