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Handbook of Perioperative Care in Pediatric Cardiac Surgery: A Timeline-Based Approach to Anesthetic Management, Hemodynamic Stabilization, and Intens
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Publisher: Independently Published
Pages: 498
Weight: 2.52
Height: 1.00 Width: 8.50 Depth: 11.00
Language: English
Built for the CICU team managing children after congenital heart surgery, this handbook connects lesion anatomy, fetal and neonatal cardiopulmonary physiology, anesthesia, bypass, hemodynamics, ventilation, renal protection, neurologic safety, and discharge planning into one perioperative framework. It moves from segmental anatomy and ductal-dependent stabilization through procedure-specific intraoperative care, first-hour CICU admission, low-output rescue, pulmonary hypertensive crisis, bleeding control, ECMO, VAD support, transplant considerations, and home-transition safety.
The Bypass-to-Bedside Decision System gives readers a structured way to recognize the timeline point, interpret the physiologic signal, assign the team priority, and avoid the trap that delays escalation.
- Classify congenital cardiac physiology before surgery - translate cyanosis, pulmonary overcirculation, systemic obstruction, ductal dependency, and single-ventricle balance into perioperative risk.
- Stabilize ductal-dependent neonates - connect prostaglandin support, ventilation, perfusion, glucose, temperature, and transport handoff to operative readiness.
- Manage induction, bypass, and separation - anticipate myocardial stunning, pulmonary vascular instability, residual lesions, coronary risk, and failure-to-separate scenarios.
- Run the first CICU hour - integrate arterial pressure, NIRS, lactate, chest tube output, rhythm, pacing, ventilation, and vasoactive support into early stabilization.
- Treat low output and pulmonary hypertensive crisis - separate ventricular dysfunction, tamponade, residual anatomy, arrhythmia, preload failure, and pulmonary vascular collapse.
- Control bleeding and organ complications - manage coagulopathy, renal stress, metabolic instability, neurologic monitoring, sedation, infection, wounds, lines, and device risk.
- Escalate to ECMO, VAD, or transplant planning - define activation thresholds, bridge goals, residual-lesion evaluation, anticoagulation risk, and family communication.
- Build safer transitions - convert ICU physiology into step-down monitoring, medication reconciliation, caregiver teaching, home surveillance, and readmission prevention.
Use this handbook to make every pediatric cardiac transition safer, clearer, and faster to act on.
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