Research Topics
| Cynthia D DownardSummaryAffiliation: University of Louisville Country: USA Publications
| Collaborators |
Detail Information
Publications
Treatment of necrotizing enterocolitis: an American Pediatric Surgical Association Outcomes and Clinical Trials Committee systematic reviewCynthia D Downard
Kosair Children s Hospital, University of Louisville, Louisville, KY, USA
J Pediatr Surg 47:2111-22. 2012..The aim of this systematic review is to review and evaluate the currently available evidence for the surgical care of patients with NEC...
Direct peritoneal resuscitation augments ileal blood flow in necrotizing enterocolitis via a novel mechanismCynthia D Downard
Pediatric Surgery, University of Louisville, Louisville, KY 40202, USA
J Pediatr Surg 47:1128-34. 2012..We hypothesized that direct peritoneal resuscitation (DPR) dilates the intestinal microvasculature and improves blood flow independent of these mechanisms...
Maternal cigarette smoking and the development of necrotizing enterocolitisCynthia D Downard
MMSc, Division of Pediatric Surgery, Department of Surgery, University of Louisville, Louisville, Kentucky 40202, USA
Pediatrics 130:78-82. 2012..We hypothesized that maternal risk factors were the primary determinant of future development of NEC...
Congenital diaphragmatic hernia: an ongoing clinical challengeCynthia D Downard
Division of Pediatric Surgery, University of Louisville, Louisville, Kentucky 40202, USA
Curr Opin Pediatr 20:300-4. 2008..The following review should update any clinician treating infants with congenital diaphragmatic hernia regarding the latest developments affecting treatment and ultimate outcome in these patients...
Altered intestinal microcirculation is the critical event in the development of necrotizing enterocolitisCynthia D Downard
Pediatric Surgery, University of Louisville, Louisville, KY 40202, USA
J Pediatr Surg 46:1023-8. 2011..We hypothesized that vasoconstriction of the neonatal intestinal microvasculature is the essential mechanistic event in NEC and that these microvascular changes correlate with alterations in mediators of inflammation...
Intestinal microcirculatory flow alterations in necrotizing enterocolitis are improved by direct peritoneal resuscitationAlexandra C Maki
Robley Rex Veterans Affairs Medical Center, and the Department of Surgery, and Division of Pediatric Surgery, University of Louisville, Louisville, Kentucky 40202, USA
Am Surg 78:803-7. 2012..All groups had an increase in blood flow with dialysate treatment. This may represent a novel initial therapy to improve intestinal ischemia in human necrotizing enterocolitis...
Direct peritoneal resuscitation improves obesity-induced hepatic dysfunction after traumaPaul J Matheson
Robley Rex Veteran s Affairs Medical Center, Louisville, KY, USA
J Am Coll Surg 214:517-28; discussion 528-30. 2012..We hypothesized that obesity-related liver dysfunction could be mitigated with the novel technique of adjunctive direct peritoneal resuscitation (DPR)...
Strategies for the prevention of central venous catheter infections: an American Pediatric Surgical Association Outcomes and Clinical Trials Committee systematic reviewEunice Y Huang
Division of Pediatric Surgery, University of Tennessee Health Science Center, Memphis, TN 38105, USA
J Pediatr Surg 46:2000-11. 2011..The aim of this study is to review the current evidence-based data regarding strategies for prevention of central venous catheter (CVC) infections at the time of catheter insertion and as a part of routine care...
Current therapy of infants with congenital diaphragmatic herniaCynthia D Downard
Department of Surgery, Children's Hospital, Boston--Harvard Medical School, Fegan 3, 300 Longwood Avenue, Boston, MA 02445, USA
Semin Neonatol 8:215-21. 2003..Through co-ordinated, multidisciplinary evaluation of CDH survivors, improved long-term outcome for these challenging patients can be attained...
Impact of AMICAR on hemorrhagic complications of ECMO: a ten-year reviewCynthia D Downard
Department of Surgery and Respiratory Therapy, Children's Hospital, Boston-Harvard Medical School, Boston, MA 02445, USA
J Pediatr Surg 38:1212-6. 2003..AMICAR remains a valuable tool for the prevention of hemorrhage in patients undergoing operation prior to or while on ECMO...
Analysis of an improved survival rate for congenital diaphragmatic herniaCynthia D Downard
Department of Surgery, Children's Hospital, Boston-Harvard Medical School, Boston, MA, USA
J Pediatr Surg 38:729-32. 2003..Thus, it may be possible to identify other centers with higher than expected survival rates and to define common therapeutic strategies associated with decreased mortality...
