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A Practical Handbook on Pediatric Cardiac Intensive Care TherapyUltrafast Tracking in Pediatric Cardiac Surgery

A Practical Handbook on Pediatric Cardiac Intensive Care Therapy: Ultrafast Tracking in Pediatric... [The ultrafast track protocol describes in detail the pre-, intra-, and postoperative procedures, which in their entirety aim to extubate all children, who have undergone pediatric cardiac surgery, on the operating table. The knows only a few exceptions from this general rule, e.g. the Norwood-stage I operation or premature infants, who are on mechanical ventilation before surgery. The concept of early extubation with its advantages and disadvantages is critically questioned from a pathophysiological perspective. In addition, the effects of the ultrafast track concept on important patient-centered outcomes and on patient safety are discussed in detail. Another focus of the chapter is the characterization of the pharmacokinetic and pharmacodynamic properties of the centrally acting substances used for anesthesia and postoperative analgesia.] http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png

A Practical Handbook on Pediatric Cardiac Intensive Care TherapyUltrafast Tracking in Pediatric Cardiac Surgery

Editors: Klauwer, Dietrich; Neuhaeuser, Christoph; Thul, Josef; Zimmermann, Rainer
Schmidt, Christoph; Malec, Edward
A Practical Handbook on Pediatric Cardiac Intensive Care Therapy — Nov 12, 2018
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33 pages

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References (31)

Publisher
Springer International Publishing
Copyright
© Springer International Publishing AG, part of Springer Nature 2019. Translation from the German language edition: Pädiatrische Intensivmedizin – Kinderkardiologische Praxis, 2. erw. Auflage by D. Klauwer / C. Neuhäuser / J. Thul / R. Zimmermann, © Deutscher Ärzteverlag 2017
ISBN
978-3-319-92440-3
Pages
491 –524
DOI
10.1007/978-3-319-92441-0_18
Publisher site
See Chapter on Publisher Site

Abstract

[The ultrafast track protocol describes in detail the pre-, intra-, and postoperative procedures, which in their entirety aim to extubate all children, who have undergone pediatric cardiac surgery, on the operating table. The knows only a few exceptions from this general rule, e.g. the Norwood-stage I operation or premature infants, who are on mechanical ventilation before surgery. The concept of early extubation with its advantages and disadvantages is critically questioned from a pathophysiological perspective. In addition, the effects of the ultrafast track concept on important patient-centered outcomes and on patient safety are discussed in detail. Another focus of the chapter is the characterization of the pharmacokinetic and pharmacodynamic properties of the centrally acting substances used for anesthesia and postoperative analgesia.]

Published: Nov 12, 2018

Keywords: Pediatric Cardiac Surgery; Early Extubation; Dexmedetomidine; Transfusion-associated Acute Lung Injury (TRALI); Fast-track Protocol

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