DRESS

Heparin-Induced DRESS Syndrome in a Pediatric Patient and Successful Anaesthetic Management in Cardiovascular Bypass Surgery: Case Report

This case report discusses a pediatric patient with heparin-induced DRESS Syndrome managed successfully during cardiovascular bypass surgery. An 11-year-old with native aortic valve endocarditis developed DRESS after receiving unfractionated heparin. The syndrome, characterized by fever, eosinophilia, and a pruritic rash, was initially managed with corticosteroids. A subsequent episode prompted a shift to bivalirudin and fondaparinux, avoiding further complications and stabilizing the patient’s condition. This case emphasizes the need for alternative anticoagulation strategies in hypersensitive patients to improve outcomes.

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ECMO AI

Machine Learning Based Predictive Modeling of Readmissions Following Extracorporeal Membrane Oxygenation Hospitalizations

This study developed and assessed machine learning models, particularly using XGBoost, to predict 90-day nonelective readmissions following extracorporeal membrane oxygenation (ECMO) hospitalizations. Analyzing data from the Nationwide Readmissions Database (2016-2020), the study found that the XGBoost model outperformed traditional logistic regression in prediction accuracy and calibration. Key factors influencing readmission rates included duration of hospital stay, heart/lung transplants, and type of insurance.

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