ErasmusMC - Sophia Children's Hospital
Anesthesiology
I’m an anesthesiologist (2008) and epidemiologist (2004). I’ve studied Medicine at the University of Maastricht (1996) and obtained my PhD at the Academic Medical Center, University of Amsterdam (2003) on the thesis entitled: “The use of microcirculatory techniques in the assessment of pathophysiology, diagnosis and management of critical limb ischemia”. I’ve worked as a resident Surgery (Isala Klinieken Zwolle) and Intensive Care (Jeroen Bosch Ziekenhuis). I was trained at the St. Antonius Hospital, Nieuwegein (2008) and became a staff (pediatric) anesthesiologist at the Wilhelmina Children’s Hospital, University Medical Center Utrecht (2009). I was a visiting researcher at the Royal Children’s Hospital in Melbourne (2012). Since 2016 I’m working at the Sophia Children’s Hospital, Erasmus Medical Center, Rotterdam. I’m Honorary Secretary of the European Society for Paediatric Anaesthesiology (2016), andvice president of the Dutch Society for Paediatric Anaesthesia (2013). I’m head of Research Pediatric Anesthesia, Erasmus MC. My research focuses on the improvement of perioperative care in children using retrospective and prospective pre- and intraoperative (database) studies. Furthermore, I’m is a member of the Trial Steering Committee and Management Group of the GAS-study and national coordinator of the Nectarine study. I have published more than 60 papers in international papers and I’m a regular invited speaker at national and international conferences, associate editor of Pediatric Anesthesia and a reviewer of various international scientific journal. I have received the ESA Research Support Grant 2013 and Philips Grant 2015. Linked-in: https://www.linkedin.com/in/jurgen-de-graaff-05147b7/ esearchgate: https://www.researchgate.net/profile/Jurgen_Graaff ebsite: http://pediatric-anesthesia.eu/

Author Of 4 Presentations

DEVELOPMENT OF NONINVASIVE MEAN BLOOD PRESSURE REFERENCE VALUES IN NEONATAL PATIENTS AT A DUTCH TERTIARY NEONATAL INTENSIVE CARE UNIT.

Room
Poster Area 1
Date
19.06.2019
Session Time
12:20 - 13:40
Session Name
POSTER WALK SESSION 01
Duration
5 Minutes

Abstract

Background

At present, mean blood pressure (MBP) ranges for children are based on American reference tables. However, these reference values are based on a mixture of invasive and non-invasive blood pressure measurements in a small sample, irrespective of postconceptional age, weight and medications.

Objectives

Therefore, we aim to define non-invasive MBP reference values for neonates in various age groups.

Methods

In a retrospective database study, we selected all neonates admitted to a Dutch tertiary pediatric hospital between 2016-2018 with exclusion of severe comorbidities (major cardiac malformations, intracerebral hemorrhage, and intubation longer than 6h). We defined the median (P50) for the first week of life for MBP sorted per GA group and analyzed using the statistical package Generalized Additive Models for Location, Scale and Shape (GAMLSS) in the R.

Results

A total of 736 patients (61%), with 7128 measurements, fulfilled the inclusion criteria. 133 neonates were born below 29 weeks, 233 between 30-33 weeks, 187 between 34-37 weeks and 172 between 38-41 weeks. The P50 in the first weeks after birth increased from 30 mm Hg to 40 mm Hg in the youngest and from 49 mm Hg to 58 mm Hg in the oldest age group. Figures with reference values (P5, P50, P95) for age groups will be presented at the conference.

Conclusion

The presented reference values for non-invasive MBP in neonates at various age groups can be used to guide clinical decision making in healthy and diseased neonates at various age groups.

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WHO SHOULD INTUBATE?

Room
Mozart Hall 1
Date
19.06.2019
Session Time
15:40 - 17:10
Session Name
Duration
20 Minutes

DRUGS USED IN THE OR AND THE ICU: NOT SO NICE FOR THE BRAIN

Room
Mozart Hall 1
Date
19.06.2019
Session Time
15:40 - 17:10
Session Name
Duration
20 Minutes

Presentation files

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TRIALS IN ACUTE SITUATIONS AND LONG TERM OUTCOME. IS THIS THE WAY TO GO?

Room
Trakl Hall
Date
20.06.2019
Session Time
09:10 - 10:40
Duration
20 Minutes

Presenter of 3 Presentations

WHO SHOULD INTUBATE?

Room
Mozart Hall 1
Date
19.06.2019
Session Time
15:40 - 17:10
Session Name
Duration
20 Minutes

DRUGS USED IN THE OR AND THE ICU: NOT SO NICE FOR THE BRAIN

Room
Mozart Hall 1
Date
19.06.2019
Session Time
15:40 - 17:10
Session Name
Duration
20 Minutes

Presentation files

Hide

Video on Demand

[session]
[presentation]
[presenter]
Hide

TRIALS IN ACUTE SITUATIONS AND LONG TERM OUTCOME. IS THIS THE WAY TO GO?

Room
Trakl Hall
Date
20.06.2019
Session Time
09:10 - 10:40
Duration
20 Minutes