RESUMEN
We prospectively analyzed the results of extracorporeal membrane oxygenation (ECMO) done in our Pediatric Cardiac Unit from January to December 2007. We present a series of nine patients who required ECMO after open heart surgery for congenital heart disease (CHD). The overall survival rate of these patients was 77.8%. The survival rate was 100% in patients who were electively put on ECMO after intracardiac repair for tetralogy of fallot, 50% in patients who were put on ECMO following the arterial switch operation and 50% in patients who were put on ECMO after VSD closure. Our results seem to suggest that patients placed on ECMO electively rather than after a cardiac arrest posts congenital cardiac surgeries have a better outcome.
Asunto(s)
Procedimientos Quirúrgicos Cardíacos , Oxigenación por Membrana Extracorpórea , Cuidados Posoperatorios/métodos , Preescolar , Cardiopatías Congénitas/cirugía , Humanos , Lactante , Recién Nacido , Estudios Prospectivos , Resultado del TratamientoRESUMEN
We report a case of a 3-year-old boy who underwent an arterial switch operation with relief of left ventricular outflow tract obstruction and later presented with recurrent episodes of flash pulmonary edema. High-flow humidified oxygen with positive pressure support (Vapotherm) was used as a treatment modality, thereby avoiding intubation and mechanical ventilation.
RESUMEN
Technology assisted safe living has great potential in revolutionizing the way healthcare is provided to elderly and needy population. A wireless sensor network (WSN) based system for sensing and reporting events based on context is presented in this paper. It is demonstrated that by proper use of architectures for supporting WSNs and by exploiting very recent technological advances, it is now possible to build and deploy extremely energy efficient systems with very long and dependable battery life. The system evolves over most existing approaches by highly localizing the computations for detecting events and transmitting only positive events where care providers may need to be alerted.
Asunto(s)
Conservación de los Recursos Energéticos , Servicios de Salud para Ancianos , Redes de Área Local/instrumentación , Monitoreo Fisiológico/instrumentación , Monitoreo Fisiológico/métodos , Telemedicina/instrumentación , Telemedicina/métodos , Anciano , Anciano de 80 o más Años , Conservación de los Recursos Energéticos/economía , Femenino , Servicios de Salud para Ancianos/economía , Humanos , Redes de Área Local/economía , Masculino , Monitoreo Fisiológico/economía , Telemedicina/economíaRESUMEN
A number of children are born with myxomatous deformity of the mitral valve, causing mitral regurgitation. Traditional techniques of repair may be daunting in these children because apart from their small size, their valves appear grossly deformed and the tissues are friable. Techniques to circumvent these problems and ensure a predictable and satisfactory outcome are described.