Determining the association of hyperoxia while on extracorporeal life support with mortality in neonates following Norwood operation

Neonates with hyperoxia (PaO<sub>2</sub> > 182 Torr) during the first 48-hour of ECLS post-Norwood operation had 5 times higher odds of mortality in the unadjusted analysis, however, this was insignificant when adjusting for confounding variables. Patients in the hyperoxia group had shorter duration from CICU arrival to ECLS-cannulation, higher serum lactate prior to ECLS-canulation, and higher ECLS flows in the first 4-hours, (p < 0.05). Multicenter evaluation of this modifiable risk factor is imperative to improve the care of this high-risk cohort.

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Publication Details

Journal
Journal of ExtraCorporeal Technology
Published
2024-09-10
DOI
https://doi.org/10.1051/ject/2024020
Citations
1
Primary Topic
Neonatal and fetal brain pathology
Type
article
Field-Weighted Citation Impact
1.11
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article

Determining the association of hyperoxia while on extracorporeal life support with mortality in neonates following Norwood operation

Subhadra Shashidharan, Asaad G. Beshish, David M. Kwiatkowski, Alan Amedi et al.
1 citations
Journal of ExtraCorporeal Technology
Neonatal and fetal brain pathology
1.11
article

Determining the association of hyperoxia while on extracorporeal life support with mortality in neonates following Norwood operation

Subhadra Shashidharan, Asaad G. Beshish, David M. Kwiatkowski, Alan Amedi, Shayli Patel, Amy Scheel, Alaa Aljiffry, Yijin Xiang, Amanda Harding, Sean Evans, Ashley Harriott, Joel Davis
article en
1 citations

Abstract

Neonates with hyperoxia (PaO<sub>2</sub> > 182 Torr) during the first 48-hour of ECLS post-Norwood operation had 5 times higher odds of mortality in the unadjusted analysis, however, this was insignificant when adjusting for confounding variables. Patients in the hyperoxia group had shorter duration from CICU arrival to ECLS-cannulation, higher serum lactate prior to ECLS-canulation, and higher ECLS flows in the first 4-hours, (p < 0.05). Multicenter evaluation of this modifiable risk factor is imperative to improve the care of this high-risk cohort.

Journal of ExtraCorporeal TechnologyVol. 56(4)
Lucile Packard Children's Hospital (US), Emory University (US), Children's Healthcare of Atlanta (US)
Openalex Percentile: Top 18%
Neonatal and fetal brain pathology
1.11
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