Intensive Care and Perioperative Management of Neonates With Functionally Univentricular Hearts

被引：2

作者：

Chet, R. Villa ^{[1
]}

Marino, Bradley S. ^{[1
]}

Jacobs, Jeffrey P. ^{[2
]}

Cooper, David S. ^{[1
]}

机构：

[1] Univ Cincinnati, Cincinnati Childrens Hosp Med Ctr, Sch Med, Inst Heart, Cincinnati, OH USA

[2] Univ S Florida, Childrens Hosp Tampa, All Childrens Hosp, Cardiac Surg Associates,Coll Med,CHIF,Div Thorac, Tampa, FL USA

来源：

WORLD JOURNAL FOR PEDIATRIC AND CONGENITAL HEART SURGERY | 2012年 / 3卷 / 03期

关键词：

univentricular heart; perioperative care; hypoplastic left heart syndrome; goal-directed therapy; transfusion; nutrition;

D O I：

10.1177/2150135111433473

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Although mortality rates for patients with univentricular hearts continue to fall, the course in the intensive care unit is remarkable for significant morbidity and utilization of significant resources. Preoperative patient management focuses on balancing competing circulations, pulmonary and systemic, which exist in parallel rather than in series, as in the normal circulation. Postoperative patient management focuses on optimizing systemic output, respiratory status, and mitigating the effects of cardiopulmonary bypass. In this article, we review pre- and postoperative intensive care management in neonates with a univentricular heart.

引用

页码：359 / 363

页数：5

共 36 条

[1] Predictors of Poor Weight Gain in Infants with a Single Ventricle [J].

Anderson, Jeffrey B. ;

Beekman, Robert H., III ;

Eghtesady, Pirooz ;

Kalkwarf, Heidi J. ;

Uzark, Karen ;

Kehl, Jack E. ;

Marino, Bradley S. .

JOURNAL OF PEDIATRICS, 2010, 157 (03) :407-U86

[2] Lower weight-for-age z score adversely affects hospital length of stay after the bidirectional Glenn procedure in 100 infants with a single ventricle [J].

Anderson, Jeffrey B. ;

Beekman, Robert H., III ;

Border, William L. ;

Kalkwarf, Heidi J. ;

Khoury, Philip R. ;

Uzark, Karen ;

Eghtesady, Pirooz ;

Marino, Bradley S. .

JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY, 2009, 138 (02) :397-U150

[3] Prenatal diagnosis and risk factors for preoperative death in neonates with single right ventricle and systemic outflow obstruction: Screening data from the Pediatric Heart Network Single Ventricle Reconstruction Trial [J].

Atz, Andrew M. ;

Travison, Thomas G. ;

Williams, Ismee A. ;

Pearson, Gail D. ;

Laussen, Peter C. ;

Mahle, William T. ;

Cook, Amanda L. ;

Kirsh, Joel A. ;

Sklansky, Mark ;

Khaikin, Svetlana ;

Goldberg, Caren ;

Frommelt, Michele ;

Krawczeski, Catherine ;

Puchalski, Michael D. ;

Jacobs, Jeffrey P. ;

Baffa, Jeanne M. ;

Rychik, Jack ;

Ohye, Richard G. .

JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY, 2010, 140 (06) :1245-1250

[4] Association of Hemoglobin and Transfusion With Outcome After Operations for Hypoplastic Left Heart [J].

Blackwood, Jaime ;

Joffe, Ari R. ;

Robertson, Charlene M. T. ;

Dinu, Irina A. ;

Alton, Gwen ;

Penner, Karen ;

Ross, David B. ;

Rebeyka, Ivan M. .

ANNALS OF THORACIC SURGERY, 2010, 89 (05) :1378-U48

[5]

Bradley Scott M, 2005, Semin Thorac Cardiovasc Surg Pediatr Card Surg Annu, P22, DOI 10.1053/j.pcsu.2005.01.002

[6] Enteral feeding algorithm for infants with hypoplastic left heart syndrome poststage I palliation [J].

Braudis, Nancy J. ;

Curley, Martha A. Q. ;

Beaupre, Karen ;

Thomas, Kristi C. ;

Hardiman, Gina ;

Laussen, Peter ;

Gauvreau, Kimberlee ;

Thiagarajan, Ravi R. .

PEDIATRIC CRITICAL CARE MEDICINE, 2009, 10 (04) :460-466

[7] Persistent Diastolic flow reversal in abdominal aortic Doppler-flow profiles is associated with an increased risk of necrotizing enterocolitis in term infants with congenital heart disease [J].

Carlo, Waldemar F. ;

Kimball, Thomas R. ;

Michelfelder, Erik C. ;

Border, William L. .

PEDIATRICS, 2007, 119 (02) :330-335

[8] Multisite Near-Infrared Spectroscopy Predicts Elevated Blood Lactate Level in Children After Cardiac Surgery [J].

Chakravarti, Sujata B. ;

Mittnacht, Alexander J. C. ;

Katz, Jason C. ;

Nguyen, Khahn ;

Joashi, Umesh ;

Srivastava, Shubhika .

JOURNAL OF CARDIOTHORACIC AND VASCULAR ANESTHESIA, 2009, 23 (05) :663-667

[9] Congenital Heart Disease Infant Death Rates Decrease as Gestational Age Advances from 34 to 40 Weeks [J].

Cnota, James F. ;

Gupta, Resmi ;

Michelfelder, Erik C. ;

Ittenbach, Richard F. .

JOURNAL OF PEDIATRICS, 2011, 159 (05) :761-765

[10] Birth Before 39 Weeks' Gestation Is Associated With Worse Outcomes in Neonates With Heart Disease [J].

Costello, John M. ;

Polito, Angelo ;

Brown, David W. ;

McElrath, Thomas F. ;

Graham, Dionne A. ;

Thiagarajan, Ravi R. ;

Bacha, Emile A. ;

Allan, Catherine K. ;

Cohen, Jennifer N. ;

Laussen, Peter C. .

PEDIATRICS, 2010, 126 (02) :E277-E284

← 1 2 3 4 →