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Collection by Dr. Meghan Chlebowski

Pediatric Cardiac Critical Care Essentials

items total cited expert statements Updated Nov 12, 2026
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Cardiac Output Measurement1 item
Measurement of Cardiac Output Using an Ultrasonic Cardiac Output Monitor (USCOM) in Patients with Single-Ventricle Physiology
This validation study demonstrates that the USCOM ultrasonic cardiac output monitor provides accurate non-invasive cardiac index measurements in single-ventricle patients undergoing Glenn or Fontan staging, with strong correlation to cathet
article · Oct 2026
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Mechanical Circulatory Support1 item
Circulatory collapse requiring mechanical circulatory support in a child with autoimmune adrenal insufficiency: a case report
A 7-year-old with undiagnosed autoimmune adrenal insufficiency presented in severe cardiogenic shock requiring ECMO support. Characteristic skin hyperpigmentation on exam prompted stress-dose corticosteroid therapy, leading to successful re
article · Oct 2026
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Vasoactive Therapy1 item
Recombinant angiotensin II therapy in a child with cardiac dysfunction and Pandoraea and Candida sepsis
This case report describes successful use of recombinant angiotensin II for refractory hypotension in a pediatric patient with right ventricular dysfunction and polymicrobial sepsis caused by Pandoraea and Candida species. The therapy targe
article · Oct 2026
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ECMO Anticoagulation Management1 item
Clinical controversies in anticoagulation monitoring and antithrombin supplementation for ECMO
This review examines the clinical challenges of anticoagulation management during pediatric and neonatal ECMO, focusing on the controversial use of antithrombin supplementation for heparin resistance. The authors address practice variabilit
article · Oct 2026
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Hemodialysis in Infants1 item
Practice Patterns and Outcomes of Hemodialysis in Infants Undergoing Congenital Heart Surgery in the United States
This multi-institutional study analyzed hemodialysis outcomes in 332 infants following congenital heart surgery, finding that only 1% required dialysis but faced 54% mortality at one year. Infants treated at high-volume dialysis centers sho
article · Oct 2026
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Antibiotic Stewardship1 item
Implementation of a 24-hour infection diagnosis protocol in the pediatric cardiac intensive care unit (CICU)
This quality improvement study implemented a 24-hour infection diagnosis protocol in a pediatric cardiac ICU to reduce unnecessary antibiotic exposure. The protocol successfully discontinued antibiotics within 24 hours in 66% of cases, with
article · Oct 2026
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