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Fluid Accumulation After Neonatal Congenital Cardiac Operation: Clinical Implications and Outcomes

Friday, December 9, 2022

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Source Name: The Annals of Thoracic Surgery


David K. Bailly, DO, Jeffrey A. Alten, MD, Katja M. Gist, DO, Kenneth E. Mah, MD, MS, David M. Kwiatkowski, MD, Kevin M. Valentine, MD, J. Wesley Diddle, MD, Sachin Tadphale, MD, Shanelle Clarke, MD, David T. Selewski, MD, Mousumi Banerjee, PhD, Garrett Reichle, MS, Paul Lin, MS, Michael Gaies, MD, and Joshua J. Blinder, MD, and the NEPHRON Investigators

After cardiac surgery in neonates, it is crucial to monitor fluid balance metrics to avoid mortality. This study aimed to determine the association between these metrics and infant postoperative mortality. Researchers concluded that time to first negative daily fluid balance, but not percentage fluid overload, is associated with improved outcomes. Treatments to achieve early negative fluid balance may decrease postoperative care requirements.

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