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Manual of Postoperative Care in Pediatric Cardiac Surgery - Section I
Author:
Sirivella Srikrishna
ISBN: 978-1-941926-12-3
8.3 x 10.6 inches, 586pp, PDF: $209
Published Date: July, 2019
To order hard copies, please contact book@openscienceonline.com
Introduction
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.
Contents
The Full Book PDF PDF
Front Matter PDF
Chapter 1 Transport and Stabilization in ICU PDF
      1.1 Patient Transport  
      1.2 Patient Stabilization  
Chapter 2 Fluid, Electrolytes, and Acid-Base Balance PDF
      A. Guidelines for Fluid and Electrolyte Therapy  
      2.1 Maintenance Fluids  
      2.2 Specific Fluid and Electrolyte Orders  
      B. Diagnosis of Common Electrolyte Disorders and Management  
      2.3 Sodium Abnormalities  
      2.4 Potassium Homeostasis and Serum Potassium Abnormalities  
      2.5 Calcium Homeostasis and Calcium Abnormalities  
      2.6 Phosphate Homeostasis and Phosphate Abnormalities  
      2.7 Magnesium Abnormalities and Magnesium Homeostasis  
      C. Acid Base Disorders and Management  
      2.8 Physiology of Normal Acid-Base Balance  
      2.9 Metabolic Alkalosis (MAk)  
      2.10 Respiratory Acidosis (RA)  
      2.11 Metabolic Acidosis (MA)  
      2.12 Respiratory Alkalosis (RAK)  
Chapter 3 Hemostasis and Blood Component Therapy PDF
      A. Bleeding and Hemostasis  
      3.1 Postoperative Monitoring of Hemostasis and Chest Tube Drainage  
      3.2 Assessment of Moderate to Significant Postoperative Bleeding  
      3.3 Blood Coagulation  
      3.4 Tests of Coagulation  
      3.5 Interpretation of Coagulation Tests and Diagnosis of Bleeding Disorder  
      3.6 Cardiopulmonary Bypass (CPB) Hemorrhage  
      3.7 Von Willebrand’s Disease and Hemorrhage  
      3.8 Disseminated Intravascular Coagulation (DIC)  
      B. Blood Component Therapy  
      3.9 Blood Components  
      3.10 Complications of Blood Component Therapy  
Chapter 4 Cardiovascular Monitoring and Therapy PDF
      4.1 Immediate Postoperative Care and Monitoring  
      4.2 Postoperative Cardiac Output and Cardiovascular Function  
      4.3 Low Cardiac Output, Determinants, and Treatment  
      4.4 Right Ventricular (RV) Dysfunction and Inhaled Nitric Oxide (NO)  
      4.5 Heart Rate, Rhythm, and Conduction Disturbances  
Chapter 5 Respiratory Management and Ventilators PDF
      5.1 Initial Ventilator Orders  
      5.2 Controls in Mechanical (Positive Pressure) Ventilation  
      5.3 Cardiovascular Effects of Mechanical Ventilation (MV)  
      5.4 Evaluation of Gas Exchange  
      5.5 Management of Acute Respiratory Decompensation and Evaluation of Hypoxia / Hypercarbia  
      5.6 Principles of Use of Conventional Ventilators and Settings  
      5.7 High Frequency Jet Ventilation (HFJV)  
      5.8 Weanining from Conventional Mechanical Ventilation (MV)  
      5.9 Chest Physiotherapy (CP), Re-intubation, and Oxygen Delivery  
Chapter 6 Renal Function and Renal Failure PDF
      6.1 Clinical Assessment of Renal Function  
      6.2 Differential Diagnosis of Oliguria  
      6.3 Management of Acute (Parenchymal) Renal Failure (ARF)  
      6.4 Acute Renal Failure and Renal Replacement Therapy (RRT)  
Chapter 7 Neurological Monitoring and Management PDF
      7.1 Risk Factors for Neurological Injury  
      7.2 Neuroprotective Strategies  
      7.3 Neurological Monitoring  
      7.4 Neurological Injury / Complications  
      7.5 Treatment of Neurological Complictions  
Chapter 8 Nutritional Support in Pediatric Patients PDF
      8.1 Protocol for Nutritional Support in Infants and Children  
      8.2 Total Parenteral Nutrition (TPN) in the PICU Patient  
      8.3 Enteral Nutrition in Pediatric Critical Illness  
Chapter 9 Endocrine and Metabolic Management in Critically Ill PDF
      9.1 Adrenal Cortex and Acute Adrenal Insufficiency  
      9.2 Sodium and Water Metabolism, Juxtaglomerular Apparatus, and Posterior Pitutary Function  
      9.3 Thyroid Functional Abnormalities  
      9.4 Insulin and Blood Glucose Control  
Chapter 10 Wound and Postoperative Infections and Management PDF
      10.1 Wound Infections  
      10.2 Sternal (Mediastinal) Infection  
      10.3 Pneumonias in the Intensive Care Unit  
      10.4 Invasive Fungal Infection (Candidiasis)  
      10.5 Bacterial Sepsis and Therapy  
      10.6 Antimicrobial Prophylaxis  
Chapter 11 Mechanical Circulatory Support, Heart Transplantation, and Heart and Lung Transplantation PDF
      A. Mechanical Circulatory Support Systems  
      11.1 Intraaortic Balloon Pump (IABP)  
      11.2 Extracorporeal Membrane Oxygenation (ECMO)  
      11.3 Ventricular Assist Devices (VADs)  
      B. Heart Transplantation  
      11.4 Care of a Heart Transplant Patient  
      C. Heart-Lung Transplantation  
      11.5 Postoperative Management of a Heart and Lung Transplant  
      11.6 Immunosuppressant Therapy of a Heart-Lung Transplant  
      11.7 Clinical Surveillance of a Heart-Lung Transplant  
      11.8 Management of Rejection of Heart-Lung Transplant  
Chapter 12 Miscellaneous Considerations PDF
      12.1 Pleural Effusions  
      12.2 Chylothorax  
      12.3 Necrotizing Enterocolitis (NEC)  
Chapter 13 Pediatric Advance Life Support Algorithms PDF
      13.1 Pulseless Arrest Algorithm  
      13.2 PALS Bradycardia Algorithm  
      13.3 Tachycardia Algorithm and Inadequate Perfusion  
      13.4 Tachycardia Algorithm with adequate Perfusion  
Chapter 14 CPR Pediatric Drugs and Doses PDF
Chapter 15 Pediatric Drip Calculations in Emergency PDF
      15.1 Routine Drug Preparation  
      15.2 Concentrated Drug Preparation at Standardized Concentration  
      15.3 Alternate Drip Calculations  
Chapter 16 Drug Formulary PDF
      A. Intensive Care Sedation and Analgesia  
      B. Diuretics of Common Usage  
      C. Electrolytes and Minerals  
      D. Antiarrhythmic Drugs  
      E. Cardiac Inotropic Drugs  
      F. Afterload (Vascular Resistance) Modulators and Hypotensive Agents  
      G. Gastrointestinal and Antisecretory Drugs  
      H. Miscellaneous Drugs  
      I. Antimicrobials and Antifungal Agents  
Chapter 17 Normal Laboratory Values, Equations and Formulae PDF
      17.1 Normal Laboratory Values  
      17.2 Respiratory System Equations  
      17.3 Cardiovascular System:  
      17.4 Fluid and Electrolytes  
Back Matter PDF
Author(s)
Sirivella Srikrishna
MD, FRCSEd, MNAMAS, BRS Hospitals, MADRAS, Sri Venkateswara Institute of Medical Sciences, Tirupati.
Readership
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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