Staged Single Ventricle Palliation and Homozygous Sickle Cell Disease

Maddali, Madan Mohan; Junghare, Minakshi Sandip; Arora, Nishant Ram; Kandachar, Pranav Subbaraya; Valliattu, Johan

doi:10.1111/jocs.12721

Cited by 1 publication

(4 citation statements)

References 16 publications

(30 reference statements)

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“…One case report recommends against Foley catheter insertion, due to the risk of infection . Intraoperative laboratory monitoring including hemoglobin levels and hemolysis parameters is routinely used by some . Lower limb venous access should be avoided because of the ulceration risk, according to one report…”

Section: Resultsmentioning

confidence: 99%

“…Strategies include avoiding vascular stasis with proper positioning, and swiftly reversing hypotension . Vasoconstricting amines or other similar drugs, which are theoretically associated with a risk of peripheral vascular stasis, should if possible not be among the first line approaches to hypotension according to many . Hydration to avoid hyperviscosity and dehydration is considered essential .…”

Section: Resultsmentioning

confidence: 99%

“…Acidosis has to be controlled and bicarbonate is used to reverse it . Mild alkalosis induced by bicarbonate therapy has sometimes been advocated for, mostly older articles . Effective intraoperative pain control needs particular attention in SCD patient as it can lead to sickling .…”

Section: Resultsmentioning

confidence: 99%

“…Cold vs warm cardioplegia have been used without consensus. Hemofiltration is frequently used in combination with these procedures . One group describes an aortic valve replacement on a beating heart in a case report …”

Section: Resultsmentioning

confidence: 99%

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Perioperative care of children with sickle cell disease: A systematic review and clinical recommendations

et al. 2019

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Children with sickle cell disease (SCD) require specific perioperative care, and clinical practice in this area remains poorly defined. We aimed to conduct a systematic, PRISMA-based review of the literature, available clinical guidelines and practice recommendations. We also aimed to extract any valuable information for the "best of available-evidence"-based prevention of perioperative adverse events in children with SCD, and highlight the most urgent priorities in clinical research. As data sources, USWe also included institutional, consortia and expert group guidelines. Included were reports/guidelines in English, French, German, and Italian. Excluded were reports on obstetrical and fetal management. We identified 202 reports/guidelines fulfilling the criteria outlined above. A majority focused on visceral, cardiovascular and orthopedic surgery procedures, and only five were multicenter randomized controlled trials and two prospective randomized studies. After grading of the quality of the evidence, the extracted data was summarized into clinical recommendations for daily practice. Additionally, we designed a risk-grading algorithm to identify contexts likely to be associated with adverse outcomes. In conclusion, we provide a systematic PRISMA-based review of the existing literature and ancillary practice and delineate a set of clinical recommendations and priorities for research.

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Section: Resultsmentioning

confidence: 99%