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  1. No Access

    Article

    Neonatal sepsis and cardiovascular dysfunction I: mechanisms and pathophysiology

    The highest incidence of sepsis across all age groups occurs in neonates leading to substantial mortality and morbidity. Cardiovascular dysfunction frequently complicates neonatal sepsis including biventricula...

    Sophie M. Duignan, Satyan Lakshminrusimha, Kathryn Armstrong in Pediatric Research (2024)

  2. No Access

    Article

    Nutrition of the preterm infant with persistent ductus arteriosus: existing evidence and practical implications

    The persistence of a patent ductus arteriosus (PDA) is a common condition in preterm infants with a prevalence inversely proportional to gestational age. PDA is associated with mild-to-severe gastrointestinal ...

    Chiara Lembo, Afif El-Khuffash, Christoph Fusch, Silvia Iacobelli in Pediatric Research (2023)

  3. Article

    Open Access

    Patent ductus arteriosus, bronchopulmonary dysplasia and pulmonary hypertension—a complex conundrum with many phenotypes?

    Afif EL-Khuffash, Rachel Mullaly, Patrick J. McNamara in Pediatric Research (2023)

  4. No Access

    Article

    The impact of a PDA on tissue oxygenation and haemodynamics following a blood transfusion in preterm infants

    To examine the impact of PRBC transfusion on pulmonary vascular resistance (PVR), systemic vascular resistance and myocardial function using echocardiography and cerebral and splanchnic tissue oxygenation usin...

    Aisling Smith, Sean Armstrong, Eugene Dempsey, Afif EL-Khuffash in Pediatric Research (2023)

  5. Article

    The use of milrinone in neonates with persistent pulmonary hypertension of the newborn - a randomised controlled trial pilot study (MINT 1)

    To assess the impact of milrinone administration on time spent on nitric oxide (iNO) in infants with acute pulmonary hypertension (aPH). We hypothesized that intravenous milrinone used in conjunction with iNO ...

    Afif EL-Khuffash, Patrick J. McNamara, Colm Breatnach in Journal of Perinatology (2023)

  6. No Access

    Article

    The role of furosemide and fluid management for a hemodynamically significant patent ductus arteriosus in premature infants

    A patent ductus arteriosus (PDA) in infants born premature can present significant management challenges for neonatal providers. Quantifying a hemodynamically significant PDA (hsPDA) represents the first hurdl...

    Sarah Dudley, Shawn Sen, Alison Hanson, Afif El Khuffash in Journal of Perinatology (2022)

  7. Article

    Open Access

    The effect of patent ductus arteriosus treatment with paracetamol on pulmonary vascular resistance

    Claire Murphy, Neidin Bussmann, David Staunton, Naomi McCallion in Journal of Perinatology (2022)

  8. Article

    Open Access

    Infants with Down syndrome and congenital heart disease have altered peri-operative immune responses

    Infants with Down syndrome (DS) have an altered immune response. We aimed to characterise the inflammatory response in infants with DS and congenital heart disease (CHD) peri-operatively in comparison to infan...

    Lyudmyla Zakharchenko, Afif EL-Khuffash, Tim Hurley, Lynne Kelly in Pediatric Research (2022)

  9. No Access

    Article

    Reply to correspondence

    Afif EL-Khuffash, Patrick McNamara in Journal of Perinatology (2022)

  10. Article

    Open Access

    Platelets in pediatric and neonatal sepsis: novel mediators of the inflammatory cascade

    Sepsis, a dysregulated host response to infection, has been difficult to accurately define in children. Despite a higher incidence, especially in neonates, a non-specific clinical presentation alongside a lack...

    Daniel O’Reilly, Claire A. Murphy, Richard Drew, Afif El-Khuffash in Pediatric Research (2022)

  11. No Access

    Article

    Cerebral oxygen saturation and autoregulation during hypotension in extremely preterm infants

    The impact of the permissive hypotension approach in clinically well infants on regional cerebral oxygen saturation (rScO2) and autoregulatory capacity (CAR) remains unknown.

    Liesbeth Thewissen, Gunnar Naulaers, Dries Hendrikx in Pediatric Research (2021)

  12. No Access

    Article

    A review of the role of extracellular vesicles in neonatal physiology and pathology

    Extracellular vesicles (EVs) are cell-derived membrane-bound particles, extensively investigated across many fields to improve the understanding of pathophysiological processes, as biomarkers of disease and as...

    Claire A. Murphy, Daniel P. O’Reilly, Elaine Neary, Afif EL-Khuffash in Pediatric Research (2021)

  13. No Access

    Article

    Patent ductus arteriosus shunt elimination results in a reduction in adverse outcomes: a post hoc analysis of the PDA RCT cohort

    A post hoc appraisal of the PDA RCT to assess the relationship between early patent ductus arteriosus (PDA) shunt elimination and chronic lung disease or death (CLD/Death).

    Neidín Bussmann, Aisling Smith, Colm R. Breatnach in Journal of Perinatology (2021)

  14. No Access

    Article

    The unintended consequences of acetaminophen use for ductal closure in premature infants

    David Staunton, Afif EL-Khuffash in Pediatric Research (2020)

  15. No Access

    Article

    Preventing disease in the 21st century: early breast milk exposure and later cardiovascular health in premature infants

    Cardiovascular health of premature infants reaching early adulthood is an area of ongoing research. There is emerging evidence delineating the challenges faced by those individuals. Young adults born premature...

    Afif EL-Khuffash, Amish Jain, Adam J. Lewandowski, Philip T. Levy in Pediatric Research (2020)

  16. Article

    Toward the elimination of bias in Pediatric Research

    Cynthia Bearer, Carlo Agostoni, Kanwaljeet J. S. Anand in Pediatric Research (2019)

  17. Article

    The definition of a hemodynamically significant ductus arteriosus

    Afif El-Khuffash, Philip T. Levy, Matthias Gorenflo in Pediatric Research (2019)

  18. No Access

    Article

    Cardiac mechanics in infants with Down syndrome in the early neonatal period

    The objective of this study is to test whether myocardial performance is impaired over the first week of age in infants with Down syndrome (DS) without congenital heart disease (CHD).

    Colm R. Breatnach, Neidin Bussmann, Aisling Smith, Phil Levy in Journal of Perinatology (2019)

  19. No Access

    Article

    Future perspectives on the use of deformation analysis to identify the underlying pathophysiological basis for cardiovascular compromise in neonates

    The assessment of the wellbeing of the cardiovascular status in premature infants has come to the forefront in recent years. There is an increasing realisation that myocardial performance, systemic blood flow ...

    Neidin Bussmann, Afif EL-Khuffash in Pediatric Research (2019)

  20. No Access

    Article

    Early diastolic dysfunction and respiratory morbidity in premature infants: an observational study

    To test if diastolic dysfunction measured on day one of age is associated with the need for invasive ventilation in preterm infants.

    Neidin Bussmann, Colm Breatnach, Philip T. Levy, Naomi McCallion in Journal of Perinatology (2018)

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