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.
Transition from the fetal to the neonatal circulation.- Triage and Transport of Infants and Children with Cardiac Disease.- Airway control, mechanical ventilation and respiratory care.- Heart-Lung Interactions.- Cardiac Catheterization.- Echocardiography.- Cardiac Anesthesia.- A Pharmacokinetic and Pharmacodynamic review: focus on cardiac ICU meds.- Sedation and Analgesia.- Drugs in Cardiac Intensive Care.- Standard Drug Concentrations in the Cardiac Intensive Care unit.- Monitoring of the cardiac patient.- The effects of cardioplumonary bypass following pediatric cardiac surgery.- Nursing care of the pediatric cardiac patient.- Intensive Care for the Patient after Cardiac Catheterization.- Cardiac database and risk factor assessment outcomes analysis of congenital heart disease.- Patent ductus arteriosus.- Atrial Septal Defects.- Ventricular Septal defect.- Complete Atrioventricular Septal Defects.- Aortopulmonary Window.- Tetrology of Fallot.- Tetralogy of Fallot with absent pulmonary valve.- Tetralogy of Fallot with pulmonary atresia.- Pulmonary atresia with intact interventricular septum.- Pulmonary Stenosis.- Left Ventricular Outflow tract obstruction.- Coarctation of the Aorta.- Interrupted aortic arch.- Mitral Valve anomalies and related disorders.- Mitral Stenosis.- Prosthetic Valves.- Hypoplastic Left Heart Syndrome.- Single Ventricle, General Aspects.- Anomalous pulmonary veins.- Dextro-Transposition of the Great Arteries.- Congenitally corrected transposition of the Great Arteries (ccTGA or Levo-Transposition of the Great Arteries (l-TGA).- Truncus Arteriosus.- Double Outlet Right Ventricle.- Ebstein's Disease.- Anomalous Coronary Arteries.- Aortic Valve Regurgitation.- Vascular Rings and Pulmonary Sling.- Takaysu Arteritis.- Aortic Dissection.- Tracheal Reconstruction.- Acute Pulmonary Hypertension.- Chronic Pulmonary Hypertension.- Acute Myocarditis and cardiomyopathies.- Pericardial Diseases.- Infective Endocarditis.- Cardiac Failure.- Shock in the Cardiac Patient: A brief overview.- Mechanical circulatory support in pediatric cardiac surgery.- Ventricular Assist Devices.- Heart Transplantation.- Arrhythmias in the Intensive Care unit.- Pacemakers (temporary and permanent), Implantable cardioverter defibrillators (ICDs) and cardiac resynchronization therapy.- Quality Assessment in the Cardiac Intensive Care unit.- Discontinuation of Life: Ethical and Legal issues.- Respiratory complications: acute respiratory distress syndrome, chylothorax, diaphragmatic palsy, and functional respiratory physiotherapy.- Gastrointestinal Complications: Necrotizing Enterocolitis, Malrotation, and Protein Losing Enteropathy.- Malnutrition and Feeding Difficulties: Guideline for Enteral and Parenteral Nutrition.- Hematological Aspects: Anticoagulation, Heparin_Induced Thrombocytopenia, Plasma Exchange.- Renal Failure and Replacement Therapy.- Neurological Complications: Intracranial Bleeding, Stroke, and Seizures.- Infections in the Cardiac Intensive Care Unit.- Skin Protection.
Ricardo Muñoz , MD, is chief of the Division of Cardiac Critical Medicine , Executive Director , Telemedicine , Co-Director , Childrens’s National Heart Institute , Professor of Pediatrics , George Washington University School of Medicine , Children’s National Health System. Dr. Muñoz is a fellow in the American Academy of Pediatrics , fellow of the American College of Critical Care Medicine and fellow of the American College of Cardiology.
Victor O. Morell, MD, is the Chief of Pediatric Cardiothoracic Surgery and Surgeon-In-Chief of UPMC Children’s Hospital of Pittsburgh, and the Eugene S. Wiener Professor and Chair, Pediatric Cardiothoracic Surgery at the University of Pittsburgh. Dr. Morell received his medical degree from the Ponce School of Medicine in Ponce, Puerto Rico in 1988. He completed his cardiothoracic residency at the University of Massachusetts Medical Center and his pediatric cardiothoracic surgery training at Boston Children’s Hospital and at the Great Ormond Hospital for Sick Children in London.
Eduardo M. da Cruz MD is the Associate Medical Director of the Heart Institute, Head of the Pediatric Cardiac Critical Care Program and Director of the Cardiac Intensive Care Section and Inpatient Services at Children’s Hospital Colorado, University of Colorado Denver, School of Medicine. He holds the title of Tenured Full Professor of Pediatrics, Pediatric Cardiology & Intensive Care. He has delivered close to 300 international lectures, published 80 book chapters and close to 100 manuscripts, and is a reviewer for 26 peer-reviewed journals, and the Editor or Co-Editor of seven CICU and Cardiology textbooks. He is the founder of the Working Group on Pediatric Cardiac Intensive Care of the Association for the European Pediatric and Congenital Cardiology (AEPC), Past-Chair and founder of the Section on Pediatric and Congenital Cardiac Intensive Care & Mechanical Circulatory Support of the European Society of Pediatric and Neonatal Intensive Care (ESPNIC), member of the Society of Pediatric Research (SPR) and of multiple other international Societies. Eduardo da Cruz is also an Expert Reviewer for the European Commission Horizon 2020 Project, and the President and Chair of the Board of Surgeons of Hope Foundation, a United Nations-affiliated Non-Governmental Organization based in New York, USA.
Carol Vetterly, PharmD, BCPS, BCPPS, is the Clinical Pharmacy Coordinator and Clinical Pharmacist in the Pediatric Intensive Care Unit at UPMC Children’s Hospital of Pittsburgh. She is Board Certified in Pharmacotherapy and Pediatric Pharmacotherapy and a member of the Society of Critical Care Medicine. Dr. Vetterly graduated from the University of Pittsburgh School of Pharmacy and completed a post-graduate Doctorate of Pharmacy at Duquesne University.
José P. da Silva, MD is a visiting professor of cardiothoracic surgery at the University of Pittsburgh School of Medicine and surgical director of the Center for Valve Therapy at the Heart Institute at Children’s Hospital of Pittsburgh of UPMC. Founding Director, Da Silva Center for Ebstein’s Anomaly. Cardiothoracic surgery training at the Cleveland Clinic. Dr. da Silva is internationally recognized as the creator of the cone procedure, the worldwide standard of care for the surgical treatment of Ebstein’s anomaly. He has authored numerous publications and lectured extensively on the cone procedure throughout the world. Dr. da Silva’s clinical interests include congenital heart disease, heart and heart-lung transplantation, adult cardiac surgery, and pediatric cardiac surgery. Dr. da Silva is affiliated to UPMC - Children’s Hospital of Pittsburgh.
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