2024
Clinical outcomes in critically ill children on extracorporeal membrane oxygenation with severe thrombocytopenia.
Labarinas S, Norbisrath K, Johnson D, Meliones J, Greenleaf C, Salazar J, Karam O. Clinical outcomes in critically ill children on extracorporeal membrane oxygenation with severe thrombocytopenia. Perfusion 2024, 2676591241247981. PMID: 38626382, DOI: 10.1177/02676591241247981.Peer-Reviewed Original ResearchExtracorporeal membrane oxygenationExtracorporeal membrane oxygenation daysCritically ill childrenSevere thrombocytopeniaPlatelet countPlatelet transfusionsMembrane oxygenationIll childrenMortality rateDuration of extracorporeal membrane oxygenationAssociated with in-hospital mortality ratesExtracorporeal membrane oxygenation durationSingle-center retrospective studyPlatelet transfusion strategyFrequent platelet transfusionsIn-hospital mortality rateAssociated with bleedingTransfusion strategyAssociated with higher proportionsMedian weightMulticenter studyRetrospective studyClinical outcomesOn-ECMOThrombocytopenia
2023
First nosocomial infections in children supported by veno-arterial extracorporeal membrane oxygenation (VA-ECMO)
Cousin V, Rodriguez-Vigouroux R, Karam O, Rimensberger P, Posfay-Barbe K. First nosocomial infections in children supported by veno-arterial extracorporeal membrane oxygenation (VA-ECMO). BMC Pediatrics 2023, 23: 89. PMID: 36823601, PMCID: PMC9948414, DOI: 10.1186/s12887-023-03908-3.Peer-Reviewed Original ResearchConceptsVA-ECMO supportPediatric intensive care unitMedian timeClinical signsMedian PICU LOSNosocomial infection occurrenceUrinary tract infectionVentilator-associated pneumoniaExtracorporeal membrane oxygenationIntensive care unitPaucity of dataPICU lengthPICU LOSRefractory shockVA-ECMOTract infectionsMedian ageMembrane oxygenationSternotomy infectionsCare unitRetrospective studySevere infectionsFirst infectionMortality rateInfection occurrence
2022
Effect of Platelet Transfusions on Extracorporeal Life Support Oxygenator’s Function
Chegondi M, Vijayakumar N, Badheka A, Karam O. Effect of Platelet Transfusions on Extracorporeal Life Support Oxygenator’s Function. Frontiers In Pediatrics 2022, 10: 826477. PMID: 35321010, PMCID: PMC8936087, DOI: 10.3389/fped.2022.826477.Peer-Reviewed Original ResearchExtracorporeal membrane oxygenationPediatric intensive care unitPlatelet transfusionsOxygenator functionECMO supportVeno-arterial extracorporeal membrane oxygenationOnly independent factorSubgroup of patientsIntensive care unitAnticoagulation strategiesCommon complicationMembrane oxygenationCare unitRetrospective studyMain complicationsLowest quartileTransfusionIndependent factorsMmHgECMO oxygenatorROC curveComplicationsPatientsChildrenRegression models
2017
Hypoglycemic relapse in term infants treated with glucose infusion
Sternberg J, Pfister R, Karam O. Hypoglycemic relapse in term infants treated with glucose infusion. Journal Of Clinical Neonatology 2017, 6: 163-167. DOI: 10.4103/jcn.jcn_10_17.Peer-Reviewed Original ResearchLow birth weightGlucose infusionBirth weightSingle-center retrospective studyProportion of infantsMain risk factorsTerm infantsConsecutive patientsNeonatal hypoglycemiaTerm newbornsGestational ageRetrospective studyRisk infantsRisk factorsMild severityRelapseInfusionProgressive weaningInfantsHypoglycemiaNewbornsSmall proportionLittle evidenceLevel 3Patients
2016
Potential Pediatric Organ Donors After Cardiac Death
Pregernig A, Karam O. Potential Pediatric Organ Donors After Cardiac Death. Transplantation Proceedings 2016, 48: 2588-2591. PMID: 27788786, DOI: 10.1016/j.transproceed.2016.06.049.Peer-Reviewed Original ResearchConceptsWithdrawal of careOrgan donorsAgonal timeMaximal resuscitationCardiac deathPediatric populationNeonatal intensive care unitOrgan donationBrain-dead childrenIntensive care unitOrgan donor poolTransplant waiting listPediatric organ donorPotential organ donorsOrgan donation programsMedical contraindicationsCare unitRetrospective studyDonor poolWaiting listDonation programDonor populationCareChildrenResuscitation