Pediatr Crit Care Me
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Pediatr Crit Care Me · Jun 2014
Editorial CommentAdults with congenital heart disease: not just big babies*.
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Pediatr Crit Care Me · Jun 2014
Editorial CommentTransfusion practices in evolution, not revolution*.
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Pediatr Crit Care Me · Jun 2014
Review Meta AnalysisPerioperative Steroids Administration in Pediatric Cardiac Surgery: A Meta-Analysis of Randomized Controlled Trials.
To evaluate the effects of prophylactic perioperative corticosteroid administration, compared with placebo, on postoperative mortality and clinical outcomes (renal dysfunction, duration of mechanical ventilation, and ICU length of stay) in pediatric patients undergoing cardiac surgery with cardiopulmonary bypass. ⋯ Despite a demonstrated attenuation of cardiopulmonary bypass-induced inflammatory response by steroid administration, a systematic review of randomized controlled trials performed so far reveals that steroid administration has potential clinical advantages (lower mortality and significant reduction of renal function deterioration). A larger prospective randomized study is needed to verify clearly the effects of steroid prophylaxis in pediatric patients.