Martina A Steurer

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INTRODUCTION The aim of this randomized controlled trial was to investigate whether volatile anesthetics used for postoperative sedation have any beneficial effects on myocardial injury in cardiac surgery patients after on-pump valve replacement. METHODS Anesthesia was performed with propofol. After arrival in the intensive care unit (ICU), 117 patients(More)
BACKGROUND B-type natriuretic peptide (BNP) has not been evaluated in newborns with congenital diaphragmatic hernia (CDH). We hypothesized that BNP and severity of pulmonary hypertension (PH) would predict clinical outcome in these infants. METHODS We measured BNP levels and assessed severity of PH by echocardiography at 1 d and 1 wk of life. Outcome was(More)
OBJECTIVES To describe the natural history of pulmonary hypertension (PH) and the risk of death and pulmonary morbidity associated with the persistence of PH through the neonatal hospitalization for these infants. STUDY DESIGN We performed a retrospective cohort study of infants with congenital diaphragmatic hernia (CDH) cared for at University of(More)
BACKGROUND The publication of Swiss guidelines for the care of infants at the limit of viability (22-25 completed weeks) was followed by increased survival rates in the more mature infants (25 completed weeks). At the same time, considerable centre-to-centre (CTC) differences were noted. OBJECTIVES To examine the trend of survival rates of borderline(More)
BACKGROUND Because ethical decision making in the care of extremely preterm infants varies widely across Europe, the Swiss Society of Neonatology decided to publish its own guidelines on the care of infants born at the limit of viability in 2002. OBJECTIVE To examine the potential impact of the guidelines on survival rates, short-term complication rates(More)
BACKGROUND An elevated nucleated red blood cell (NRBC) count is an independent risk factor for postnatal bleeding complications in growth-restricted infants. The etiology of this phenomenon is unclear. OBJECTIVES To demonstrate a correlation between massively elevated NRBC counts, coagulopathies and unusual or severe bleeding complications. METHODS The(More)
BACKGROUND AND OBJECTIVES There are limited epidemiologic data on persistent pulmonary hypertension of the newborn (PPHN). We sought to describe the incidence and 1-year mortality of PPHN by its underlying cause, and to identify risk factors for PPHN in a contemporary population-based dataset. METHODS The California Office of Statewide Health Planning and(More)
QUESTIONS UNDER STUDY To determine the impact of a pro-active treatment approach on outcome of extremely low gestational age neonates (ELGANs; gestational age [GA] <28 weeks) born at the perinatal centre of Lucerne, Switzerland. METHODS We assessed rates of survival, severe neonatal morbidity and neuro-developmental impairment (NDI) of all ELGANs born(More)
AIM This study quantified the impact of perinatal predictors and medical centre on the outcome of very low-gestational-age neonates (VLGANs) born at <32 completed weeks in Switzerland. METHODS Using prospectively collected data from a 10-year cohort of VLGANs, we developed logistic regression models for three different time points: delivery, NICU(More)
Die i.v.-Verabreichung von Flüssigkeit, Elektrolyten und Glucose ist eine der häufigsten medizinischen Interventionen bei hospitalisierten pädiatrischen Patienten. Eine parenterale Flüssigkeitstherapie kann lebensrettend sein. Unreflektiert verabreicht birgt sie aber auch erhebliche Risiken. Im Rahmen der perioperativen parenteralen Flüssigkeitstherapie(More)