Unmeasured anions in children after cardiac surgery

Slides:

Advertisements

Similar presentations

Lost in translation The Journal of Thoracic and Cardiovascular Surgery

Advertisements

Manuel J. Antunes, MD, PhD, DSc

Stephen R. Broderick, MD, MPHS

The eighth edition TNM stage classification for lung cancer: What does it mean on main street? Frank C. Detterbeck, MD The Journal of Thoracic and Cardiovascular.

The impact of placing multiple grafts to each myocardial territory on long-term survival after coronary artery bypass grafting Danny Chu, MD, Faisal.

Prediction of severe acute kidney injury after pediatric cardiac surgery with the use of novel biomarkers: A new trend in clinical research and risk stratification

Alan P. Kypson, MD, David W. Frazier, MD, Jon F. Moran, MD

Ludhmila A. Hajjar, MD, PhD, Juliano P. Almeida, MD, Julia T

Improving health care by embracing Systems Theory

The days of future past Neel K. Ranganath, MD, Aubrey C. Galloway, MD

Right internal thoracic artery or saphenous vein grafting

Murray H. Kwon, MD The Journal of Thoracic and Cardiovascular Surgery

Intrinsic cardiac stem cells are essential for regeneration

Abracadabra I, II…HeartMate 3?

Form ever follows function

Multilevel data analysis: What? Why? How?

How should we treat air leaks?

Definition of postoperative bleeding in children undergoing cardiac surgery with cardiopulmonary bypass: One size doesn't fit all David Faraoni, MD,

Harold L. Lazar, MD The Journal of Thoracic and Cardiovascular Surgery

New treatment approaches create new disease processes: A short guide on how to reduce unexpected events to a minimum Martin Czerny, MD, MBA The Journal.

Resuscitation practices in cardiac surgery

The lord of the rings Antonio Miceli, MD, PhD

The unintended consequences in clinical research

Kyle W. Riggs, MD, David L.S. Morales, MD

Juan N. Pulido, MD The Journal of Thoracic and Cardiovascular Surgery

Support Your Specialty

Michael Mack, MD, David Taggart, MD

The assessment of cost effectiveness and the effectiveness of cost assessment in cardiothoracic surgery Vinay Badhwar, MD The Journal of Thoracic and.

It's not “just a shunt” but sometimes it should be…

The Journal of Thoracic and Cardiovascular Surgery

For everything there is a season

Military surgeons just want to have fun

Do we need a bibliometrician to know which way the wind is blowing?

Stephen R. Broderick, MD, MPHS

Niv Ad, MD, Lawrence M. Wei, MD

Replicating the success of mitral valve repair in the aortic valve

Attachment disorder in thoracoabdominal surgery

Cardiothoracic surgery: A specialty divided or as one

Passing the torch The Journal of Thoracic and Cardiovascular Surgery

Prognosis and “granularity”: Building on staging foundations?

Patrick T. Roughneen, MD, Grant T. Fankhauser, MD, Abe DeAnda, MD

Shunt right or left? Decision 2016

Ralph S. Mosca, MD The Journal of Thoracic and Cardiovascular Surgery

The harder one looks, the more one finds

The origins of open heart surgery at the University of Minnesota 1951 to 1956 Richard A. DeWall, MD The Journal of Thoracic and Cardiovascular Surgery

Early markers of major adverse events in children after cardiac operations Trevor Duke, FRACPa, Warwick Butt, FRACPa, Mike South, MD, FRACPb, Tom R. Karl,

Early extubation after cardiac surgery: The evolution continues

The Journal of Thoracic and Cardiovascular Surgery

Discussion The Journal of Thoracic and Cardiovascular Surgery

The future of cardiac surgery training: A survival guide

Commentary: “Isn't cardiac surgery a team sport?”

Apparently, size matters…in congenital heart disease and brain injury

Ventricular assistant in restrictive cardiomyopathy: Making the right connection Robert D.B. Jaquiss, MD The Journal of Thoracic and Cardiovascular Surgery

External tracheal stenting for pediatric airway obstruction: A word of caution Roosevelt Bryant, MD The Journal of Thoracic and Cardiovascular Surgery

Ralph E. Delius, MD The Journal of Thoracic and Cardiovascular Surgery

Should it stay or should it go?

Glycemic profile in infants who have undergone the arterial switch operation: Hyperglycemia is not associated with adverse events Joseph W. Rossano,

The Journal of Thoracic and Cardiovascular Surgery

“The more things change…”: The challenges ahead

Appropriate Use Criteria for coronary revascularization in patients with stable ischemic heart disease: What the surgeon needs to know Harold L. Lazar,

First in line for robotic surgery: Would you want to know?

Apples remain apples NO matter what

A large international single-center case-series of coronary artery fistulas in children: When high clinical research standards adopted globally create.

Preoperative PFTs: The answer is blowing in the wind

The evolution of cardiothoracic critical care

Of mice and men… The Journal of Thoracic and Cardiovascular Surgery

The Journal of Thoracic and Cardiovascular Surgery

Journal changes and initiatives

Edward Y. Chan, MD, Michael J. Reardon, MD

Deciding how much to pay for effective care

Presentation transcript:

Unmeasured anions in children after cardiac surgery Deirdre Murray, MD, David Grant, MD, N. Murali, MD, Warwick Butt, MD The Journal of Thoracic and Cardiovascular Surgery Volume 133, Issue 1, Pages 235-240 (January 2007) DOI: 10.1016/j.jtcvs.2006.09.017 Copyright © 2007 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 Occurrence of major adverse events (MAEs) in infants arranged according to their acidosis profile on admission to the pediatric intensive care unit (PICU) after cardiac surgery. UMA, Unmeasured anions; LA, lactate. The Journal of Thoracic and Cardiovascular Surgery 2007 133, 235-240DOI: (10.1016/j.jtcvs.2006.09.017) Copyright © 2007 The American Association for Thoracic Surgery Terms and Conditions

Figure 2 A, Time trend of mean unmeasured anion (UMA) levels after cardiac surgery. B, Time trend of lactate levels after cardiac surgery. Error bars represent 95% confidence intervals. The Journal of Thoracic and Cardiovascular Surgery 2007 133, 235-240DOI: (10.1016/j.jtcvs.2006.09.017) Copyright © 2007 The American Association for Thoracic Surgery Terms and Conditions

Figure 3 Acidosis at the time of cardiac arrest/low output state in each of 16 patients. Unmeasured anion (UMA) levels are measured in milliequivalent units per liter, and lactate levels are measured in millimoles per liter. The thick black line denotes the upper limit of normal for acidosis (excess acid = 5 mEq/L). The Journal of Thoracic and Cardiovascular Surgery 2007 133, 235-240DOI: (10.1016/j.jtcvs.2006.09.017) Copyright © 2007 The American Association for Thoracic Surgery Terms and Conditions

Figure 4 Acidosis at the time of cardiac arrest and 12 hours after arrest. LA, Mean arterial lactate level (in millimoles per liter); UMA, mean unmeasured anion level (in milliequivalent units per liter) calculated from arterial sample; XA, mean excess acids calculated from arterial sample. The Journal of Thoracic and Cardiovascular Surgery 2007 133, 235-240DOI: (10.1016/j.jtcvs.2006.09.017) Copyright © 2007 The American Association for Thoracic Surgery Terms and Conditions