Research Topics
| Ravi R ThiagarajanSummaryAffiliation: Children's Hospital Country: USA Publications
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Detail Information
Publications
Physical therapy and rehabilitation issues for patients supported with extracorporeal membrane oxygenationRavi R Thiagarajan
Department of Cardiology, Cardiac Intensive Care Unit, Children s Hospital Boston, Boston, MA 02115, USA
J Pediatr Rehabil Med 5:47-52. 2012....
Hypoplastic left heart syndromeJean Anne Connor
Cardiovascular Program, Children s Hospital Boston, USA
Orphanet J Rare Dis 2:23. 2007....
Extracorporeal membrane oxygenation to support cardiopulmonary resuscitation in adultsRavi R Thiagarajan
Department of Cardiology, Children s Hospital Boston, Boston, Massachusetts 02115, USA
Ann Thorac Surg 87:778-85. 2009..We describe outcomes after the use of ECMO to support CPR (E-CPR) in adults using multiinstitutional data from the Extracorporeal Life Support Organization (ELSO) registry...
Extracorporeal membrane oxygenation to aid cardiopulmonary resuscitation in infants and childrenRavi R Thiagarajan
Department of Cardiology, Children s Hospital Boston, 300 Longwood Ave, Boston, MA 02115, USA
Circulation 116:1693-700. 2007..We report on outcomes and predictors of in-hospital mortality after ECMO used to support CPR (E-CPR)...
Improving safety for children with cardiac diseaseRavi R Thiagarajan
Cardiac Intensive Care Unit, Children s Hospital Boston, Boston, Massachusetts 02115, United States of America
Cardiol Young 17:127-32. 2007..Our review discusses research on the causes of medical error, and proposes concepts to design successful programmes to improve safety for the patients on a local level...
Mortality as an outcome measure following cardiac surgery for congenital heart disease in the current eraRavi R Thiagarajan
Cardiac Intensive Care Unit, Department of Cardiology, Children s Hospital Boston, Boston, MA 02115, USA
Paediatr Anaesth 21:604-8. 2011..In this review article, we explore current mortality rates, factors associated with mortality, and pitfalls in the use of mortality as a measure for assessing outcomes following congenital heart surgery...
Surgical technical performance scores are predictors of late mortality and unplanned reinterventions in infants after cardiac surgeryMeena Nathan
Department of Cardiac Surgery, Children s Hospital Boston and Harvard Medical School, Boston, MA, USA
J Thorac Cardiovasc Surg 144:1095-1101.e7. 2012..We hypothesized that these scores would also be important predictors of midterm outcomes...
Extracorporeal membrane oxygenation after stage 1 palliation for hypoplastic left heart syndromeElizabeth D Sherwin
Department of Cardiology, Children s Hospital Boston, Boston, Mass 02115, USA
J Thorac Cardiovasc Surg 144:1337-43. 2012..To report the outcomes from a large multicenter cohort of neonates requiring extracorporeal membrane oxygenation (ECMO) after stage 1 palliation for hypoplastic left heart syndrome...
Blood transfusion after pediatric cardiac surgery is associated with prolonged hospital stayJoshua W Salvin
Department of Cardiology, Children s Hospital Boston, and Department of Pediatrics, Harvard Medical School, Boston, Massachusetts 02115, USA
Ann Thorac Surg 91:204-10. 2011..Red blood cell transfusion is associated with morbidity and mortality among adults undergoing cardiac surgery. We aimed to evaluate the association of transfusion with morbidity among pediatric cardiac surgical patients...
Early postoperative severity of illness predicts outcomes after the stage I Norwood procedureJohn M Karamichalis
Department of Cardiac Surgery, Children s Hospital Boston and Harvard Medical School, Boston, Massachusetts, USA
Ann Thorac Surg 92:660-5. 2011....
Factors associated with prolonged recovery after the fontan operationJoshua W Salvin
MPH, Department of Cardiology, Cardiac ICU Office, Bader 600, Children s Hospital Boston, 300 Longwood Avenue, Boston, MA 02115, USA
Circulation 118:S171-6. 2008..Mortality and major morbidity after the Fontan operation is low in the current era. However, factors contributing to prolonged postoperative recovery are not clearly understood...
Extracorporeal membrane oxygenation for bridge to heart transplantation among children in the United States: analysis of data from the Organ Procurement and Transplant Network and Extracorporeal Life Support Organization RegistryChristopher S Almond
Department of Cardiology, Children s Hospital Boston, 300 Longwood Ave, Boston, MA 02115, USA
Circulation 123:2975-84. 2011..We describe the outcomes of ECMO as a bridge to heart transplantation to serve as performance benchmarks for emerging miniaturized assist devices intended to replace ECMO...
Indication for initiation of mechanical circulatory support impacts survival of infants with shunted single-ventricle circulation supported with extracorporeal membrane oxygenationCatherine K Allan
Department of Cardiology, Children s Hospital Boston and Harvard Medical School, Boston, Mass 02115, USA
J Thorac Cardiovasc Surg 133:660-7. 2007..We sought to evaluate outcomes and identify predictors of survival for patients with shunted single-ventricle physiology who require extracorporeal membrane oxygenation support...
Management and outcomes in pediatric patients presenting with acute fulminant myocarditisSarah A Teele
Department of Cardiology, Children s Hospital Boston, Department of Pediatrics, Harvard Medical School, Boston, MA 02115, USA
J Pediatr 158:638-643.e1. 2011..To investigate factors associated with mechanical circulatory support and survival in patients with acute fulminant myocarditis (AFM)...
Extracorporeal membrane oxygenation support after the Fontan operationKelly L Rood
Department of Cardiology, Children s Hospital Boston, Mass 02115, USA
J Thorac Cardiovasc Surg 142:504-10. 2011..Mortality is high, and causes of mortality remain unclear. We evaluated the in-hospital mortality and factors associated with mortality in these patients...
Survival and clinical course at Fontan after stage one palliation with either a modified Blalock-Taussig shunt or a right ventricle to pulmonary artery conduitMark A Scheurer
Department of Cardiology, Children s Hospital, Harvard Medical School, Boston, Massachusetts 02115, USA
J Am Coll Cardiol 52:52-9. 2008..We sought to determine whether the type of shunt used at stage one palliation (S1P) affected the survival and the perioperative course through Fontan completion...
Waiting list mortality among children listed for heart transplantation in the United StatesChristopher S D Almond
Department of Cardiology, Children s Hospital Boston, 300 Longwood Ave, Boston, MA 02115, USA
Circulation 119:717-27. 2009....
Incidence and risk factors for mortality in infants awaiting heart transplantation in the USADouglas Mah
Department of Cardiology, Children s Hospital, Boston, Massachusetts 02115, USA
J Heart Lung Transplant 28:1292-8. 2009..We sought to determine the risk of death for infants <12 months old while awaiting HT in the current era, and to identify the principle risk factors associated with wait-list mortality...
Pediatric heart failure and worsening renal function: association with outcomes after heart transplantationSatish K Rajagopal
Department of Cardiology, Children s Hospital Boston, Boston, MA 02115, USA
J Heart Lung Transplant 31:252-8. 2012..This study was initiated to assess the effects of worsening renal function (WRF) on post-heart transplantation outcomes and to determine the effect of waiting-list associated WRF on survival after heart transplantation...
Early postoperative outcomes in a series of infants with hypoplastic left heart syndrome undergoing stage I palliation operation with either modified Blalock-Taussig shunt or right ventricle to pulmonary artery conduitClifford L Cua
Department of Cardiology, Children's Hospital, Boston, MA, USA
Pediatr Crit Care Med 7:238-44. 2006..The primary advantage of the NW-RVPA procedure may be faster recovery following surgery and earlier discharge from the hospital...
Preoperative extracorporeal membrane oxygenation as a bridge to cardiac surgery in children with congenital heart diseaseVictor Bautista-Hernandez
Department of Cardiac Surgery, Children s Hospital Boston, Boston, Massachusetts 02115, USA
Ann Thorac Surg 88:1306-11. 2009..The goal of this study is to report our institutional experience with ECMO used to provide preoperative stabilization after acute cardiac or respiratory failure in patients with congenital heart disease before cardiac surgery...
Factors associated with in-hospital mortality in infants undergoing heart transplantation in the United StatesRupali Gandhi
Department of Cardiology, Children s Hospital Boston, and Department of Pediatrics, Harvard Medical School, Boston, MA 02115, USA
J Thorac Cardiovasc Surg 141:531-6, 536.e1. 2011..We sought to determine the pretransplantation factors associated with in-hospital mortality in transplanted infants in the current era...
Birth before 39 weeks' gestation is associated with worse outcomes in neonates with heart diseaseJohn M Costello
Department of Cardiology, Children s Hospital Boston, Harvard Medical School, Boston, MA, USA
Pediatrics 126:277-84. 2010..We sought to determine if a similar association exists between gestational age at delivery and adverse outcomes in neonates with critical congenital heart disease, with particular interest in those born at 37 to 38 weeks' gestation...
Rapid-response extracorporeal membrane oxygenation to support cardiopulmonary resuscitation in children with cardiac diseaseDavid A Kane
Children s Hospital Boston, Department of Cardiology, Department of Pediatrics, Harvard Medical School, Boston, MA 02115, USA
Circulation 122:S241-8. 2010..We report on survival and early neurological outcomes of children with heart disease supported with rapid-response extracorporeal membrane oxygenation (ECMO) to aid cardiopulmonary resuscitation (ECPR)...
Outcomes after bidirectional Glenn operation: Blalock-Taussig shunt versus right ventricle-to-pulmonary artery conduitLillian Lai
Department of Cardiology, Children s Hospital Boston, Boston, Massachusetts, USA
Ann Thorac Surg 83:1768-73. 2007..We evaluated bidirectional Glenn operation outcomes and compared the two groups to assess whether the type of Norwood operation influenced outcomes...
Quality of life of pediatric cardiac patients who previously required extracorporeal membrane oxygenationJohn M Costello
Department of Cardiology, Children s Hospital Boston, Harvard Medical School, Boston, MA, USA
Pediatr Crit Care Med 13:428-34. 2012..We sought to assess quality of life of pediatric cardiac extracorporeal membrane oxygenation survivors. We hypothesized that these patients would have decreased quality of life when compared to that of a general U.S. population sample...
Impact of ABO-incompatible listing on wait-list outcomes among infants listed for heart transplantation in the United States: a propensity analysisChristopher S Almond
Department of Cardiology, Children s Hospital Boston, and Department of Pediatrics, Harvard Medical School, 300 Longwood Ave, Boston, MA 02115, USA
Circulation 121:1926-33. 2010..We sought to describe recent trends in ABO-I listing for US infants and to determine the impact of ABO-I listing on wait times and wait-list mortality...
Association between intraoperative and early postoperative glucose levels and adverse outcomes after complex congenital heart surgeryAngelo Polito
Department of Cardiology, Children s Hospital Boston, Harvard Medical School, Boston, MA 02115, USA
Circulation 118:2235-42. 2008..This study sought to determine whether associations exist between perioperative glucose exposure, prolonged hospitalization, and morbid events after complex congenital heart surgery...
Extracorporeal membrane oxygenation for the support of infants, children, and young adults with acute myocarditis: a review of the Extracorporeal Life Support Organization registrySatish K Rajagopal
Department of Cardiology, Children s Hospital Boston, Boston, MA, USA
Crit Care Med 38:382-7. 2010..To describe survival outcomes for pediatric patients supported with extracorporeal membrane oxygenation for severe myocarditis and identify risk factors for in-hospital mortality...
Neurological injury after extracorporeal membrane oxygenation use to aid pediatric cardiopulmonary resuscitationCindy S Barrett
Children s Hospital Boston, Boston, MA, USA
Pediatr Crit Care Med 10:445-51. 2009..We sought to identify risk factors for acute neurologic injury in children undergoing ECMO to aid CPR (E-CPR)...
Survival of neonates with enteroviral myocarditis requiring extracorporeal membrane oxygenationKate Madden
Department of Anesthesia, Children s Hospital Boston, Boston, MA, USA
Pediatr Crit Care Med 12:314-8. 2011..We sought to review the Extracorporeal Life Support Organization registry to determine survival rates and identify predictors of in hospital mortality for these neonates...
Perioperative factors associated with prolonged mechanical ventilation after complex congenital heart surgeryAngelo Polito
Division of Cardiac Intensive Care, Department of Cardiology, Children s Hospital Boston, Boston, MA, USA
Pediatr Crit Care Med 12:e122-6. 2011..To evaluate perioperative factors associated with prolonged mechanical ventilation in children undergoing complex cardiac surgery for congenital heart disease...
Stage I Norwood: optimal technical performance improves outcomes irrespective of preoperative physiologic status or case complexityJohn M Karamichalis
Department of Cardiac Surgery, Children s Hospital Boston, Boston, Mass Harvard Medical School, Boston, MA 02115, USA
J Thorac Cardiovasc Surg 139:962-8. 2010..This study explored these interactions to determine whether a technically optimal operation can mitigate effects of baseline physiology and high case-complexity on outcomes for the stage I Norwood procedure...
Extracorporeal membrane oxygenation for postcardiotomy mechanical cardiovascular support in children with congenital heart diseaseJoshua W Salvin
Cardiac Intensive Care Unit, Department of Cardiology, Children s Hospital Boston, MA 02115, USA
Paediatr Anaesth 18:1157-62. 2008..We report on survival outcomes and factors associated with survival for postcardiotomy ECMO patients...
Outcome after Fontan failure and takedown to an intermediate palliative circulationChristopher S D Almond
Department of Cardiology, Children s Hospital, Boston, Massachusetts 02115, USA
Ann Thorac Surg 84:880-7. 2007..Little is known about the subsequent outcome of these patients or their potential candidacy for a second attempt at Fontan completion...
Natural history of pulmonary atresia with intact ventricular septum and right-ventricle-dependent coronary circulation managed by the single-ventricle approachKristine J Guleserian
Department of Cardiovascular Surgery, Children's Hospital Boston, Harvard Medical School, Boston, Massachusetts, USA
Ann Thorac Surg 81:2250-7; discussion 2258. 2006..Those with aortocoronary atresia have a particularly poor prognosis and should undergo cardiac transplantation...
The frequency of anesthesia-related cardiac arrests in patients with congenital heart disease undergoing cardiac surgeryKirsten C Odegard
Department of Anesthesiology, Perioperative and Pain Medicine, Children s Hospital Boston, Harvard Medical School, Boston, MA 02115, USA
Anesth Analg 105:335-43. 2007..Therefore, in this study, we evaluated the frequency of cardiac arrest in patients with congenital heart disease undergoing cardiac surgery at a large pediatric tertiary referral center...
Catheters, wires, tubes and drains on postoperative radiographs of pediatric cardiac patients: the whys and whereforesSarah A Teele
Department of Cardiology, Children s Hospital Boston, 300 Longwood Ave, Boston, 02115, MA, USA
Pediatr Radiol 38:1041-53; quiz 1151. 2008..Also included are a brief synopsis of each cardiac anomaly, the surgical procedure for its correction, and an in-depth discussion of the postoperative chest radiograph including illustrations of catheters, wires, tubes and drains...
Simulation-based training delivered directly to the pediatric cardiac intensive care unit engenders preparedness, comfort, and decreased anxiety among multidisciplinary resuscitation teamsCatherine K Allan
Department of Cardiology, Children s Hospital Boston, Boston, Mass 02115, USA
J Thorac Cardiovasc Surg 140:646-52. 2010..We sought to determine whether participation improved caregiver comfort and confidence levels regarding future resuscitation events...
Pediatric ECMO outcomes: comparison of centrifugal versus roller blood pumps using propensity score matchingCindy S Barrett
Department of Cardiology, Children s Hospital Colorado and Department of Pediatrics, University of Colorado School of Medicine, Aurora, CO 80045, USA
ASAIO J 59:145-51. 2013..In a propensity score-matched cohort of pediatric ECMO patients, children supported with centrifugal pumps had increased odds of ECMO-related complications. There was no difference in survival between groups...
Extracorporeal membrane oxygenation support of the Fontan and bidirectional Glenn circulationsKaren L Booth
Department of Pediatrics, Children s Hospital Boston, Harvard Medical School, Boston, Massachusetts 02115, USA
Ann Thorac Surg 77:1341-8. 2004..We report our institutional experience in patients with cavopulmonary connections who received extracorporeal membrane oxygenation...
Enteral feeding algorithm for infants with hypoplastic left heart syndrome poststage I palliationNancy J Braudis
Department of Nursing, Cardiac Intensive Care Unit, Children s Hospital Boston, Boston, MA, USA
Pediatr Crit Care Med 10:460-6. 2009..Published guidelines for initiating and advancing enteral feedings in this population are limited...
Survival of children requiring repeat extracorporeal membrane oxygenation after congenital heart surgeryJeffrey Shuhaiber
Department of Cardiac Surgery, Children s Hospital Boston, Boston, Massachusetts, USA
Ann Thorac Surg 91:1949-55. 2011..We review indications, cannulation techniques, and outcomes for infants requiring multiple ECMO runs after congenital heart surgery...
Emergent use of extracorporeal membrane oxygenation during pediatric cardiac catheterizationCatherine K Allan
Department of Cardiology, Children's Hospital, Boston and Harvard Medical School, Boston, MA
Pediatr Crit Care Med 7:212-9. 2006..CONCLUSIONS: ECMO is a technically feasible and highly successful tool in the resuscitation of pediatric patients following critical events in the cardiac catheterization laboratory...
Cardiac medical conditions have become the leading cause of death in children with heart diseaseTobias R Schlingmann
Department of Cardiology, Children s Hospital Boston, Harvard Medical School, Boston, Mass, USA
Congenit Heart Dis 7:551-8. 2012..We sought to determine whether the underlying problems leading to death in these patients had changed over the past decade...
Anesthetic management of the neonate with congenital complete heart block: a 16-year reviewBarry D Kussman
Department of Anesthesiology, Perioperative and Pain Medicine, Children s Hospital Boston, MA 02115, USA
Paediatr Anaesth 15:1059-66. 2005..The aim of this study is to review our anesthetic experience of neonates with congenital complete heart block (CCHB) who underwent placement of either a temporary epicardial pacing system or a permanent epicardial pacemaker...
Outcomes after the Ladd procedure in patients with heterotaxy syndrome, congenital heart disease, and intestinal malrotationDavid C Yu
Department of Pediatric Surgery, Children s Hospital Boston, Harvard Medical School, Boston, MA 02115, USA
J Pediatr Surg 44:1089-95; discussion 1095. 2009..Risk of midgut volvulus, morbidity from elective operations, and overall prognosis must be weighed when considering a Ladd procedure on asymptomatic HS/intestinal malrotation patients...
Initial experience with fenoldopam after cardiac surgery in neonates with an insufficient response to conventional diureticsJohn M Costello
Division of Cardiac Intensive Care, Department of Cardiology, Children's Hospital Boston, Harvard Medical School, Boston, MA, USA
Pediatr Crit Care Med 7:28-33. 2006..This study is limited by its retrospective design and the possibility that urine output improved spontaneously during the treatment period. A randomized, placebo-controlled clinical trial will be required to confirm these findings...
Interventions to reduce medication prescribing errors in a paediatric cardiac intensive care unitMargarita K Burmester
Department of Cardiology, Children s Hospital, Boston, MA, USA
Intensive Care Med 34:1083-90. 2008..To identify and reduce medication-prescribing errors by introducing systematic physician education and post-cardiac surgery admission prescription forms...
Total anomalous pulmonary venous connection: an analysis of current management strategies in a single institutionCamille L Hancock Friesen
Department of Cardiac Surgery, Children s Hospital Boston, Harvard Medical School, Boston, Massachusetts, USA
Ann Thorac Surg 79:596-606; discussion 596-606. 2005..The impact of current surgical and perioperative management strategies on short-term outcomes (postrepair pulmonary venous obstruction and mortality) is evaluated...
Extracorporeal membrane oxygenation as a bridge to cardiac transplantation in a patient with cardiomyopathy and hemophilia ARavi R Thiagarajan
Department of Cardiology, Children s Hospital Boston, 300 Longwood Avenue, Boston, MA 02115, USA
Intensive Care Med 29:985-8. 2003..To report the use of extracorporeal membrane oxygenation (ECMO) as a bridge to cardiac transplantation in a patient with hemophilia A and dilated cardiomyopathy...
Perioperative care of children with tetralogy of fallotSatish K Rajagopal
Children s Hospital Boston, 300 Longwood Avenue, Boston, MA, 02115, USA
Curr Treat Options Cardiovasc Med 13:464-74. 2011..Early extubation from mechanical ventilation where possible may help improve outcomes for children undergoing complete repair of TOF...
Pretransport and posttransport characteristics and outcomes of neonates who were admitted to a cardiac intensive care unitScott B Yeager
Department of Pediatrics, University of Vermont School of Medicine, Burlington, Vermont 05401, USA
Pediatrics 118:1070-7. 2006..The objective for this study was to characterize the impact and the safety of transporting neonates with known or suspected cardiac abnormalities...
Improved interstage mortality with the modified Norwood procedure: a meta-analysisClifford L Cua
Department of Pediatrics, Division of Pediatric Cardiology, Columbus Children s Hospital, Columbus, Ohio 43205 2696, USA
Ann Thorac Surg 80:44-9. 2005..The goal of this study was to determine if meta-analysis would provide sufficient data to prove statistical difference in interstage mortality for the modified Norwood procedure...
Cardiac extracorporeal life support: state of the art in 2007David S Cooper
The Congenital Heart Institute of Florida, All Children s Hospital, University of South Florida College of Medicine, Florida Pediatric Associates and Cardiac Surgical Associates, Saint Petersburg, Florida 33701, USA
Cardiol Young 17:104-15. 2007..In an emergency, these patients can be resuscitated with extracorporeal membrane oxygenation and subsequently transitioned to a long-term ventricular assist device after a period of stability...
Should we be satisfied with current outcomes for cardiac extracorporeal life support?Ravi R Thiagarajan
Pediatr Crit Care Med 6:89-90. 2005
Inspiratory work of breathing is not decreased by flow-triggered sensing during spontaneous breathing in children receiving mechanical ventilation: a preliminary reportRavi R Thiagarajan
Department of Anesthesiology, Children's Hospital and Regional Medical Center, University of Washington, Seattle, WA, USA
Pediatr Crit Care Med 5:375-8. 2004..CONCLUSIONS: FT may not decrease WOB compared with PT for unsupported spontaneous breathing in children receiving mechanical ventilation. However, when lung compliance is decreased, FT sensing may be advantageous in decreasing the WOB...
Cardiopulmonary resuscitation: special considerations for infants and children with cardiac diseaseStacie B Peddy
Department of Pediatrics, Children s Hospital of Philadelphia and the University of Pennsylvania School of Medicine 19104, United States of America
Cardiol Young 17:116-26. 2007..In this review, therefore, we summarize the newest developments in paediatric resuscitation, with an expanded focus upon the unique challenges and importance of anticipatory care in infants and children with cardiac disease...
Atrial tachyarrhythmias and permanent pacing after pediatric heart transplantationKathryn K Collins
Pediatric Arrhythmia Center, University of California-San Francisco, San Francisco, CA, USA
J Heart Lung Transplant 22:1126-33. 2003..Association with cardiac rejection, clinical course, and mortality varied depending on the tachyarrhythmia mechanism...
Extracorporeal membrane oxygenation for cardiac arrest: when to use it, and what are the outcomes?Ravi R Thiagarajan
Crit Care Med 34:1285-6. 2006
