Anesthetic Management During Stenting of Obstructed Total Anomalous Pulmonary Return in a Neonate With Single Ventricle Anatomy
Bibliographic record
Abstract
Total anomalous pulmonary venous return (TAPVR) is a relatively rare congenital cardiac abnormality accounting for 1.5-3% of cases of congenital heart disease (CHD). Despite advances in surgical technique, surgical repair of TAPVR continues to be associated with a significant incidence of perioperative mortality. Morbidity and mortality associated with surgical repair of TAPVR increase dramatically when there are other associated cardiac defects, particularly single ventricle anatomy. We present a neonate with obstructed TAPVR and an unbalanced atrioventricular canal defect with hypoplastic left ventricle who presented for an interventional cardiac catheterization procedure (stenting of an obstructed vertical vein). The anesthetic management of such patients is discussed and options for intraoperative care are presented. J Med Cases. 2017;8(2):48-51 doi: https://doi.org/10.14740/jmc2724w
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.003 |
| Meta-epidemiology (narrow) | 0.001 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.001 |
| Bibliometrics | 0.001 | 0.000 |
| Science and technology studies | 0.001 | 0.001 |
| Scholarly communication | 0.001 | 0.001 |
| Open science | 0.001 | 0.001 |
| Research integrity | 0.002 | 0.002 |
| Insufficient payload (model declined to judge) | 0.001 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".