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Title A practical handbook on pediatric cardiac intensive care therapy / Dietrich Klauwer, Christoph Neuhaeuser, Josef Thul, Rainer Zimmermann, editors.
Imprint Cham, Switzerland : Springer, [2019]

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Subject Pediatric cardiology.
Pediatric intensive care.
Alt Name Klauwer, D. (Dietrich),
Neuhaeuser, Christoph,
Thul, Josef,
Zimmermann, Rainer (Of Actelion Pharmaceuticals Ltd.),
Uniform Title Padiatrische Intensivmedizin -- Kinderkardiologische Praxis. English.
Description 1 online resource (581 pages)
Note Print version record.
Summary This book combines valid physiology and treatment strategies with the institutional experience of one of the leading German pediatric heart centers. It is intended as a pragmatic guide, focusing on daily practice and bedside medicine: straightforward, easy to implement, and results-oriented. It offers readers a profound understanding of intensive care, with a specific focus on organ systems, their interactions, and the effect of life support technologies, pursuing a comprehensive approach to congenital heart defects and therapies, including pitfalls and solutions. The target group is extended towards pediatric cardiologists and anesthesiologists by integrating chapters on the systematic analysis of hemodynamics and anatomy, diagnostics and treatment of congenital heart defects, plus a chapter on modern anesthesiology during heart operations with a focus on early extubation that minimizes on-pump and medication trauma. As such, the book offers a pragmatic and clinically oriented guide for physicians with advanced experience and expertise in (cardiac) intensive and intermediate care, as well as beginners and junior physicians.
Contents Intro; Foreword; Foreword; Preface; Need; Ambition; Opportunity; Contents; Contributors; List of Abbreviations; Important General Preliminary Remarks; Organization; What Should Be Actively Known About Each Patient?; Structured Handover; Part I: General Considerations on Pediatric Cardiac Intensive Care Medicine; 1: O2 Supply, CO2, and Acid-Base Balance; 1.1 O2 Supply and CO2 Balance; 1.1.1 O2 Partial Pressure and Oxygen Cascade; 1.1.2 Causes of Reduced Oxygen Tension/Saturation in the Blood (PaO2 or SaO2); 1.1.3 Significance of the Oxygen-Binding Curve of Hemoglobin.
1.1.4 Interpretation of Venous Saturation (SvO2) and Arteriovenous O2 Difference (avDO2)1.1.5 O2 Deficiency (Dysoxia); 1.1.6 CO2 Balance; 1.2 Acid-Base Balance; 1.2.1 General Information; 1.2.2 Pathophysiology as Exemplified by Acidosis; 1.2.3 Interpretation of Blood Gas Analysis (BGA); 1.2.4 Metabolic Acidosis; 1.2.5 Buffering; 1.2.6 Approach to Acid-Base Disorders; Suggested Reading; 2: Ventilation; 2.1 Advantages and Disadvantages of Ventilation; 2.2 Basic Concepts of Ventilation; 2.2.1 Pressure-Controlled Versus Volume-Controlled; 2.2.2 PEEP: Positive End-Expiratory Pressure.
2.2.3 Peak Pressure or Positive Inspiratory Pressure (PIP)2.2.4 Inspiratory Time (I-Time); 2.2.5 Compliance: Lung Extensibility (dV/dP); 2.2.6 Oxygenation; 2.2.7 Ventilation; 2.2.8 Limits of Respiratory Rate; 2.3 Distinction Between Pressure-Controlled and Volume-Controlled Ventilation; 2.4 Synchronization; 2.4.1 What Does Synchronized Ventilation Mean?; 2.5 Ventilation After Postoperative Transfer; 2.6 Transpositions of Great Arteries; 2.7 Ventricular Septal Defect; 2.8 Atrioventricular Septal Defect and AV Canal; 2.9 Ventilation in Glenn Anastomosis.
2.10 PA Banding in the Univentricular Heart2.11 Ventilation of Larger Patients with a Serial Circulatory Situation; 2.12 Ventilation in Total Cavopulmonary Connection; 2.13 Ventilation on ECMO Therapy; 2.14 Ventilation in ARDS; 2.15 Volume Curves/Explanation of Pressure-Regulated Volume Control; 2.15.1 Volume Curves; 2.16 Recruitment Procedure Using the Example of the Servo-I Open Lung Tool; 2.16.1 Application in Acute Lung Injury in Conjunction with Ventilation Disorders; 2.16.2 Conclusion; Suggested Reading; 3: Cardiovascular Monitoring and Cardiovascular Drug Therapy.
3.1 Parameters for Cardiovascular Monitoring3.1.1 Admission History or Handover Report; 3.1.2 Physical Examination; 3.1.3 Assessment of Pressures Displayed on the Monitor (Preferably in Comparison with the Anesthesia Monitor); 3.1.4 ECG; 3.1.5 Delta T (Normal, <3 C); 3.1.6 Transcutaneous O2 Saturation (Aim for SpO2: Depending on Defect) as Well as Further Parameters of Adequate Oxygen Supply (and Organ Perfusion); 3.1.7 Which Vasoactive Agents, Sedatives, and Analgesics Were Last Given and When or Are Still Ongoing?; 3.1.8 Echocardiography; 3.1.9 Chest X-ray; 3.1.10 Summary.
ISBN 9783319924410 (electronic bk.)
3319924419 (electronic bk.)
9783319924403
3319924400
OCLC # 1076236162
Additional Format Print version: 9783319924403 (OCoLC)1032582159.



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