This book combines valid physiology and treatment strategies with the institutional experience of one of the leading German pediatric heart centers. It is intended as a pragmatic guide, focusing on daily practice and bedside medicine: straightforward, easy to implement, and results-oriented. It offers readers a profound understanding of intensive care, with a specific focus on organ systems, their interactions, and the effect of life support technologies, pursuing a comprehensive approach to congenital heart defects and therapies, including pitfalls and solutions. The target group is extended towards pediatric cardiologists and anesthesiologists by integrating chapters on the systematic analysis of hemodynamics and anatomy, diagnostics and treatment of congenital heart defects, plus a chapter on modern anesthesiology during heart operations with a focus on early extubation that minimizes on-pump and medication trauma. As such, the book offers a pragmatic and clinically oriented guide for physicians with advanced experience and expertise in (cardiac) intensive and intermediate care, as well as beginners and junior physicians.

A handbook covering the surgery and intensive care treatment of children with congenital heart disease. Chapters cover routine postoperative problems, respiratory and cardiovascular support, specific lesions, and mechanical support.

A distinguished list of contributors from some of the major international centers covers this specialty like never before. With recent advances in ultrasound technology and pharmacology the expertise required to care for a critically ill child with heart disease takes an integrated approach with a multidisciplinary team and central focus. This resource provides comprehensive discussions of pertinent cardiac issues in the ICU setting with emphasis on perioperative care.

This manual is a practical guide to the care of children after cardiac surgery. Beginning with discussion on preparing for and receiving a paediatric patient from the operating theatre, the next chapter describes monitoring techniques. Each of the following sections discusses the management of different conditions that may arise after surgery, including mediastinal bleeding, arrhythmias, capillary leak syndrome, pulmonary, gastrointestinal and renal issues, and infection. Appendices include drugs administration and dosage, and guidelines for endotracheal suction. Key points Concise guide to the care of children after cardiac surgery Covers management of numerous conditions that may arise post-surgery Separate chapter dedicated to monitoring techniques Appendices include discussion on drug administration and endotracheal suction

Critical Care of Children with Heart Disease will summarize the comprehensive medical and surgical management of the acutely-ill patient with congenital and acquired cardiac disease. The aim of the book is to teach bedside physicians, nurses and other caregivers, basic and practical concepts of anatomy, pathophysiology, surgical techniques and peri-operative management of critically ill children and adults with congenital heart disease, allowing these professionals to anticipate, prevent or else treat such pathologies. The book will cover specific cardiac lesions, review their anatomy, pathophysiology, current preoperative, intraoperative and postoperative assessment and management; medical and surgical complications will be briefly described with each lesion further discussed in specific chapters. In addition, the book will have dedicated chapters to management of cardiac patients on extracorporeal membrane oxygenation, hemofiltration, hemo or peritoneal dialysis and plasma exchange. Practical guidelines for cardiovascular nursing care will be also included.

Pediatric intensivists, cardiologists, cardiac surgeons, and anesthesiologists from the leading centers around the world present the collaborative perspectives, concepts, and state-of-the-art knowledge required to care for children with congenital and acquired heart disease in the ICU. Their multidisciplinary approach encompasses every aspect of the relevant basic scientific principles, medical and pharmacologic treatments, and surgical techniques and equipment. From the extracardiac Fontan procedure, and the Ross procedure through new pharmacologic agents and the treatment of pulmonary hypertension to mechanical assist devices, heart and lung transplantation, and interventional cardiac catheterization—all of the developments that are affecting this rapidly advancing field are covered in depth. Employs well-documented tables, text boxes, and algorithms to make clinical information easy to access. Features chapters each written and reviewed by intensivists, surgeons, and cardiologists. Integrates the authors' extensive experiences with state-of-the-art knowledge from the literature. Offers four completely new chapters: Cardiac Trauma, Congenital Heart Disease in the Adult, Congenitally Corrected Transposition of the Great Arteries, and Outcome Evaluation. Describes the basic pharmacology and clinical applications of all of the new pharmacologic agents. Details important refinements and developments in surgical techniques, including the Ross pulmonary autograft replacement of the aortic valve, video-assisted fluoroscopy, and the extracardiac Fontan connection, and discusses their indications and potential complications. Explores the latest advances in the treatment of pulmonary hypertension, new developments in mechanical assist devices, heart and lung transplantation, and interventional cardiac catheterization. Examines issues affecting adults with congenital heart disease.

Paediatric Intensive Care gives practical and realistic advice for all those who care for critically ill children. Organised predominantly by system or speciality for easy reference, it also comprehensively covers the underlying principles that guide clinicians in every day practice.