Evidence map›Paper›PMID 38488714›Full record

ArticleThe journal of extra-corporeal technology2024

Perfusion techniques for an 800 g premature neonate undergoing Arterial Switch Procedure for Transposition of the Great Arteries★.

Richard Owens, Madeline Loftin, Kellen Rosten, Douglas Fisher, Blake Denison, Erin Gottlieb, Charles Fraser

Open access · diamondAbstract readCase Reports
PubMed Full text at PMC Publisher
In one paragraph

Article in The journal of extra-corporeal technology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact, top 69% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 0 citations in OpenAlex.

  1. How Small is Too Small?Brazilian journal of cardiovascular surgery · 2025
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 1 institution in 1 country.

Richard OwensTexas Center for Pediatric and Congenital Heart Disease, Dell Children's Hospital, Austin, Texas, USA - Department of Surgery and Perioperative Care, University of Texas-Dell Medical School, Austin, Texas, USA.ORCID 0009-0005-6583-4676
Madeline LoftinTexas Center for Pediatric and Congenital Heart Disease, Dell Children's Hospital, Austin, Texas, USA - Department of Surgery and Perioperative Care, University of Texas-Dell Medical School, Austin, Texas, USA.
Kellen RostenTexas Center for Pediatric and Congenital Heart Disease, Dell Children's Hospital, Austin, Texas, USA - Department of Surgery and Perioperative Care, University of Texas-Dell Medical School, Austin, Texas, USA.
Douglas FisherTexas Center for Pediatric and Congenital Heart Disease, Dell Children's Hospital, Austin, Texas, USA - Department of Surgery and Perioperative Care, University of Texas-Dell Medical School, Austin, Texas, USA.
Blake DenisonTexas Center for Pediatric and Congenital Heart Disease, Dell Children's Hospital, Austin, Texas, USA - Department of Surgery and Perioperative Care, University of Texas-Dell Medical School, Austin, Texas, USA.
Erin GottliebTexas Center for Pediatric and Congenital Heart Disease, Dell Children's Hospital, Austin, Texas, USA - Department of Surgery and Perioperative Care, University of Texas-Dell Medical School, Austin, Texas, USA.
Charles FraserTexas Center for Pediatric and Congenital Heart Disease, Dell Children's Hospital, Austin, Texas, USA - Department of Surgery and Perioperative Care, University of Texas-Dell Medical School, Austin, Texas, USA.
Dell Children's Medical Center of Central Texas · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Early cardiac surgery in neonates and infants with congenital heart disease has been performed since the middle to late years of the twentieth century. To date, there are very few reports of successful congenital heart surgery using cardiopulmonary bypass (CPB) in premature babies less than 1000 g with serious congenital heart disease. Limited information is available in the literature describing perfusion techniques for this extremely fragile patient population. Miniaturization of the CPB circuit contributes to multiple factors that affect this population significantly. These factors include the reduction of patient-to-circuit ratios, volume of distribution of pharmacological agents, management of pressure gradients within the CPB system, and increased tactile control by the attending perfusionist. Careful management of the physiological environment of the patient is of utmost importance and can mitigate risks during CPB, including volume shifts into the interstitial space, electrolyte, and acid-base imbalance, and intracranial hemorrhage. We report perfusion techniques successfully utilized during the surgical repair of transposition of the great arteries for an 800 g, 28-week-old neonate. CPB techniques for the smallest and youngest patients may be executed safely when proper physical, chemical, and perfusion process adjustments are made and managed meticulously.

Indexed as

Arterial Switch OperationCardiac Surgical ProceduresHeart Defects, CongenitalTransposition of Great VesselsCardiopulmonary BypassHumansInfantInfant, NewbornPerfusionArterial Switch OperationCardiopulmonary BypassLow birth weightPrematurity

Identifiers

PMID38488714
PMCPMC10941837
OpenAlexW4389164157

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.