REPEAT ANTIBIOTIC DOSING IN PROLONGED PAEDIATRIC SURGERY--DO WE? SHOULD WE?

Abstract. Background: Absorbable sutures are not generally accepted by most vascular surgeons for the fear of breakage of the suture line and the risk of aneurysmal formation, except in cases of paediatric surgery or in case of infections. Aim of this study is to provide evidence of safety and efficacy of the use of absorbable suture materials in carotid surgery. Patients and methods: In an 11 year period, 1126 patients (659 male [58.5 %], 467 female [41.5 %], median age 72) underwent carotid endarterectomy for carotid stenosis by either conventional with primary closure (cCEA) or eversion (eCEA) techniques. Patients were randomised into two groups according to the type of suture material used. In Group A, absorbable suture material (polyglycolic acid) was used and in Group B non-absorbable suture material (polypropylene) was used. Primary end-point was to compare severe restenosis and aneurysmal formation rates between the two groups of patients. For statistical analysis only cases with a minimum period of follow-up of 12 months were considered. Results: A total of 868 surgical procedures were considered for data analysis. Median follow-up was 6 years (range 1-10 years). The rate of postoperative complications was better for group A for both cCEA and eCEA procedures: 3.5 % and 2.0 % for group A, respectively, and 11.8 % and 12.9 % for group B, respectively. Conclusions: In carotid surgery, the use of absorbable suture material seems to be safe and effective and with a general lower complications rate compared to the use of non-absorbable materials.

Download Full-text

Faculty Opinions recommendation of Comparison of thromboelastometry (ROTEM®) with standard plasmatic coagulation testing in paediatric surgery.

Faculty Opinions – Post-Publication Peer Review of the Biomedical Literature ◽

10.3410/f.13483981.14861096 ◽

2012 ◽

Author(s):

Mark Crawford ◽

James O'Leary

Keyword(s):

Paediatric Surgery ◽

Coagulation Testing ◽

Plasmatic Coagulation

Download Full-text

Antibiotic dosing adjustments in hospitalized patients with chronic kidney disease: a retrospective chart review

International Urology and Nephrology ◽

10.1007/s11255-021-02834-6 ◽

2021 ◽

Author(s):

Bahia Chahine

Keyword(s):

Chronic Kidney Disease ◽

Kidney Disease ◽

Chart Review ◽

Retrospective Chart Review ◽

Hospitalized Patients ◽

Antibiotic Dosing

Download Full-text

Variation in target attainment of β‐lactam antibiotic dosing between international pediatric formularies

Clinical Pharmacology & Therapeutics ◽

10.1002/cpt.2180 ◽

2021 ◽

Author(s):

Silke Gastine ◽

Yingfen Hsia ◽

Michelle Clements ◽

Charlotte IS Barker ◽

Julia Bielicki ◽

...

Keyword(s):

Target Attainment ◽

International Pediatric ◽

Lactam Antibiotic ◽

Antibiotic Dosing

Download Full-text

Spectrum of colorectal surgery operations performed in a single paediatric surgery unit in sub-Saharan Africa

African Journal of Paediatric Surgery ◽

10.4103/0189-6725.132802 ◽

2014 ◽

Vol 11 (2) ◽

pp. 128 ◽

Cited By ~ 7

Author(s):

TaiwoA. Lawal ◽

DareI. Olulana ◽

OlakayodeO. Ogundoyin

Keyword(s):

Colorectal Surgery ◽

Sub Saharan Africa ◽

Paediatric Surgery ◽

Sub Saharan

Download Full-text

Global leadership in paediatric and congenital cardiac care: “Humility in Leadership – an interview with Katarina Hanséus, MD, PhD, President of the Association for European Paediatric and Congenital Cardiology (AEPC)”

Cardiology in the Young ◽

10.1017/s1047951121001669 ◽

2021 ◽

Vol 31 (5) ◽

pp. 689-695

Author(s):

Justin T. Tretter ◽

Jeffrey P. Jacobs

Keyword(s):

Cardiac Surgery ◽

Global Leadership ◽

University Hospital ◽

Cardiac Care ◽

Paediatric Surgery ◽

Cross Sectional ◽

Paediatric Cardiology ◽

Pediatric Society ◽

European Paediatric ◽

Paediatric Cardiac Surgery

AbstractDr. Katarina Hanséus is the focus of our fourth in a series of interviews in Cardiology in the Young entitled, “Global Leadership in Paediatric and Congenital Cardiac Care”. Dr. Hanséus was born in Malmö, Sweden. She attended undergraduate school in her home town in Malmö, Sweden, graduating in 1974. Dr. Hanséus then went on to complete medical school at University of Lund in Lund, Sweden, graduating in 1980, where additionally she completed a Doctoral Dissertation in the evaluation of cardiac function and chamber size in children using Doppler and cross-sectional echocardiography. Under the Swedish Board of National Welfare, Dr. Hanséus completed her authorisation as a paediatrician in 1986, followed by her authorisation as a paediatric cardiologist in 1988, at University of Lund. She was appointed head of Paediatric Cardiology in 2000 at the Children’s Heart Center, Skane University Hospital, Lund, Sweden. The programme at Lund serves as one of the two national referral centres for comprehensive paediatric and congenital cardiac care, including paediatric cardiac surgery, in Sweden. From 2006 to 2013, she served as the clinical and administrative head of the Department of Neonatology, Paediatric Surgery, Paediatric Intensive Care, Paediatric Cardiology, and Paediatric Cardiac Surgery, returning as the head of Paediatric Cardiology in 2013, for which she currently holds the position.Dr. Hanséus is a recognised leader in the field of Paediatric Cardiology and has been involved in leadership within the Swedish Pediatric Society, the Swedish Association for Pediatric Cardiology, and the Association for European Paediatric and Congenital Cardiology throughout her career. Within the Association for European Paediatric and Congenital Cardiology, she served as the Secretary General from 2011 to 2016, the President Elect in 2018, and is the current President serving from 2019 until 2022. This article presents our interview with Dr. Hanséus, an interview that covers her experience as a leader in the field of Paediatric Cardiology, including the history and goals of the Association for European Paediatric and Congenital Cardiology, and her role and vision as their current President.

Download Full-text