RT Book, Section
A1 Lasa, Javier J.
A1 Kirsch, Roxanne
A1 Fuller, Stephanie
A1 Rome, Jonathan J.
A2 Gleason, Marie Murphy
A2 Rychik, Jack
A2 Shaddy, Robert
SR Print(0)
ID 56746206
T1 Chapter 6. Care of the Postprocedural Patient
T2 Pediatric Practice: Cardiology
YR 2012
FD 2012
PB The McGraw-Hill Companies
PP New York, NY
SN 978-0-07-176320-2
LK accesspediatrics.mhmedical.com/content.aspx?aid=56746206
RD 2024/04/19
AB The  care  of  infants,  children,  and  adults  with  congenital  heart  disease  (CHD)  can  be  complex  and  challenging.  In  particular,  the  inpatient  periprocedural  setting  can  pose  unique  management  challenges  and  represents  one  of  the  highest  risk  periods  for  the  patient  with  CHD.  Successful  congenital  heart  surgery  and  interventional  cardiac  catheterization  require  a  comprehensive,  well-coordinated,  team-based  mode  of  care  delivery  that  incorporates  a  solid  knowledge  base  with  sound  clinical  judgment.  Management  of  the  postprocedural  patient  should  reflect  a  firm  understanding  of  common  congenital  heart  defects  and  surgical  interventions,  cardiopulmonary  anatomy  and  physiology,  advanced  technical  skills,  pharmacology,  and  common  complications.  Patient  and  family-centered  anticipatory  guidance  should  be  effective  and  confident  with  similarly  comprehensive  communication  with  primary  care  providers  throughout  the  hospitalization  and  discharge  process.  This  chapter  provides  an  informative  overview  in  the  approach  to  the  care  of  the  postoperative  and  postcatheterization  patient  with  CHD,  specifically  focusing  on  the  immediate  postprocedure  and  post–hospital  discharge  time  periods.