Pediatric cardiac postoperative care

The Heart Institute of the University of São Paulo, Medical School is a referral center for the treatment of congenital heart diseases of neonates and infants. In the recent years, the excellent surgical results obtained in our institution may be in part due to modern anesthetic care and to postoper...

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Bibliographic Details
Published in:Revista do Hospital das Clinicás 2002-06, Vol.57 (3), p.115-123
Main Authors: Auler, Jr, José Otávio Costa, Barreto, Alessandra Costa, Gimenez, Solange Coppola, Abellan, Deipara Monteiro
Format: Article
Language:English
Subjects:
Heart Defects, Congenital - surgery
Humans
Infant, Newborn
MEDICINE, GENERAL & INTERNAL
Postoperative Care
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Summary:The Heart Institute of the University of São Paulo, Medical School is a referral center for the treatment of congenital heart diseases of neonates and infants. In the recent years, the excellent surgical results obtained in our institution may be in part due to modern anesthetic care and to postoperative care based on well-structured protocols. The purpose of this article is to review unique aspects of neonate cardiovascular physiology, the impact of extracorporeal circulation on postoperative evolution, and the prescription for pharmacological support of acute cardiac dysfunction based on our cardiac unit protocols. The main causes of low cardiac output after surgical correction of heart congenital disease are reviewed, and methods of treatment and support are proposed as derived from the relevant literature and our protocols.
ISSN:0041-8781
1678-9903
0041-8781
DOI:10.1590/s0041-87812002000300007