Despite consistencies in clinical care and standardized surgical procedures, recovery sometimes differs among patients undergoing similar treatment. Physical, environmental, and clinical factors can all influence patient outcomes.
Nationwide Children’s Hospital faculty members conduct outcomes-based research among cardiology patients to identify practices and procedures that result in better patient outcomes. Current studies are focused on surgical factors, postoperative care and the affects of intensive care and maternal care giving.
Limiting Allogenic Blood Use in Patients Before Cardiac Surgery
Preoperative phlebotomy can minimize the need for allogenic blood products. This study suggests that preoperative phlebotomy without significant volume replacement can be performed safely before cardiopulmonary bypass.
Access an abstract of this study: Cerebral Oximetry Monitoring During Preoperative Phlebotomy to Limit Allogeneic Blood Use in Patients Undergoing Cardiac Surgery. Pediatr Cardiol. 2012 Jun 1. [Epub ahead of print]
Pain Management After Stage 2 Repair for Hypoplastic Left Heart Syndrome
Preliminary data suggest that more attention should be given to pain management after the second stage of the hybrid approach to palliation of hypoplastic left heart syndrome, since more than 30 percent of the pain scores in this group were moderate to severe.
Access an abstract of this study: Pain Management After Comprehensive Stage 2 Repair for Hypoplastic Left Heart Syndrome. Pediatr Cardiol. 2012 Jun 1. [Epub ahead of print]
Newer Inotropes in Pediatric Heart Failure
Medications known as inotropes are often used in the management of various cardiovascular conditions. However, inotropic support in pediatrics is based largely on adult studies. This article discusses the use of two new inotropes, levosimendan and istaroxime, that may be applicable in pediatrics.
Access an abstract of this study: Newer inotropes in pediatric heart failure. J Cardiovasc Pharmacol. 2011 Aug;58(2):121-5.
A Follow-Up Study of Autonomic Nervous System Functioning in 3-Year-Old Children with Surgically Corrected Transposition, American Nurses Foundation (Tondi Harrison)
A Pilot Study of a Skin-to-Skin Intervention in Infants with Congenital Heart Defects, Nationwide Institutes of Health, National Institutes of Nursing Research (Tondi Harrison)