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Multiprofessional Critical Care Review: Pediatric ...
Cardiac Surgery and Postoperative Management
Cardiac Surgery and Postoperative Management
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Video Transcription
Video Summary
In this video, Dr. Ravi Theogarajan, the Chief of the Cardiac Intensive Care Unit at Boston Children's Hospital, discusses the general principles of post-operative care for children after cardiac surgery and specifically focuses on the post-operative management of children with single ventricle congenital heart disease. He emphasizes the importance of understanding the unique physiology and challenges of each individual's circulation and knowing the expected course of each operation. He discusses the common issues that occur in the postoperative period, including myocardial dysfunction, endothelial dysfunction, and end-organ injury, and highlights the importance of recognizing and managing low cardiac output, postoperative pulmonary hypertension, bleeding, cardiac tamponade, and residual lesions. He also discusses the specific care considerations for children undergoing stage 1 palliation, bi-directional Glenn procedures, and the Fontan operation. He provides troubleshooting tips for managing complications and emphasizes the need for close monitoring, communication with the surgical team, and prompt intervention when necessary. Overall, Dr. Theogarajan provides a comprehensive overview of the post-operative care of children with congenital heart disease after cardiac surgery.
Keywords
Dr. Ravi Theogarajan
Cardiac Intensive Care Unit
Boston Children's Hospital
post-operative care
single ventricle congenital heart disease
myocardial dysfunction
Fontan operation
complications management
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