Niranjan Vijayakumar

1027: ULTRASOUND DIAGNOSIS OF DIAPHRAGMATIC PARESIS IN CHILDREN AFTER HEART SURGERY: A REVIEW

Niranjan Vijayakumar, Xuexin Lu, Madhuradhar Chegondi

Introduction: Diaphragm paralysis or paresis (DP) is a well-studied complication after congenital heart surgery due to the increased risk of injury to the phrenic nerve, with an incidence described in the literature between 0.5% and 13% or after birth trauma in neonates. …

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Good Practice Concepts in Pediatric Critical Care Point-of-Care Ultrasound: A Modified Delphi Consensus Initiative

Jamie Penk, Vidit Bhargava, Harsha Chandnani, Grace Chong et autres

OBJECTIVE: We assembled a workgroup within the Pediatric Research Collaborative on Critical UltraSound (PeRCCUS), a subgroup of the Pediatric Acute Lung Injury and Sepsis Investigators (PALISI), to define early guidance for point-of-care ultrasound (POCUS) institutional practice and foster future comprehensive guidelines for …

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Blood Product Transfusion and Coagulopathy in Children with Traumatic Brain Injury: A Narrative Review

Robert Marcel Huibonhoa, Niranjan Vijayakumar, DA Kelly, Oliver Karam et autres

Traumatic brain injury (TBI) is a leading cause of critical illness and mortality in children. Transfusion of blood products, a common intervention in the management of pediatric TBI, has important implications for related principles, including trauma-induced coagulopathy, cerebral perfusion, and cerebral oxygen …

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Lower dose emicizumab prophylaxis in children with hemophilia A: Real - world outcomes, hemostatic profiles and cost- effectiveness from a resource limited setting

Lincy Paul, Niranjan Vijayakumar, Anandakrishnan Nandakumar, Georg Gutjahr et autres

Abstract Background: Although Emicizumab has transformed prophylaxis in Hemophilia A management, standard-dose therapy remains inaccessible for most in resource-limited settings. Evidence on lower dose Emicizumab in real-world pediatric cohorts is limited. Objective: To assess clinical outcomes, thromboelastography (TEG) profiles, and cost-effectiveness in …

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Intelligent model to improve the efficacy of healthcare content marketing by auto-tagging and exploring the veracity of content using opinion mining

S. Sri Hari, S. Porkodi, R. Saranya, Niranjan Vijayakumar

Digital content is favourably useful for sales and marketing industries and the healthcare industry is no exception. Most user seeks medical advice for treatment as well as health information by crawling and analysing the information on the web. The digital content must …

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770: POINT-OF-CARE ULTRASOUND IN THE PEDIATRIC CARDIAC ICU: SURVEY OF USE, NEEDS, AND FUTURE DIRECTIONS

Benjamin W. Kozyak, Jamie Penk, Shazia Bhombal, David K. Werho et autres

Introduction: Use of point-of-care ultrasound (POCUS) has expanded rapidly across Critical Care Medicine. It has made procedures safer, while informing and expediting the evaluation of patients with cardiorespiratory failure. Pediatric Cardiac Critical Care is unique in the complexity of its patients and …

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Advanced imaging and modeling in neonatal simulation

Jennifer Arnold, Niranjan Vijayakumar, Philip T. Levy

Staged vs Complete Repair in Tetralogy of Fallot With Pulmonary Atresia

K Boucek, Christopher W. Mastropietro, J. A. Beall, Everette Keller et autres

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1: ULTRASOUND SCREENING FOR VOCAL CORD DYSFUNCTION AFTER CONGENITAL HEART SURGERY IN CHILDREN

Niranjan Vijayakumar, Daniel L. Hames, Nataly Montano Vargas, Jason Kerstein et autres

Introduction: Vocal cord dysfunction (VCD) is a common complication following congenital cardiac surgery. VCD is more frequently diagnosed in aortic arch repairs due to the risk of recurrent laryngeal nerve injury. We previously identified VCD as a key variable in feeding dysfunction …

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Management of Anticoagulation during Extracorporeal Membrane Oxygenation in Children

Madhuradhar Chegondi, Niranjan Vijayakumar, Balagangadhar Totapally

Extracorporeal Membrane Oxygenation (ECMO) is often used in critically ill children with severe cardiopulmonary failure. Worldwide, about 3600 children are supported by ECMO each year, with an increase of 10% in cases per year. Although anticoagulation is necessary to prevent circuit thrombosis …

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Effect of Platelet Transfusions on Extracorporeal Life Support Oxygenator’s Function

Madhuradhar Chegondi, Niranjan Vijayakumar, Aditya Badheka, Oliver Karam

Objective Bleeding is a common complication of extracorporeal membrane oxygenation (ECMO), leading to increased mortality. Since one of its main complications is bleeding, platelet transfusions are frequently prescribed for children on ECMO. However, there is currently very little information on the effect …

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Intelligent model to improve the efficacy of healthcare content marketing by auto-tagging and exploring the veracity of content using opinion mining

Niranjan Vijayakumar, R. Saranya, S. Porkodi, S. Sri Hari