Measurement of Central Venous Pressure From a Peripheral Intravenous Catheter Following Cardiopulmonary Bypass in Infants and Children With Congenital Heart Disease

2008 ◽  
Vol 23 (2) ◽  
pp. 136-142 ◽  
Author(s):  
Laura Baty ◽  
Pierantonio Russo ◽  
Joseph D. Tobias
2018 ◽  
Author(s):  
Douglas Atkinson ◽  
Viviane G Nasr

Congenital heart disease is the most common congenital malformation with an incidence of 4 to 10 per 1,000 live births. Anesthesiologists are required to manage these patients when they present for surgical or percutaneous interventions, including definitive and/or palliative procedures. The preoperative evaluation of the cardiac patient includes a thorough physical examination, laboratory testing, and diagnostic imaging such as echocardiography and magnetic resonance imaging. The perioperative management of children with cardiac disease requires a thorough understanding of the underlying pathophysiology, invasive monitoring such as arterial pressure and central venous pressure, and different surgical procedures and interventions in the catheterization laboratory. In addition, understanding cardiopulmonary bypass including perfusion, temperature, and acid-base is a must. This chapter presents a systematic approach for the preoperative assessment of children with cardiac disease and management on cardiopulmonary bypass and discusses the different surgical procedures and catheterization laboratory interventions, indications, and potential complications. This review contains 1 figure, 9 tables, and 23 references. Key Words: associated anomalies, cardiac surgical procedures, cardiopulmonary bypass, congenital heart disease, intraoperative monitoring, inotropes, interventional catheterization, preoperative evaluation, vasodilators


PEDIATRICS ◽  
1972 ◽  
Vol 49 (2) ◽  
pp. 243-249
Author(s):  
Robert A. Petersen ◽  
Amnon Rosenthal

A retinopathy consisting of dilated, tortuous retinal blood vessels and, in some patients, papilledema may occur in cyanotic congenital heart disease (CHD). Of 83 patients with cyanotic CHD examined ophthalmologically, 52 exhibited some degree of the retinopathy, and 12 had papilledema. The severity of the fundus changes was closely related to the patient's arterial oxygen saturation and hematocrit and bore no relationship to arterial Pco2, pH, central venous pressure, type of cardiac malformation, or the patient's age.


2020 ◽  
Vol 21 (1) ◽  
pp. 33-41 ◽  
Author(s):  
Nahmah Kim-Campbell ◽  
Catherine Gretchen ◽  
Vladimir B. Ritov ◽  
Patrick M. Kochanek ◽  
Goundappa K. Balasubramani ◽  
...  

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