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Gut permeability and myocardial damage in paediatric cardiac surgery Malagon, Ignacio

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Gut permeability and myocardial damage in paediatric cardiac surgery Malagon, Ignacio

Citation

Malagon, I. (2005, December 1). Gut permeability and myocardial damage in paediatric

cardiac surgery. Retrieved from https://hdl.handle.net/1887/3741

Version: Corrected Publisher’s Version

License: Licence agreement concerning inclusion of doctoral thesis in theInstitutional Repository of the University of Leiden Downloaded from: https://hdl.handle.net/1887/3741

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Stellingen

Gut permeability and myocardial damage in paediatric cardiac surgery

1. Paediatric patients undergoing surgery with cardiopulmonary bypass have increased gut permeability in the postoperative period (this thesis). 2. Dexamethasone given before cardiopulmonary bypass starts reduces gut permeability in the postoperative period (this thesis).

3. Patients undergoing stage I Norwood operation have increased gut permeability in the preoperative and postoperative period (this thesis). 4. The choice of anaesthetic agent does not influence the postoperative production of cardiac troponin T in paediatric cardiac surgery (this thesis).

5. Dexamethasone does reduce the postoperative production of cardiac troponin T in paediatric cardiac surgery, although the effect is short-lived (this thesis).

6. Children are not small adults. Extrapolating drug dosages derived from adult research is a mistake.

Burns JP. Critical Care Medicine

2003;31:S131-S136

7. Children should be anaesthetised by consultants who have regular and relevant paediatric practice sufficient to maintain core competencies.

The

Royal College of Anaesthetists of UK, Guidance on the provision of

paediatric anaesthetic services, January 2005. www.rcoa.ac.uk/docs/Paeds

. 8. The volume of patients in paediatric intensive care units is inversely related to risk-adjusted mortality and patient length of stay.

Tilford JM et

al. Pediatrics. 2000;106:289-94

.

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10. It needs a patient man to beat a Dutchman at waiting.

Lieutenant

Winston Churchill, after his escape from Pretoria, 1900

.

11. Rules are for the obedience of fools and the guidance of wise men.

Sir Douglas Bader

.

12. A smooth sea never made a skilful mariner (

English proverb

).

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