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Manual of Postoperative Care in Pediatric Cardiac Surgery - Section I
Sirivella Srikrishna
ISBN: 978-1-941926-12-3
Management of postoperative cardiovascular, pulmonary and renal functions is discussed in addition to management of hemostasis, bleeding, blood coagulation, and other organ systems which influence the immediate outcome of a surgical procedure.

Patients who undergo complex congenital cardiac procedures and or patients whose stay in the intensive care unit is prolonged due to critical illness, disciplines such as prolonged ventilatory support, infection, wound management, nutrition, fluid and electrolyte balance, altered endocrine function assume importance for adequate patient management and these systems are dealt comprehensively, discussing basic sciences and clinical issues relevant in management of the patient.

This manual has also dealt with issues of poor postoperative ventricular function and principles of mechanical ventricular support systems that are designed to improve patient outcomes after complex cardiac procedures. A brief postoperative management of heart and heart-lung transplant recipients with peri-operative immunosupression is also discussed.

Algorithms are provided for appropriate management of cardiac emergencies, together with instructions and or calculations provided for mixing of inotropic drug solutions in emergencies. These would enable physicians and nurse practitioners to deliver expeditious care in such situations. Drug formulary provided here has dealt with several drugs that are commonly used in the intensive care. Several other drugs, including inotropes, antimicrobials, and cardiac drugs which are often used in the perioperative care of infants, and children are discussed comprehensively.
1.Transport and Stabilization in ICU  
2. Fluid, Electrolytes and Acid-base Balance  
3. Hemostatsis and Blood Component Therapy  
4. Cardiovascular Monitoring and Therapy  
5. Respiratory Management and Ventilators  
6. Renal Function and Renal Failure  
7. Neurological Monitoring and Management  
8. Nutritional Support in Pediatric Patients  
9. Endocrine and Metabolic Management in Critically Ill Patients  
10. Postoperative Infections, Antimicrobial Therapy and Prophylaxis  
11. Mechanical Circulatory Support Systems  
12. Miscellaneous Considerations  
13. Pediatric Advanced Life Support Algorithms  
14. CPR Pediatric Drugs and Doses  
15. Pediatric Drip Calculations in Emergency  
16. Drug Formulary  
17. Normal Laboratory Values, Formulae and Equations  
Sirivella Srikrishna
MD, FRCSEd, MNAMAS, BRS Hospitals, MADRAS, Sri Venkateswara Institute of Medical Sciences, Tirupati.
Cardiac surgery and cardiovascular disease specialists include anesthesiologists, intensive care specialists as well as trainees, the pediatricians and medical students. The audience also includes all the nurses and physicians and other specialists involved in the care of the pediatric cardiac surgical patients.
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