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63 results

Page 1 of 4

  • Unstable right ventricular hypertension in pulmonary atresia and intact ventricular septum: a case report

  • Joshua D. Griesman, David J. Barron, Steven M. Schwartz
  • Journal:
    Cardiology in the Young / Volume 34 / Issue 8 / August 2024
    Published online by Cambridge University Press:
    13 September 2024, pp. 1829-1831
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  • Arterial oxygen saturation in single ventricle patients is dependent on systemic cardiac output. Here, we describe a case of a newborn with single ventricle physiology and an unusual mechanism to explain poor cardiac output and cyanosis. This case highlights the importance of identifying and considering ventricular morphology and ventricular-ventricular interactions to understand clinical challenges.

  • A tool for routine monitoring and feedback of morbidities following paediatric cardiac surgery

  • Luca Grieco, Christina Pagel, Martin Utley, David J. Barron, Serban Stoica, Shane Tibby, Warren Rodrigues, Victor Tsang, Katherine L. Brown
  • Journal:
    Cardiology in the Young / Volume 30 / Issue 1 / January 2020
    Published online by Cambridge University Press:
    17 December 2019, pp. 28-33
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  • Short-term survival after paediatric cardiac surgery has improved significantly over the past 20 years and increasing attention is being given to measuring and reducing incidence of morbidities following surgery. How to best use routinely collected data to share morbidity information constitutes a challenge for clinical teams interested in analysing their outcomes for quality improvement. We aimed to develop a tool facilitating this process in the context of monitoring morbidities following paediatric cardiac surgery, as part of a prospective multi-centre research study in the United Kingdom.

    We developed a prototype software tool to analyse and present data about morbidities associated with cardiac surgery in children. We used an iterative process, involving engagement with potential users, tool design and implementation, and feedback collection. Graphical data displays were based on the use of icons and graphs designed in collaboration with clinicians.

    Our tool enables automatic creation of graphical summaries, displayed as a Microsoft PowerPoint presentation, from a spreadsheet containing patient-level data about specified cardiac surgery morbidities. Data summaries include numbers/percentages of cases with morbidities reported, co-occurrences of different morbidities, and time series of each complication over a time window.

    Our work was characterised by a very high level of interaction with potential users of the tool, enabling us to promptly account for feedback and suggestions from clinicians and data managers. The United Kingdom centres involved in the project received the tool positively, and several expressed their interest in using it as part of their routine practice.

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