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1.
Chem Sci ; 13(36): 10836-10845, 2022 Sep 21.
Artigo em Inglês | MEDLINE | ID: mdl-36320690

RESUMO

In this study, we present microporous carbon (MPC), hollow microporous carbon (HMC) and hierarchically porous carbon (HPC) to demonstrate the importance of strategical designing of nanoarchitectures in achieving advanced catalyst (or electrode) materials, especially in the context of oxygen reduction reaction (ORR). Based on the electrochemical impedance spectroscopy and ORR studies, we identify a marked structural effect depending on the porosity. Specifically, mesopores are found to have the most profound influence by significantly improving electrochemical wettability and accessibility. We also identify that macropore contributes to the rate capability of the porous carbons. The results of the rotating ring disk electrode (RRDE) method also demonstrate the advantages of strategically designed double-shelled nanoarchitecture of HPC to increase the overall electron transfer number (n) closer to four by offering a higher chance of the double two-electron pathways. Next, selective doping of highly active Fe-N x sites on HPC is obtained by increasing the nitrogen content in HPC. As a result, the optimized Fe and N co-doped HPC demonstrate high ORR catalytic activity comparable to the commercial 20 wt% Pt/C in alkaline electrolyte. Our findings, therefore, strongly advocate the importance of a strategic design of advanced catalyst (or electrode) materials, especially in light of both structural and doping effects, from the perspective of nanoarchitectonics.

2.
Small ; 18(25): e2107182, 2022 06.
Artigo em Inglês | MEDLINE | ID: mdl-35570326

RESUMO

This article reviews recent fabrication methods for surface-enhanced Raman spectroscopy (SERS) substrates with a focus on advanced nanoarchitecture based on noble metals with special nanospaces (round tips, gaps, and porous spaces), nanolayered 2D materials, including hybridization with metallic nanostructures (NSs), and the contemporary repertoire of nanoarchitecturing with organic molecules. The use of SERS for multidisciplinary applications has been extensively investigated because the considerably enhanced signal intensity enables the detection of a very small number of molecules with molecular fingerprints. Nanoarchitecture strategies for the design of new NSs play a vital role in developing SERS substrates. In this review, recent achievements with respect to the special morphology of metallic NSs are discussed, and future directions are outlined for the development of available NSs with reproducible preparation and well-controlled nanoarchitecture. Nanolayered 2D materials are proposed for SERS applications as an alternative to the noble metals. The modern solutions to existing limitations for their applications are described together with the state-of-the-art in bio/environmental SERS sensing using 2D materials-based composites. To complement the existing toolbox of plasmonic inorganic NSs, hybridization with organic molecules is proposed to improve the stability of NSs and selectivity of SERS sensing by hybridizing with small or large organic molecules.


Assuntos
Nanoestruturas , Análise Espectral Raman , Nanoestruturas/química , Análise Espectral Raman/métodos
3.
Materials (Basel) ; 15(8)2022 Apr 15.
Artigo em Inglês | MEDLINE | ID: mdl-35454605

RESUMO

This study reports an integrated device in which a lithium-ion battery (LIB) and Si solar cells are interconnected. The LIB is fabricated using the Li(Ni0.65Co0.15Mn0.20)O2 (NCM622) cathode and the Li4Ti5O12 (LTO) anode. The surface and shape morphologies of the NCM and LTO powders were investigated by field emission scanning electron microscopy (FE-SEM). In addition, the structural properties were thoroughly examined by X-ray diffraction (XRD). Further, their electrochemical characterization was carried out on a potentiostat. The specific discharge capacity of the NCM cathode (half-cell) was 188.09 mAh/g at 0.1 C current density. In further experiments, the NCM-LTO full-cell has also shown an excellent specific capacity of 160 mAh/g at a high current density of 1 C. Additionally, the capacity retention was outstanding, with 99.63% at 1 C after 50 cycles. Moreover, to meet the charging voltage requirements of the NCM-LTO full-cell, six Si solar cells were connected in series. The open-circuit voltage (VOC) and the short-circuit photocurrent density (JSC) for the Si solar cells were 3.37 V and 5.42 mA/cm2. The calculated fill factor (FF) and efficiency for the Si solar cells were 0.796 and 14.54%, respectively. Lastly, the integrated device has delivered a very high-power conversion-storage efficiency of 7.95%.

4.
Biosens Bioelectron ; 180: 113109, 2021 May 15.
Artigo em Inglês | MEDLINE | ID: mdl-33677356

RESUMO

Here, we present a new family of hierarchical porous hybrid materials as an innovative tool for ultrasensitive and selective sensing of enantiomeric drugs in complex biosamples via chiral surface-enhanced Raman spectroscopy (SERS). Hierarchical porous hybrid films were prepared by the combination of mesoporous plasmonic Au films and microporous homochiral metal-organic frameworks (HMOFs). The proposed hierarchical porous substrates enable extremely low limit of detection values (10-12 M) for pseudoephedrine in undiluted blood plasma due to dual enhancement mechanisms (physical enhancement by the mesoporous Au nanostructures and chemical enhancement by HMOF), chemical recognition by HMOF, and a discriminant function for bio-samples containing large biomolecules, such as blood components. We demonstrate the effect of each component (mesoporous Au and microporous AlaZnCl (HMOF)) on the analytical performance for sensing. The growth of AlaZnCl leads to an increase in the SERS signal (by around 17 times), while the use of mesoporous Au leads to an increase in the signal (by up to 40%). In the presence of a complex biomatrix (blood serum or plasma), the hybrid hierarchical porous substrate provides control over the transport of the molecules inside the pores and prevents blood protein infiltration, provoking competition with existing plasmonic materials at the limit of detection and enantioselectivity in the presence of a multicomponent biomatrix.


Assuntos
Técnicas Biossensoriais , Nanopartículas Metálicas , Ouro , Plasma , Pseudoefedrina , Estereoisomerismo
5.
J Hazard Mater ; 405: 124248, 2021 03 05.
Artigo em Inglês | MEDLINE | ID: mdl-33191025

RESUMO

Metal-organic frameworks (MOFs) are a versatile source of carbon nanoarchitectures in gas sensing applications (Torad et al., 2019). Herein, several types of nanoporous carbons (NPCs) have been prepared by in-situ carbothermal treatment of zeolitic imidazolate frameworks (ZIFs) under different inert atmospheres to achieve a highly sensitive discrimination of vaporized aromatic compounds. In this study, we demonstrate how different carbonization conditions under the flow of N2 or H2 gases affect the surface area and the degree of graphitization of the resulting NPCs polyhedrons, and their consequent effect on the sensing performance in terms of sensitivity and selectivity toward toxic volatile hydrocarbons. A growth of carbon nanotubes (CNTs) is observed on the surface of polyhedral NPCs after careful carbonization of ZIF crystals under H2 atmosphere. The fabricated quartz crystal microbalance (QCM) sensor with CNT-containing NPCs demonstrates increased sensitivity and selectivity towards toxic volatile aromatic hydrocarbons over the aliphatic analogues, suggesting the rich growth of hairy graphitic-like CNTs on the surface of carbon framework act as highly selective sensing antennae for vapor molecular discrimination of toxic aromatic hydrocarbons. Despite of increased selectivity towards volatile aromatic compounds, however, the surface area of CNT-rich NPCs derived from hybrid ZIFs and ZIF-67 is greatly sacrificed as compared to CNT-free NPCs from ZIF-8 polyhedron. In the case of Co-containing ZIF-67, the rich growth of hair-like CNTs, which is induced by the presence of Co, is observed during carbothermal reduction under a flow of H2 gas, thus allowing ultra-selective detection of aromatic hydrocarbons in the vapor phase, such as benzene (C6H6) and toluene (C6H5CH3) over their aliphatic analogue, c-hexane (c-C6H12) of same molecular mass, size and vapor pressure.

6.
Angew Chem Int Ed Engl ; 60(9): 4747-4755, 2021 Feb 23.
Artigo em Inglês | MEDLINE | ID: mdl-33215803

RESUMO

A facile anisotropic surface modification and etching strategy is presented for the synthesis of hollow structured ZIF-67 nanoframes. The strategy uses structural and compositional distinctions between each crystallographic facet of truncated rhombic dodecahedrons ZIF-67 (tZIF-67 RDs) and the moderate coordinating and etching effects of cyanuric acid (CA). The CA can anisotropically modify and protect the {110} facets from etching, causing the six {100} facets be selectively etched via an inside-out manner, and finally forming the hollow nanoframes. The surface-modified hollow tZIF-67 RDs can be facet-selectively etched by metal salts in an outside-in manner to give metal-doped tZIF-67 nanoframes. After calcination, the metal-tZIF-67 hybrids are converted into metal-Co alloy/C composite catalysts with hollow nanoframed structures. The PtCo/C catalyst with only 5.9 wt % Pt exhibits high catalytic activities and stabilities in the hydrogen evolution reaction (HER) in acidic solutions.

7.
Angew Chem Int Ed Engl ; 60(17): 9660-9665, 2021 Apr 19.
Artigo em Inglês | MEDLINE | ID: mdl-33295688

RESUMO

Here we report the soft-template-assisted electrochemical deposition of mesoporous semiconductors (CdSe and CdTe). The resulting mesoporous films are stoichiometrically equivalent and contain mesopores homogeneously distributed over the entire surface. To demonstrate the versatility of the method, two block copolymers with different molecular weights are used, yielding films with pores of either 9 or 18 nm diameter. As a proof of concept, the mesoporous CdSe film-based photodetectors show a high sensitivity of 204 mW-1 cm2 at 680 nm wavelength, which is at least two orders of magnitude more sensitive than the bulk counterpart. This work presents a new synthesis route for nanostructured semiconductors with optical band gaps active in the visible spectrum.

8.
ACS Appl Mater Interfaces ; 12(46): 51357-51365, 2020 Nov 18.
Artigo em Inglês | MEDLINE | ID: mdl-33146017

RESUMO

Concave metallic nanocrystals with a high density of low-coordinated atoms on the surface are essential for the realization of unique catalytic properties. Herein, mesoporous palladium nanocrystals (MPNs) that possess various degrees of curvature are successfully synthesized following an approach that relies on a facile polymeric micelle assembly approach. The as-prepared MPNs exhibit larger surface areas compared to conventional Pd nanocrystals and their nonporous counterparts. The MPNs display enhanced electrocatalytic activity for ethanol oxidation when compared to state-of-the-art commercial palladium black and conventional palladium nanocubes used as catalysts. Interestingly, as the degree of curvature increases, the surface-area-normalized activity also increases, demonstrating that the curvature of MPNs and the presence of high-index facets are crucial considerations for the design of electrocatalysts.

9.
J Mater Chem B ; 8(41): 9512-9523, 2020 10 28.
Artigo em Inglês | MEDLINE | ID: mdl-32996976

RESUMO

Herein, we report the preparation of mesoporous gold (Au)-silver (Ag) alloy films through the electrochemical micelle assembly process and their applications as microRNA (miRNA) sensors. Following electrochemical deposition and subsequent removal of the templates, the polymeric micelles can create uniformly sized mesoporous architectures with high surface areas. The resulting mesoporous Au-Ag alloy films show high current densities (electrocatalytic activities) towards the redox reaction between potassium ferrocyanide and potassium ferricyanide. Following magnetic isolation and purification, the target miRNA is adsorbed directly on the mesoporous Au-Ag film. Electrochemical detection is then enabled by differential pulse voltammetry (DPV) using the [Fe(CN)6]3-/4- redox system (the faradaic current for the miRNA-adsorbed Au-Ag film decreases compared to the bare film). The films demonstrate great advantages towards miRNA sensing platforms to enhance the detection limit down to attomolar levels of miR-21 (limit of detection (LOD) = 100 aM, s/n = 3). The developed enzymatic amplification-free miniaturized analytical sensor has promising potential for RNA-based diagnosis of diseases.


Assuntos
Ligas de Ouro/química , MicroRNAs/análise , Prata/química , Técnicas Eletroquímicas/instrumentação , Técnicas Eletroquímicas/métodos , Desenho de Equipamento , Ferrocianetos/química , Humanos , Micelas , Oxirredução , Porosidade
10.
Nat Protoc ; 15(9): 2980-3008, 2020 09.
Artigo em Inglês | MEDLINE | ID: mdl-32839575

RESUMO

High-surface-area mesoporous materials expose abundant functional sites for improved performance in applications such as gas storage/separation, catalysis, and sensing. Recently, soft templates composed of amphiphilic surfactants and block copolymers have been used to introduce mesoporosity in various materials, including metals, metal oxides and carbonaceous compounds. In particular, mesoporous metals are attractive in electrocatalysis because their porous networks expose numerous unsaturated atoms on high-index facets that are highly active in catalysis. In this protocol, we describe how to create mesoporous metal films composed of gold, palladium, or platinum using block copolymer micelle templates. The amphiphilic block copolymer micelles are the sacrificial templates and generate uniform structures with tunable pore sizes in electrodeposited metal films. The procedure describes the electrodeposition in detail, including parameters such as micelle diameters, deposition potentials, and deposition times to ensure reproducibility. The micelle diameters can be controlled by swelling the micelles with different solvent mixtures or by using block copolymer micelles with different molecular weights. The deposition potentials and deposition times allow further control of the mesoporous structure and its thickness, respectively. Procedures for example applications are included: glucose oxidation, ethanol oxidation and methanol oxidation reactions. The synthetic methods for preparation of mesoporous metal films will take ~4 h; the subsequent electrochemical tests will take ~5 h for glucose sensing and ~3 h for alcohol oxidation reaction.


Assuntos
Ouro/química , Paládio/química , Platina/química , Álcoois/química , Catálise , Técnicas de Química Sintética , Eletroquímica , Interações Hidrofóbicas e Hidrofílicas , Micelas , Modelos Moleculares , Conformação Molecular , Oxirredução , Polímeros/química
11.
Small ; 16(35): e2002489, 2020 09.
Artigo em Inglês | MEDLINE | ID: mdl-32767535

RESUMO

The electrochemical synthesis of mesoporous ruthenium (Ru) films using sacrificial self-assembled block polymer micelles templates, and its electrochemical surface oxidation to RuOx is described. Unlike standard methods such as thermal oxidation, the electrochemical oxidation method described here retains the mesoporous structure. Ru oxide materials serve as high-performance supercapacitor electrodes due to their excellent pseudocapacitive behavior. The mesoporous architectured film shows superior specific capacitance (467 F g-1Ru ) versus a nonporous Ru/RuOx electrode (28 F g-1Ru ) that is prepared via the same method but omitting the pore-directing polymer. Ultrahigh surface area materials will play an essential role in increasing the capacitance of this class of energy storage devices because the pseudocapacitive redox reaction occurs on the surface of electrodes.

12.
ACS Appl Mater Interfaces ; 12(30): 34065-34073, 2020 Jul 29.
Artigo em Inglês | MEDLINE | ID: mdl-32686420

RESUMO

Mesostructured polydopamine (PDA) coating has been successfully achieved on the surface of zeolitic imidazolate framework-8 (ZIF-8) particles by incorporating Pluronic F127 (with a pore-expanding agent, 1,3,5-trimethylbenzene) as a pore-directing agent during dopamine polymerization. Upon pyrolysis at high temperatures, mesostructured PDA-coated ZIF-8 particles become hierarchically porous double-shell carbons (HPDCs) with a wide pore size distribution ranging from micro- and meso- to macropores. The formation of a hollow inner shell progresses initially with the shrinkage of ZIF-8 at the periphery where the interface interactions with mesostructured PDA exist, and then the subsequent disintegration of the ZIF-8 core at higher temperatures occurs. Our HPDCs prepared in this study feature physical and electrochemical advantages of hierarchically porous carbons such as high electrochemically accessible surface area, short diffusion distance, and high mass-transfer rate, thus demonstrating significantly improved ion diffusion and surface-enhanced high specific capacitance at high charge-discharge rates. HPDC5.0 therefore exhibits the capacitance retention of up to 76.7% from 1 to 10 A g-1 and maximum specific capacitance of 344.7 F g-1 at 1 mV s-1. It also possesses superior electrochemical stability with about 108% capacitance retention even after 10,000 consecutive cycles of galvanostatic charge-discharge at 10 A g-1.

13.
Photodiagnosis Photodyn Ther ; 31: 101931, 2020 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-32717451

RESUMO

BACKGROUND: Pseudomonas aeruginosa is one of the most life-threatening pathogens in nosocomial environments. This study aimed to explore whether photodynamic therapy using a 660 nm diode laser and Radachlorin is an effective in vitro inhibitor of P. aeruginosa and determine what energy density and rate of delivery are the most impactful. METHODS: Suspensions ofP. aeruginosa were obtained, inoculated in petri dishes with Radachlorin, and incubated for 30 min. Then, the laser light of a 660 nm diode laser was irradiated at varying energy densities and rates of delivery. Cell viability was evaluated after culturing. RESULTS: The combination of Radachlorin and the laser was more effective than Radachlorin or the laser alone (P < 0.05) in reducingP. aeruginosa and showed a killing rate of 95.8 % at an energy density of 5 J/cm2. In addition, the low rate of photodynamic therapy delivery group was more effective in inhibiting P. aeruginosa compared to the high rate of photodynamic therapy delivery group (P < 0.05). CONCLUSIONS: Within the limitations of thisin vitro study, we found that photodynamic therapy using a 660 nm diode laser and Radachlorin was effective for the inhibition of P. aeruginosa. In addition, energy density and rate of delivery are important factors to consider when using a 660 nm diode laser and Radachlorin to inhibit the growth of this organism.


Assuntos
Anti-Infecciosos , Fotoquimioterapia , Combinação de Medicamentos , Lasers Semicondutores , Fotoquimioterapia/métodos , Fármacos Fotossensibilizantes/farmacologia , Fármacos Fotossensibilizantes/uso terapêutico , Porfirinas , Pseudomonas aeruginosa
14.
Chemistry ; 26(28): 6195-6204, 2020 May 15.
Artigo em Inglês | MEDLINE | ID: mdl-32077175

RESUMO

Developing efficient electrocatalysts for the hydrogen evolution reaction (HER) is crucial for establishing a sustainable and environmentally friendly energy system, but it is still a challenging issue. Herein, hierarchical tubular-structured CoS2 -MoS2 /C as efficient electrocatalysts are fabricated through a unique metal-organic framework (MOF) mediated self-sacrificial templating. Core-shell structured MoO3 @ZIF-67 nanorods are used both as a precursor and a sacrificial template to form the one-dimensional tubular heterostructure where vertically aligned two-dimensional CoS2 -MoS2 nanosheets are formed on the MOF-derived carbon tube. Trace amounts of noble metals (Pd, Rh, and Ru) are successfully introduced to enhance the electrocatalytic property of the CoS2 -MoS2 /C nanocomposites. The as-synthesized hierarchical tubular heterostructures exhibit excellent HER catalytic performance owing to the merits of the hierarchical hollow architecture with abundantly exposed edges and the uniformly dispersed active sites. Impressively, the optimal Pd-CoS2 -MoS2 /C-600 catalyst delivers a current density of 10 mA cm-2 at a low overpotential of 144 mV and a small Tafel slope of 59.9 mV/dec in 0.5 m H2 SO4 . Overall, this MOF-mediated strategy can be extended to the rational design and synthesis of other hollow heterogeneous catalysts for scalable hydrogen generation.

15.
RSC Adv ; 10(14): 8309-8313, 2020 Feb 24.
Artigo em Inglês | MEDLINE | ID: mdl-35497835

RESUMO

Gold nanoparticles (AuNPs) are widely used in various applications, such as biological delivery, catalysis, and others. In this report, we present a novel synthetic method to prepare mesoporous hemisphere gold nanoparticles (MHAuNPs) via electrochemical reduction reaction with the aid of polymeric micelle assembly as a pore-directing agent.

16.
Small ; 16(12): e1902934, 2020 03.
Artigo em Inglês | MEDLINE | ID: mdl-31603273

RESUMO

Mesoporous noble metals and their patterning techniques for obtaining unique patterned structures are highly attractive for electrocatalysis, photocatalysis, and optoelectronics device applications owing to their expedient properties such as high level of exposed active locations, cascade electrocatalytic sites, and large surface area. However, patterning techniques for mesoporous substrates are still limited to metal oxide and silica films, although there is growing demand for developing techniques related to patterning mesoporous metals. In this study, the first demonstration of mesoporous metal films on patterned gold (Au) substrates, prefabricated using photolithographic techniques, is reported. First, different growth rates of mesoporous Au metal films on patterned Au substrates are demonstrated by varying deposition times and voltages. In addition, mesoporous Au films are also fabricated on various patterns of Au substrates including stripe and mesh lines. An alternative fabrication method using a photoresist insulating mask also yields growth of mesoporous Au within the patterning. Moreover, patterned mesoporous films of palladium (Pd) and palladium-copper alloy (PdCu) are demonstrated on the same types of substrates to show versatility of this method. Patterned mesoporous Au films (PMGFs) show higher electrochemically active surface area (ECSA) and higher sensitivity toward glucose oxidation than nonpatterned mesoporous Au films (NMGF).

17.
Angew Chem Int Ed Engl ; 59(5): 2066-2070, 2020 Jan 27.
Artigo em Inglês | MEDLINE | ID: mdl-31846187

RESUMO

Carbon aerogels (CAs) with 3D interconnected networks hold promise for application in areas such as pollutant treatment, energy storage, and electrocatalysis. In spite of this, it remains challenging to synthesize high-performance CAs on a large scale in a simple and sustainable manner. We report an eco-friendly method for the scalable synthesis of ultralight and superporous CAs by using cheap and widely available agarose (AG) biomass as the carbon precursor. Zeolitic imidazolate framework-8 (ZIF-8) with high porosity is introduced into the AG aerogels to increase the specific surface area and enable heteroatom doping. After pyrolysis under inert atmosphere, the ZIF-8/AG-derived nitrogen-doped CAs show a highly interconnected porous mazelike structure with a low density of 24 mg cm-3 , a high specific surface area of 516 m2 g-1 , and a large pore volume of 0.58 cm-3 g-1 . The resulting CAs exhibit significant potential for application in the adsorption of organic pollutants.

18.
Nanomaterials (Basel) ; 9(12)2019 Dec 17.
Artigo em Inglês | MEDLINE | ID: mdl-31861071

RESUMO

The hybrid metal-organic frameworks (MOFs) with different Zn2+/Co2+ ratios are synthesized at room temperature with deionized water as the solvent. This use of deionized water can increase the yield of hybrid MOFs (up to 65-70%). After the pyrolysis, the obtained nanoporous carbons (NPCs) show a decrease in the surface area, in which the highest surface area is 655 m2 g-1. The as-prepared NPCs are subjected to activation with KOH in order to increase their surface area and convert cobalt nanoparticles (Co NPs) to Co oxides. These activated carbons are applied to electrical double-layer capacitors (EDLCs) and pseudocapacitors due to the presence of CoO and Co3O4 nanoparticles in the carbon framework, leading to significantly enhanced specific capacitance as compared to that of pristine NPCs. This synthetic method can be utilized in future research to enhance pseudocapacitance further while maintaining the maximum surface area of the carbon materials.

19.
J Cardiothorac Surg ; 14(1): 139, 2019 Jul 22.
Artigo em Inglês | MEDLINE | ID: mdl-31331371

RESUMO

INTRODUCTION: Rotational thromboelastometry (ROTEM) has been shown to reduce the need for transfused blood products in adult and pediatric cardiac surgery patients. However, similar evidence in newborns, neonates, and young infants is lacking. We quantified ROTEM value changes in pediatric patients on cardiopulmonary bypass (CPB) before, during and after blood product transfusion. METHODS: Each surgery had at least four interventions: initiating CPB; platelet administration during rewarming phase; post-CPB and following protamine and human fibrinogen concentrate (HFC) administration; and further component therapy if bleeding persisted and ROTEM indicated a deficiency. ROTEM assays were performed prior to surgery commencement, on CPB prior to platelet administration and following 38 mL/kg platelets, and post-CPB after protamine and HFC administration. ROTEM assays were also performed in the post-CPB period after further blood component therapy administration. RESULTS: Data from 161 patients were analyzed. Regression models suggested significant changes in HEPTEM clotting time after all interventions. PLT administration during CPB improved HEPTEM α by 22.1° (p < 0.001) and FIBTEM maximum clot firmness (MCF) by 2.9 mm (p < 0.001). HFC administration after CPB termination significantly improved FIBTEM MCF by 2.6 mm (p < 0.001). HEPTEM MCF significantly increased after 3/4 interventions. HEPTEM α significantly decreased after two interventions and significantly increased after two interventions. Greatest perturbances in coagulation parameters occurred in patients ≤90 days of age. CONCLUSION: CPB induced profound perturbations in ROTEM values in pediatric cardiac surgery patients. ROTEM values improved following PLT and HFC administration. This study provides important clinical insights into ROTEM changes in pediatric patients after distinct interventions.


Assuntos
Transtornos da Coagulação Sanguínea/diagnóstico , Transfusão de Componentes Sanguíneos , Ponte Cardiopulmonar/efeitos adversos , Tromboelastografia , Transtornos da Coagulação Sanguínea/etiologia , Transtornos da Coagulação Sanguínea/terapia , Transfusão de Componentes Sanguíneos/métodos , Pré-Escolar , Feminino , Humanos , Lactente , Recém-Nascido , Masculino , Estudos Retrospectivos , Tromboelastografia/métodos , Resultado do Tratamento
20.
Clin Appl Thromb Hemost ; 25: 1076029618816382, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-30518238

RESUMO

This study evaluated whether rotational thromboelastometry (ROTEM; Tem International GmbH, Munich, Germany) FIBTEM maximum clot firmness (MCF) can be used to predict plasma fibrinogen level in pediatric patients undergoing cardiac surgery. Linear regression was conducted to predict plasma fibrinogen level using FIBTEM MCF (0.05 level of significance). Scatter plot with the regression line for the model fit was created. Fifty charts were retrospectively reviewed, and 87 independent measurements of FIBTEM MCF paired with plasma fibrinogen levels were identified for analysis. Linear regression analysis suggested a significant positive linear relationship ( P < .0001) between plasma fibrinogen levels and MCF. Both MCF intercept and slope were significantly correlated with fibrinogen level ( P < .0001). The estimated regression equation (predicted fibrinogen = 78.6 + 12.4 × MCF) indicates that a 1-mm increase in MCF raises plasma fibrinogen level by an average of 12.4 mg/dL. The statistically significant positive linear relationship observed between MCF and fibrinogen levels ( P < .001) suggests that MCF can be used as a surrogate for fibrinogen level. This relationship is of clinical relevance in the calculation of patient-specific dosing of fibrinogen supplementation in this setting.


Assuntos
Testes de Coagulação Sanguínea/métodos , Procedimentos Cirúrgicos Cardíacos/métodos , Fibrina/metabolismo , Fibrinogênio/metabolismo , Tromboelastografia/métodos , Trombose/metabolismo , Pré-Escolar , Feminino , Humanos , Lactente , Recém-Nascido , Masculino , Estudos Retrospectivos
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