scholarly journals Retrospective Review of Interventional Radiology Treatment and Outcomes in Pediatric Liver Disease

2020 ◽  
Vol 3 ◽  
Author(s):  
Anna Purk ◽  
Sean Pfaff ◽  
Francis Marshalleck ◽  
Jean Molleston
Keyword(s):  
Interventional Radiology ◽  
Liver Disease ◽  
Chart Review ◽  
Retrospective Chart Review ◽  
Descriptive Statistics ◽  
Data Set ◽  
Pediatric Liver ◽  
Portosystemic Shunts ◽  
Pediatric Liver Disease ◽  
Intrahepatic Portosystemic Shunt

Background: Interventional radiology (IR) procedures offer less invasive and low risk options for the treatment of pediatric liver abnormalities, as well as life sustaining measures to bridge patients to transplant. Literature regarding IR interventions for pediatric liver disease is limited. Common conditions that can be treated with IR procedures include vascular anomalies: congenital portosystemic shunts, arteriovenous malformations (AVM), and Budd-Chiari malformation. Transjugular intrahepatic portosystemic shunt (TIPS) can be used to prevent recalcitrant variceal bleeding in portal HTN.  Liver biopsy (percutaneous and transjugular) is used to sample the liver and can be targeted to tumors and other lesions. Percutaneous approaches to image biliary abnormalities and treat strictures are useful in children after liver transplant and also without.,     Objective: describe liver IR procedures and their outcomes in a single-center cohort study      Methods: Patients will be identified through retrospective chart review at Riley Hospital for Children to identify and record the diagnoses, interventions, and relevant outcomes for eligible patients. Descriptive statistics can then be performed. This data set can be used to help inform clinicians on indications and expected outcomes for relevant hepatic IR procedures.     Conclusion: It is anticipated that data collected for this project will show increased utilization of these procedures at the end of the study period compared to the beginning, and the complication rate for the IR procedure will be lower when compared to equivalent traditional procedures to treat the same condition.  

scholarly journals Pediatric Liver Disease in India

2021 ◽  
Author(s):  
Naresh Shanmugam ◽  
Malathy Sathyasekaran ◽  
Mohamed Rela
Keyword(s):  
Liver Disease ◽  
Pediatric Liver ◽  
Pediatric Liver Disease

The Kidney in Pediatric Liver Disease

2015 ◽  
Vol 17 (9) ◽  
Author(s):  
Robyn Greenfield Matloff ◽  
Ronen Arnon
Keyword(s):  
Liver Disease ◽  
Pediatric Liver ◽  
Pediatric Liver Disease

Pediatric Liver Disease

2018 ◽  
pp. 335-350
Author(s):  
Chatmanee Lertudomphonwanit ◽  
William F. Balistreri
Keyword(s):  
Liver Disease ◽  
Pediatric Liver ◽  
Pediatric Liver Disease

Nutritional Considerations in Pediatric Liver Disease

2014 ◽  
Vol 35 (11) ◽  
pp. 493-496
Author(s):  
Russell Cameron ◽  
Debora Kogan-Liberman
Keyword(s):  
Liver Disease ◽  
Pediatric Liver ◽  
Pediatric Liver Disease

scholarly journals Perioperative Intravenous Acetaminophen in Pediatric Tonsillectomies

2018 ◽  
Vol 53 (5) ◽  
pp. 316-320 ◽  
Author(s):  
Brandi Bowman ◽  
Leslie Sanchez ◽  
Preeyaporn Sarangarm
Keyword(s):  
Chart Review ◽  
Primary Outcome ◽  
Pediatric Patients ◽  
Retrospective Chart Review ◽  
Descriptive Statistics ◽  
Pain Medications ◽  
Frequent Administration ◽  
Intravenous Acetaminophen ◽  
Sparing Effect ◽  
Opiate Administration

Purpose: This study investigated the effect of perioperative intravenous (IV) acetaminophen on opioid requirements in pediatric patients undergoing tonsillectomy at a single center. Methods: This retrospective chart review included patients who were less than 18 years old and underwent an outpatient tonsillectomy procedure. Patients who received non–Food and Drug Administration (FDA)-approved dosing of IV acetaminophen, without documented weights, and on chronic pain medications at the time of the procedure were excluded. The primary outcome was opioid requirements postoperatively prior to discharge measured as morphine equivalents per kilogram. Descriptive statistics were used to compare differences between groups. A multivariate analysis was performed, accounting for differences between groups in baseline and procedural characteristics. Results: In total, 157 patients were included in this study, of whom 55 had received IV acetaminophen and 102 had not. The average IV acetaminophen dose for was 14.5 mg/kg for patients weighing less than 50 kg (n = 22); the remaining patients received the maximum 1 g dose. Patients who received IV acetaminophen were less likely to be administered postoperative opiates as compared with those did not (45.5% vs 63.7%, odds ratio = 0.48, P = .036). There was a trend toward a decrease in total amount of opiates administered with IV acetaminophen (0 vs 0.033 µg/kg, P = .61). After adjusting for age and documented pain assessment, IV acetaminophen administration remained a significant factor for postoperative opiate administration. Conclusions: Perioperative administration of IV acetaminophen was associated with less frequent administration of symptom-directed opiates in pediatric tonsillectomies. This finding indicates that the agent may have an opioid-sparing effect in this patient population.

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