5 results match your criteria: "Washington University School of Medicine in St Louis and St Louis Children's Hospital[Affiliation]"

Article Synopsis
  • The study examined the incidence of hemorrhage and thrombosis in pediatric patients on anticoagulation-free ECMO (extracorporeal membrane oxygenation) for periods over 6 hours.
  • It involved a retrospective cohort analysis of 35 patients with a median age of 13.5 months and found that thrombotic events were uncommon, with only 8% experiencing them during the anticoagulation-free period.
  • The results suggest that ECMO can be safely conducted without systemic anticoagulation in select patients, but further multicenter research is needed to understand the impact of factors like age, weight, and ECMO flow rates.
View Article and Find Full Text PDF

Comprehensive assessment of a nationwide simulation-based course for artificial life support.

PLoS One

October 2021

Department of Cardiac Surgery and Transplantology, Chair of Cardiac and Thoracic Surgery, Poznan University of Medical Sciences, Poznan, Poland.

Article Synopsis
  • * In 2020, the center conducted high-fidelity simulation-based courses focused on ECMO, ensuring adherence to social distancing, with 115 medical professionals participating, mainly anesthesiologists and intensivists, many of whom had no prior ECMO experience.
  • * Participants showed significant improvements in cognitive, behavioral, and technical skills related to ECMO management, with knowledge scores rising notably after the training, indicating the program's effectiveness in preparing healthcare
View Article and Find Full Text PDF

Systemic hypertension (HTN) is a recognized complication of veno-venous (VV) extracorporeal membrane oxygenation (ECMO) in children. We sought to determine the prevalence and associated features of HTN in a retrospective cohort of children (>1 year old) supported with VV ECMO from January 2015 to July 2019 at our institution. Patient and ECMO-related characteristics were reviewed, including intensive care unit (ICU) length of stay (LOS), ECMO duration, corticosteroids and nephrotoxic medication exposure, acute kidney injury (AKI), overall fluid balance, and transfusion data.

View Article and Find Full Text PDF

Objective: Neonatal intensive care unit (NICU) admissions are common and rising. Parents with infants in the NICU face difficult decisions about their infants' care. Few studies have investigated parents' engagement in NICU decisions and its effects on decision regret.

View Article and Find Full Text PDF