Pediatr Crit Care Me
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Pediatr Crit Care Me · Jul 2005
Multicenter StudySteroid use before pediatric cardiac operations using cardiopulmonary bypass: an international survey of 36 centers.
Steroid administration before pediatric cardiac operations using cardiopulmonary bypass has been shown to modulate the inflammatory response and reduce myocardial injury. We hypothesized that current steroid administration practices among pediatric cardiac surgical centers are highly variable. ⋯ Although nearly all centers surveyed administer steroids before cardiopulmonary bypass, the type, dosing, route, and timing of administration are highly variable. The inconsistencies in these data and the pediatric literature would support the undertaking of a large, multiple-center clinical trial to evaluate the risks and benefits of steroid administration before pediatric cardiopulmonary bypass.
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Pediatr Crit Care Me · Jul 2005
Editorial Comment ReviewSevere dengue: coming soon to a pediatric intensive care unit near you?