Children's Hospital of Orange County, Orange, CA, USA.
Crit Care Med. 2011 Aug;39(8):1974-84. doi: 10.1097/CCM.0b013e31821b82a6.
To review the salient aspects and latest advances in the management of the postoperative pediatric cardiac patient.
A Medline-based literature source.
The practice of pediatric cardiac intensive care has evolved considerably over the last several years. These efforts are the result of a collaborative effort from all subspecialties involved in the care of pediatric patients with congenital heart disease. Discoveries and innovations that are representative of this effort include the extension of cerebral oximetry from the operating room into the critical care setting; mechanical circulatory devices designed for pediatric patients; and surgery in very low birth weight neonates. Advances such as these impact postoperative management and make the field of pediatric cardiac intensive care an exciting, demanding, and evolving discipline, necessitating the ongoing commitment of various disciplines to pursue a greater understanding of disease processes and how to best go about treating them.
回顾小儿心脏术后患者管理方面的要点和最新进展。
基于 Medline 的文献来源。
过去几年中,小儿心脏重症监护的实践有了相当大的发展。这些努力是涉及先天性心脏病患儿治疗的所有亚专业共同努力的结果。代表这一努力的发现和创新包括将脑氧饱和度监测从手术室扩展到重症监护环境;为小儿患者设计的机械循环装置;以及极低出生体重儿的手术。此类进展影响术后管理,使小儿心脏重症监护领域成为一个令人兴奋、要求苛刻且不断发展的学科,需要各个学科不断致力于更深入地了解疾病过程以及如何最好地治疗这些疾病。