Management of the Pediatric Postoperative Cardiac Surgery Patient

Beke, Dorothy M.; Braudis, Nancy J.; Lincoln, Patricia

doi:10.1016/j.ccell.2005.08.006

Cited by 21 publications

(15 citation statements)

References 34 publications

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“…The postoperative course may be complicated by, among many other causes, cardiac arrhythmias [3]. Depending on their etiology and presentation, cardiac arrhythmias may be life-threatening.…”

Section: Case Reportmentioning

confidence: 99%

Iatrogenic ventricular tachycardia

et al. 2008

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Cardiac arrhythmias may complicate the clinical course in infants and children following cardiac surgery. Here, we report on a 6-week-old neonate who developed life-threatening ventricular tachycardia with cardio-circulatory compromise after the removal of a substernal catheter that surrounded the heart. The treating physician should be prepared for device-related ventricular tachycardia when temporary devices are removed, and adequate treatment must be initiated immediately.

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Section: Case Reportmentioning

confidence: 99%

Iatrogenic ventricular tachycardia

et al. 2008

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“…One example is a possible evolution of pulmonary hypertension, resulting from the adaptation of pulmonary flow postoperatively, a situation that restricts sudden maneuvers of physiotherapy [4,8,16,[19][20][21].…”

Section: Discussionmentioning

confidence: 99%

“…In such cases, attention should be paid to patient positioning, which must be at least 45 degrees of elevation, and avoid an increase in pulmonary vascular resistance with maintenance of PEEP (positive end expiratory pressure) low (up to 5 cmH20) [ 4,8,16,[19][20][21].…”

Section: Discussionmentioning

confidence: 99%

“…Based on knowledge and analysis of this information, the physiotherapist can provide more effective approaches [16][17][18].…”

Section: Discussionmentioning

confidence: 99%

“…Specifications of respiratory parameters include maintaining low peak inspiratory pressure, short inspiratory time, tidal volume of up to 7 ml/kg/weight and have great relevance to patient outcomes. The appropriate ventilatory management, as well as patient positioning, help to reduce the maximum intrathoracic pressure and venous stasis of trunk and upper limbs, which facilitates the drainage of blood in the lungs [4,8,16,[19][20][21].…”

Section: Cardiac Surgery Immediate Postoperative (Ccipo)mentioning

confidence: 99%

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Cirurgia cardíaca pediátrica: o que esperar da intervenção fisioterapêutica?

Silva¹,

Feuser²,

Silva³

et al. 2011

Rev Bras Cir Cardiovasc

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This study aims to gather and present scientific evidence on the role of a physiotherapist in the pre, peri and postoperative of pediatric cardiac surgery. This professional is able to prevent, minimize or reverse possible respiratory dysfunction and motor sequelae resulting from these interventions. Studies discuss the involvement of respiratory system, specifically the clearance of bronchial secretions and ventilatory adequacy, as a result of surgical procedure. Scientific evidences suggest the effectiveness of physiotherapy in reducing indices of: pneumonia, atelectasis, hospitalization, sequelae deleterious, and length of bed restriction, beyond clinical improvement. These data confirm positive contribution of physiotherapeutic intervention in these surgeries.Descriptors: Physical Therapy Modalities. Cardiac Surgical Procedures. Heart Defects, Congenital. ResumoO objetivo deste estudo é reunir e apresentar evidências científicas sobre a atuação do fisioterapeuta nos períodos pré, peri e pós-operatório da cirurgia cardíaca pediátrica. Esse profissional está habilitado a prevenir, minimizar e reverter possíveis disfunções respiratórias e sequelas motoras decorrentes dessas intervenções. Estudos discutem o comprometimento do sistema respiratório, especificamente do clearance de secreção brônquica e da adequação ventilatória, resultantes do procedimento cirúrgico, havendo evidências científicas quanto à eficácia da fisioterapia na redução: dos índices de pneumonias, atelectasias, período de internação, sequelas deletérias, tempo de restrição ao leito, além da melhora clínica. Esses dados atestam a contribuição positiva da intervenção fisioterapêutica nessas cirurgias. Rev Bras Cir Cardiovasc 2011;26(2):264-72 Descritores

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