Pediatric and Congenital Cardiology, Cardiac Surgery and Intensive Care, 6 Vols.

About this book

• In depth information relating to all aspects of pediatric cardiology, cardiac surgery and cardiac intensive care
• Electronic component providing a tool for interactive learning
• Provides detailed information on the Aristotle score

Pediatric and Congenital Cardiology, Cardiac Surgery and Intensive Care provides a consistent and comprehensive approach to multiple congenital and acquired cardiac pathologies pre, peri and postoperatively, with the use of algorhythms, guidelines and current research issues. Included with this book are interactive videos with the most common interventions, online access to practical learning activities, and to the comprehensive Aristotle score and database. This reference work satisfies the need for a universal and practical review of management of critically ill children and adults with congenital heart disease, based upon taskforce decisions and the cumulative experience of the world leaders in the field.

Content Level » Professional/practitioner
Keywords » intensive care - pediatric cardiology
Related subjects » Anesthesiology - Cardiology & Angiology - Critical Care & Emergency Medicine - Pediatrics - Surgery

Table of Contents

Introduction

General aspects: Cardiovascular embryology and fetal physiology, Transition from fetal to neonatal circulation, Genetics basics of congenital and acquired cardiovascular diseases and genomics, Proteonomics and pharmacogenomics, Nomenclature and classification of cardiac defects, Cardiovascular anatomy, Cardiovascular physiology,Cardiovascular pharmacology and pharmacogenomics, Classification of cardiac diseases in pediatrics (STS-EACTS?), Heterotaxy and cardiac malpositions, Risk factor assessment. The Aristotle score

Pre and postoperative diagnostic strategies: Clinical assessment: (The normal heart and cardiovascular system, Innocent murmurs, Clinical assessment of the neonate with cardiac defects, Clinical assessment of infant and children with congenital or acquired cardiac anomalies, Clinical assessment of the Grown-Up Congenital Heart patient) Electrocardiogram: (The normal EKG, The abnormal EKG, Atrial epicardial EKG, Basic notions of electrophysiology) Echocardiography: (Trans-thoracic, Trans-esophageal, 3D, 4D echocardiography and tissue imaging) Cardiac catheterization: (Diagnostic cardiac catheterisation, Interventional cardiac catheterisation), Magnetic Resonance Imaging, Computarized Axial Tomography, Nuclear Medicine, PET, Laboratory assessment: (BNP, Lactates, Troponin, Other markers of ischemia, Other markers of myocardial dysfunction) Other and developing techniques (i.e. proteonomics…)

Preventive cardiology

Cardiovascular anesthesia

Cardio Pulmonary Bypass, deep hypothermia, normothermia, circulatory arrest

Sedation and analgesia of the medical and surgical cardiac patient

Monitoring of the cardiac patient

Airway management, mechanical ventilation of the cardiac patient. Cardiopulmonary interactions.

Cardiac transport

Nursing issues related to the cardiac patient

General recommendations for the care of medical cardiac patients

Preparing patients for cardiac surgery: Psychological and social issues, Therapeutic recommendations, Ordering blood products, Preoperative steroids)

General recommendations for the care of the postoperative cardiac patients

Acquired medical and surgical cardiovascular diseases in pediatrics: Acute cardiac failure, Chronic cardiac failure, Acute pulmonary hypertension, Chronic pulmonary hypertension, Myocardial diseases: (Cardiomyopathies: (dilated, restrictive, hypertrophic), Myocarditis, Cardiac tumors) Pericardial diseases: (Acute pericarditis, Chronic pericarditis, Pericardial tumors), Other diseases: (Endocarditis, Rheumatic fever, Kawasaki’s disease, Cardiovascular impact of systemic diseases, Common syndromes: (Marfan’s and Loetz-Dietz syndrome, Noonan’s syndrome, Williams-Beuren syndrome, Autosomic trisomies, 22q11-deletion, Holt-Oram’s syndrome)) Tropical and exotic cardiac diseases: (Chagas disease, Endomyocardial fibroelastosis)
Congenital cardiovascular diseases in pediatrics: The spectrum of congenital cardiac defects, General principles of cardiovascular intervention: (Introduction, Interventional catheterisation, Close-heart procedures, Open-heart procedures, Minimally invasive surgery, Hybrid approach) Acyanotic defects: (Patent ductus arteriosus (PDA), Atrial septal defect (ASD), Ventricular septal defect (VSD), Atrioventricular canal (AV Canal), Aorto-pulmonary window), Right obstructive heart lesions: (Tetralogy of Fallot, Tetralogy of Fallot with pulmonary atresia, Pulmonary atresia with intact septum, Pulmonary Stenosis), Left Obstructive Heart Lesions: (Mitral Stenosis, Aortic valve Stenosis, Sub-aortic Stenosis, Supravalvar aortic Stenosis, Coarctation of the aorta, Interrupted aortic arch), Other congenital atrio-ventricular valve lesions: (Mitral valve, Tricuspid valve), Prosthetic Valves, Other Complex Defects: (Hypoplastic Left Heart Syndrome (HLHS), Single ventricle, Total anomalous pulmonary venous return, Transposition of the great arteries, Truncus arteriosus, Double outlet right ventricle, Ebstein’s anomaly, Anomalies of the coronary arteries) Vascular Lesions: (Vascular rings, Takayasu’s Disease, Aortic Dissection, Arterio-venous and veno-venous malformations)

Other acquired cardiac lesions: (Cardiac traumatic lesions)

The adult with congenital cardiac defects

Extracorporeal Life Support (ECLS) of the Cardiac Patient: (Intra-Aortic Balloon Pump (IABP), ExtraCorporeal Membrane Oxygenation (ECMO), Univentricular assistance (LVAD-RVAD): (Berlin Heart, Centrimag/Levitronix, Thoratec, Jarvik, others )

Transplant: (Heart, Heart & Lung)

Arrhythmias and conductive disorders: (Diagnosis of arrhythmias and conductive disorders, Specific management of arrhythmias and conduction disorders, Temporary and permanent pacemakers, AICD, Re-synchronization therapy, Endovascular therapy of arrhythmias and conductive disorders, Surgical therapy of arrhythmias and conductive disorders)

Tracheal pathology and tracheal reconstruction

Discontinuation of life: legal and ethical considerations

Extra-cardiac issues and complications: Respiratory: (ARDS/non-cardiogenic lung edema, Chylothorax, Diaphragmatic palsy, Vocal chordae palsy, Broncho-pulmonary dysplasia, Pulmonary Venous Occlusive Disease, Horner’s syndrome, Importance of functional and respiratory physiotherapy), Gastrointestinal: (Necrotizing enterocolitis (NEC), Protein loosing enteropathy (PLE), Surgical emergencies (bowel perforation, malrotation volvulus), Liver insufficiency), Nutrition: (Malnutrition and feeding difficulties, Guidelines for enteral and parenteral nutrition), Hematological: (Anticoagulation and anti-aggregation, Fibrinolytic therapy, Heparin-induced thrombocytopenia, Plasmapheresis, Perioperative care of patients with blood dyscrasia: (Von Willebrand’s disease, Hemophyllia, Pro-thrombotic status) Renal: (Renal insufficiency, Replacement therapy), Neurological: (Neurological monitoring, Brain abscess, Stroke, Intracranial bleeding, Seizures), Infectious diseases: (Prophylaxis and management of sepsis, Mediastinitis, Wound infection, Catheter-related infections), Skin protections and management of pressure sores

Mid and long-term postoperative follow-up & cardiac recovery: (Cardiac rehabilitation, Neuro-psychological rehabilitation, Nutritional rehabilitation, Post-traumatic stress)

Experimental research: (Animal models, Alternative & mock models)

Future acquisitions and challenges

Tables: normal values, algorhythms, etc