Document Detail


Intensive care management of neonates with d-transposition of the great arteries and common arterial trunk.
MedLine Citation:
PMID:  23331599     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
Although mortality rates for patients with d-transposition of the great arteries remain quite low, these patients have a unique circulation that requires careful management in the peri-operative period. Despite the improved mortality for patients with common arterial trunk, the course in the intensive care unit is remarkable for significant morbidity and utilisation of significant resources. Pre-operative patient management focuses on balancing competing circulations, pulmonary and systemic, which exist in parallel rather than in series, as in the normal circulation. Post-operative patient management in both lesions focuses on optimising systemic output, respiratory status, and mitigating the effects of cardiopulmonary bypass. In this article, we review pre- and post-operative intensive care management in neonates with d-transposition of the great arteries and common arterial trunk.
Authors:
Pirouz Shamszad; Ryan A Moore; Nancy Ghanayem; David S Cooper
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Cardiology in the young     Volume:  22     ISSN:  1467-1107     ISO Abbreviation:  Cardiol Young     Publication Date:  2012 Dec 
Date Detail:
Created Date:  2013-01-21     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9200019     Medline TA:  Cardiol Young     Country:  England    
Other Details:
Languages:  eng     Pagination:  755-60     Citation Subset:  IM    
Affiliation:
1 The Heart Institute, Cincinnati Children's Hospital Medical Center, University of Cincinnati School of Medicine, Cincinnati, Ohio, United States of America.
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