FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W4250611908> ?p ?o ?g. }

• W4250611908 endingPage "165" @default.
• W4250611908 startingPage "165" @default.
• W4250611908 abstract "The authors appreciate the comments of Drs Ozkan and Akay regarding the incidence of infection and pneumonia in infants after bilateral phrenic nerve palsy (PNP).The primary intention of this case report was to highlight the conservative management of bilateral PNP in neonates. Surprisingly, this infant, despite spending 72 days in the intensive care unit, did not develop any pneumonia. However, she developed systemic sepsis (which was not mentioned in the case report), which was suspected on the sixth postoperative day, because of rising white cell counts (increased to 23.6 K/μL with neutrophil counts of 91%) and falling platelet counts (reduced to 13,000 K/μL). A blood culture at this time returned positive for a gram-negative organism (Acenatobacter species). Our routine antibiotic prophylaxis is a combination of cefazolin (25 mg/kg/dose every eight hours) and ofloxacin (6 mg/kg/dose every twelve hours). After the onset of sepsis, this was changed to piperacillin/Tazobactum (50 mg/kg/dose every eight hours) with ofloxacin (same dose) and later narrowed down to a single antibiotic (Piperacillin/Tazobactum) after receiving the sensitivity pattern. This was continued for 10 days. All central and arterial catheters were removed 2 days after the tracheostomy was performed.Probably one of the reasons why this infant did not develop pneumonia is related to our practice of doing an “open-lung maneuver” in all our pediatric patients. There is very limited literature available on the use of open lung in children and probably none related to pediatric cardiac surgery. What we practice is that after every endotracheal suction, we increase the positive end-expiratory pressure to 20 to 25 cmH2O for 30 to 40 seconds. This maneuver can be easily performed in a well-sedated child without the need for muscle paralysis. It does not lead to any hemodynamic disturbances. In this institute, this is a routine practice, and we have noticed a reduction in the incidence of lung collapse and pneumonia in the postoperative period.I fully agree with Drs Ozkan and Akay that the crux of the matter lies in the prevention of PNP and having a high degree of suspicion in the intensive care unit, particularly in children who fail weaning for no particular reason. The authors appreciate the comments of Drs Ozkan and Akay regarding the incidence of infection and pneumonia in infants after bilateral phrenic nerve palsy (PNP). The primary intention of this case report was to highlight the conservative management of bilateral PNP in neonates. Surprisingly, this infant, despite spending 72 days in the intensive care unit, did not develop any pneumonia. However, she developed systemic sepsis (which was not mentioned in the case report), which was suspected on the sixth postoperative day, because of rising white cell counts (increased to 23.6 K/μL with neutrophil counts of 91%) and falling platelet counts (reduced to 13,000 K/μL). A blood culture at this time returned positive for a gram-negative organism (Acenatobacter species). Our routine antibiotic prophylaxis is a combination of cefazolin (25 mg/kg/dose every eight hours) and ofloxacin (6 mg/kg/dose every twelve hours). After the onset of sepsis, this was changed to piperacillin/Tazobactum (50 mg/kg/dose every eight hours) with ofloxacin (same dose) and later narrowed down to a single antibiotic (Piperacillin/Tazobactum) after receiving the sensitivity pattern. This was continued for 10 days. All central and arterial catheters were removed 2 days after the tracheostomy was performed. Probably one of the reasons why this infant did not develop pneumonia is related to our practice of doing an “open-lung maneuver” in all our pediatric patients. There is very limited literature available on the use of open lung in children and probably none related to pediatric cardiac surgery. What we practice is that after every endotracheal suction, we increase the positive end-expiratory pressure to 20 to 25 cmH2O for 30 to 40 seconds. This maneuver can be easily performed in a well-sedated child without the need for muscle paralysis. It does not lead to any hemodynamic disturbances. In this institute, this is a routine practice, and we have noticed a reduction in the incidence of lung collapse and pneumonia in the postoperative period. I fully agree with Drs Ozkan and Akay that the crux of the matter lies in the prevention of PNP and having a high degree of suspicion in the intensive care unit, particularly in children who fail weaning for no particular reason. Diaphragm Paralysis in Children After Cardiac SurgeryJournal of Cardiothoracic and Vascular AnesthesiaVol. 21Issue 1PreviewWe read with great interest the article by Moideen and associates entitled “Bilateral Phrenic Nerve Palsy in a Neonate Following Complex Congenital Cardiac Surgery.”1 Although we appreciate their excellent result and presentation, we have some comments about their diagnosis and treatment strategies. Also, we would like to share our experience about diaphragm paralysis (DP) after cardiac surgery. Full-Text PDF" @default.
• W4250611908 created "2022-05-12" @default.
• W4250611908 creator A5078890913 @default.
• W4250611908 date "2007-02-01" @default.
• W4250611908 modified "2023-09-29" @default.
• W4250611908 title "Reply" @default.
• W4250611908 doi "https://doi.org/10.1053/j.jvca.2006.04.006" @default.
• W4250611908 hasPublicationYear "2007" @default.
• W4250611908 type Work @default.
• W4250611908 citedByCount "0" @default.
• W4250611908 crossrefType "journal-article" @default.
• W4250611908 hasAuthorship W4250611908A5078890913 @default.
• W4250611908 hasConcept C126322002 @default.
• W4250611908 hasConcept C141071460 @default.
• W4250611908 hasConcept C177713679 @default.
• W4250611908 hasConcept C2777637488 @default.
• W4250611908 hasConcept C2777914695 @default.
• W4250611908 hasConcept C2778049240 @default.
• W4250611908 hasConcept C2778193466 @default.
• W4250611908 hasConcept C2778353156 @default.
• W4250611908 hasConcept C2778384902 @default.
• W4250611908 hasConcept C2778512257 @default.
• W4250611908 hasConcept C2778821649 @default.
• W4250611908 hasConcept C2987404301 @default.
• W4250611908 hasConcept C42219234 @default.
• W4250611908 hasConcept C501593827 @default.
• W4250611908 hasConcept C523546767 @default.
• W4250611908 hasConcept C534529494 @default.
• W4250611908 hasConcept C54355233 @default.
• W4250611908 hasConcept C71924100 @default.
• W4250611908 hasConcept C86803240 @default.
• W4250611908 hasConcept C89423630 @default.
• W4250611908 hasConceptScore W4250611908C126322002 @default.
• W4250611908 hasConceptScore W4250611908C141071460 @default.
• W4250611908 hasConceptScore W4250611908C177713679 @default.
• W4250611908 hasConceptScore W4250611908C2777637488 @default.
• W4250611908 hasConceptScore W4250611908C2777914695 @default.
• W4250611908 hasConceptScore W4250611908C2778049240 @default.
• W4250611908 hasConceptScore W4250611908C2778193466 @default.
• W4250611908 hasConceptScore W4250611908C2778353156 @default.
• W4250611908 hasConceptScore W4250611908C2778384902 @default.
• W4250611908 hasConceptScore W4250611908C2778512257 @default.
• W4250611908 hasConceptScore W4250611908C2778821649 @default.
• W4250611908 hasConceptScore W4250611908C2987404301 @default.
• W4250611908 hasConceptScore W4250611908C42219234 @default.
• W4250611908 hasConceptScore W4250611908C501593827 @default.
• W4250611908 hasConceptScore W4250611908C523546767 @default.
• W4250611908 hasConceptScore W4250611908C534529494 @default.
• W4250611908 hasConceptScore W4250611908C54355233 @default.
• W4250611908 hasConceptScore W4250611908C71924100 @default.
• W4250611908 hasConceptScore W4250611908C86803240 @default.
• W4250611908 hasConceptScore W4250611908C89423630 @default.
• W4250611908 hasIssue "1" @default.
• W4250611908 hasLocation W42506119081 @default.
• W4250611908 hasOpenAccess W4250611908 @default.
• W4250611908 hasPrimaryLocation W42506119081 @default.
• W4250611908 hasRelatedWork W2016477099 @default.
• W4250611908 hasRelatedWork W2168826887 @default.
• W4250611908 hasRelatedWork W225868111 @default.
• W4250611908 hasRelatedWork W2353525586 @default.
• W4250611908 hasRelatedWork W2355512556 @default.
• W4250611908 hasRelatedWork W2370966259 @default.
• W4250611908 hasRelatedWork W2760615756 @default.
• W4250611908 hasRelatedWork W4212805401 @default.
• W4250611908 hasRelatedWork W4235375593 @default.
• W4250611908 hasRelatedWork W4252826575 @default.
• W4250611908 hasVolume "21" @default.
• W4250611908 isParatext "false" @default.
• W4250611908 isRetracted "false" @default.
• W4250611908 workType "article" @default.