Paediatric Cardiac Surgery Manual For Perioperative Nurses 2018 Edition at Meripustak

Paediatric Cardiac Surgery Manual For Perioperative Nurses 2018 Edition by Edith D Jonkman, CBS Publishers and Distributors

Books from same Author: Edith D Jonkman

Books from same Publisher: CBS Publishers and Distributors

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  • General Information  
    Author(s)Edith D Jonkman
    PublisherCBS Publishers and Distributors
    Edition1st Edition
    Publish YearJuly 2018


    CBS Publishers and Distributors Paediatric Cardiac Surgery Manual For Perioperative Nurses 2018 Edition by Edith D Jonkman

    Paediatric Cardiac Surgery Manual For Perioperative Nurses 2018 Edition by Edith D Jonkman

    This book is a guide to the most common and some uncommon congenital heart disease and associated surgical interventions as practiced on newborns and children. It is the result of many years of the author’s clinical practice as a paediatric cardiac perioperative nurse and is designed to explain and reveal both the complex surgical procedures and the nature and variety of cardiac defects.

    The text of this edition has been modified and refined through discussions with surgeons, consultant surgeons, anaesthesiologists, perfusionists, medical students, and nurses in the hospitals where she has worked. The research and writing began at the King Faisal Hospital, Jeddah, Saudi Arabia, where she saw intense and complex surgical procedures being performed on infants with such skill and grace that she felt that new or re-skilling nurses in a paediatric context would benefit from seeing and reading about the deployment of such surgical ability.

    She began taking notes and photographs, interviewing surgeons, reading operative reports, and the information grew to an informal ‘how to assist’ manual — a way of being an expert paediatric cardiac nurse, able to anticipate the surgeon’s needs through education and understanding. She gradually added more procedures and illustrations and her ‘manual’ was in demand not only by nurses working in the cardiac operating theatres but also by medical students, perfusionists and anaesthesiologists.

    This book, a result of research and observations made over many years of assisting in paediatric cardiac operations, aims to make complex surgical procedures more accessible to perioperative nurses and help them become more responsive to the cardiac surgeons and their patients where seconds saved can lead to further chances of life.

    This book is dedicated to the surgeons who carry-out these complex and life-saving procedures, without whose expertise, many alive today would never have reached adolescence. However, in view of the ongoing research in congenital heart disease and surgical treatment, approaches of individual cardiac surgeons may vary from the surgical procedures presented in the book.

    Table of contents:- 
    1. Congenital Heart Disease and its Risk Factors 1
    Introduction 1
    Incidence and Causes 3
    Adverse Genetic Risk Factors 3
    Adverse Environmental Risk Factors 4
    Congenital Heart Disease in More Detail 6
    Foetal and Newborn Circulation and its Implications for Infants Born with Congenital Heart Disease 10
    Diagnostic Tests 15
    Non-Genetic Risk Factors 19
    Summary of Treatment for Paediatric Congenital Heart Disease—Non Surgical Treatment 24
    Surgical Treatment 26
    Prognosis 27
    2. Understanding C
    xii Paediatric Cardiac Surgery
    Diagnosis 29
    Sequential Segmental Classification 30
    Determining the Situs 31
    Identifying the Cardiac Position 32
    Key Points of the Sequential Segmental Classification 38
    3. Nursing the Young Patient in Paediatric Cardiac
    Surgery 47
    Introduction 47
    Preoperative Nursing Care 47
    Newborns and Infants 48
    Toddlers 49
    Preschool Age 50
    School Age 50
    Adolescent 51
    Nursing and Premedication 52

    4. Perioperative Nursing in the Cardiac Operating Room 54
    Introduction 54
    Assisting the Surgeon 54
    Positioning the Patient 56
    Cardiopulmonary Bypass Preparation 65
    Incision 68
    Cannulation and Cardiopulmonary Bypass 73
    Going on Bypass 85
    Coming off the Bypass Machine 87
    Sequence for Assisting the Surgeon with Placing a Child on Cardiopulmonary Bypass 91
    Sequence for Assisting the Surgeon with Discontinuation of Cardiopulmonary Bypass 95
    Effects of Cardiopulmonary Bypass on Neonates and Infants 97
    Peritoneal Dialysis Catheter 104
    Ultrafiltration and Modified Ultrafiltration 104
    Cardioplegia and Hypothermia 105
    Circulatory Arrest 105
    Defibrillation Paddles 106
    Pacing the Heart 108
    Delayed Chest Closure 112
    Extracorporeal Membrane Oxygenation (ECMO) 112
    Emergency Chest Reopening in the Neonatal Intensive care Unit 115
    5. Nurses’ Overview of Paediatric Cardiac Anomalies, Surgical Procedures and Techniques for Congenital Heart Defects 117
    Introduction 117
    Section 1: When Chambers and Valves are in Normal Sequence and Normal Position and Shunting is Predominant 118
    Patent Ductus Arteriosus (PDA) 121
    Patent Ductus Arteriosus Repair—Technique 127
    Patent Foramen Ovale (PFO) 132
    Atrial Septal Defect (ASD) 135
    Atrial Septal Defect Repair—Technique 144
    Ventricular Septal Defect (VSD) 149
    Ventricular Septal Defect Repair—Technique 157
    Atrioventricular Septal Defects (AVSDs) 161

    Contents xiii
    Common Types of Atrioventricular Septal Defects 164
    Atrioventricular Septal Defect Repair—Technique 166
    Section 2: When Chambers and Valves are in Normal
    Sequence and Normal Position and Stenosis or
    Obstruction is Predominant 169
    Univentricular Heart 169
    Blalock-Taussig Shunt, Glenn and Fontan Procedure 171
    Blalock-Taussig Shunt Procedure—Technique 174
    Glenn Shunt Procedure—Technique 178
    Extracardiac Fontan Procedure—Technique 185
    Tricuspid Valve Stenosis or Atresia (Obstructed or Absent Atrioventricular Connection) 193
    Ebstein Anomaly 195
    Pulmonary Valve Stenosis or Atresia (Obstructed or Absent Ventriculoarterial Connection) 198
    Pulmonary Stenosis/Atresia with a Ventricular Septal Defect 203
    Pulmonary Stenosis /Atresia with Intact Ventricular Septal Defect 209
    Mitral Valve Stenosis or Atresia (Obstructed or Absent Atrioventricular Connection) 210
    Aortic Valve Stenosis or Atresia and Subaortic Membrane (Obstructed or Absent Ventriculoarterial Connection) 210
    Subaortic Membrane (SAM) 215
    Ross Procedure—Technique 220
    Bentall Procedure—Technique 234
    David Procedure—Technique 236
    Section 3: When Chambers and Valves are not in Normal Sequence and Normal Position—Atrioventricular
    Discordance and Ventriculoarterial Discordance 240
    Double Inlet Left ventricle and Double Inlet Right Ventricle (Atrioventricular Discordance) 240
    Congenitally Corrected Transposition of the Great Arteries (Atrioventricular and Ventriculoarterial Discordance) 244
    Tetralogy of Fallot (Ventriculoarterial Discordance) 251
    Tetralogy of Fallot Repair—Technique 256
    Double Outlet Right Ventricle (Ventriculoarterial Discordance) 260
    Double Outlet Left Ventricle (Ventriculoarterial Discordance) 265

    xiv Paediatric Cardiac Surgery Truncus Arteriosus (Ventriculoarterial Discordance) 266
    Truncus Arteriosus Repair—Technique 271
    Transposition of the Great Arteries (Ventriculoarterial Discordance) 277
    Transposition of the Great Arteries Repair—Technique 283
    Rastelli Procedure—Overview 290
    Nikaidoh Operation—Technique 294
    DKS Procedure—Technique 301
    Section 4: Anomalies of the Great Arteries (Anomalies of the Pulmonary Artery and Aorta) 302
    Anomalous Origin of the Left Coronary Artery from the Pulmonary Artery 302
    ALCAPA Repair—Technique 305
    Section 4.1: Anomalies of the Aorta 311
    Coarctation of the Aorta (CoA) 312
    Coarctation of Aorta Repair—Technique 315
    Interrupted Aortic Arch (IAA) 323
    Aortopulmonary Window (APW) 329
    Aortopulmonary Window Repair—Technique 331
    Hypoplastic Left Heart Syndrome 332
    Norwood Procedure—Technique 337
    Section 4.2: Anomalies of the Venous Connections Anomalies of Pulmonary Veins 355
    Partial and Total Anomalous Pulmonary Venous Return or Drainage (PAPVD, TAPVD) 355
    PAPVD Repair—Technique 361
    TAPVD (Supracardiac and Infracardiac) Repair—Technique 362
    TAPVD (cardiac) Repair—Technique 363
    Scimitar Syndrome 364
    Repair of Scimitar Anomaly—Technique 365
    Section 5: Other Cardiac Anomalies 367
    Cor Triatriatum 367
    Vascular Rings/Slings 368
    Ectopia Cordis 372
    References 373
    Index 382