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Perinatal cardiology is an important developing field as high quality ultrasound is used on a growing number of pregnant women, and diagnosis prior to birth will become a more common occurrence. In addition, highly sensitive noninvasive diagnostic tools, advances in neonatal care and anesthesia, evolution of transcatheter interventional procedures and performance of complicated surgical procedures in the neonate and young infant have advanced to such an extent that almost all congenital cardiac defects can be diagnosed and “corrected.” Illustrated with over 500 figures, this book by leaders in the fields of pediatric cardiology, neonatology, pediatric cardiovascular surgery and interventional pediatric cardiology focuses on congenital heart defect issues during the perinatal period: prenatal (before birth) and neonatal (first month after birth). This book discusses the three major areas of perinatal cardiology: Provides an overview of advances in perinatology, neonatology, cardiology and cardiac surgery in making early diagnosis and offering treatment options for patients with CHD.The concept of the multidisciplinary approach to managing infants with congenital cardiac lesion.Evidence-based therapeutic approaches to successfully treat the fetus and the newborn with congenital cardiac lesions. Audience: Pediatric cardiologists, cardiologists, neonatologists, maternal-fetal specialists, pediatric intensivists, cardiovascular surgeons, and house-staff in pediatric cardiology and neonatal and pediatric intensive care units. Dr. Rao's vision of the direction of pediatric cardiology has led to his acceptance that a great part of serious congenital heart disease is now managed in the perinatal period… This book is written not only for the pediatric cardiologist but for all those specialists and subspecialists who participate in a programmatic approach to the child with congenital heart disease, from the embryologist to the pediatrician or family practitioner to the hands of caregivers in the tertiary care setting. - From the Foreword by William B. Strong, MD
Recent developments in diagnostic and therapeutic aspects of cardiac and neonatal issues have advanced the care of the newborn. In order to achieve excellence in cardiac care, however, close interaction and collaboration of the pediatric cardiologists with neonatologists, pediatricians, general/family practitioners (who care for children), anesthesiologists, cardiac surgeons, pediatric cardiac intensivists, and other subspecialty pediatricians is mandatory. This book provides the reader with up-to-date, evidence-based information in three major areas of neonatology and prenatal and neonatal cardiology. First, it offers an overview of advances in the disciplines of neonatology, prenatal and neonatal cardiology, and neonatal cardiac surgery in making early diagnosis and offering treatment options. Secondly, it presents a multidisciplinary approach to managing infants with congenital heart defects. Finally, it provides evidence-based therapeutic approaches to successfully treat the fetus and the newborn with important neonatal issues and congenital cardiac lesions. This second volume specifically explores issues related to individual cardiac defects, cardiomyopathies, and hypertension and presents a summary and conclusions of both volumes.
Recent developments in diagnostic and therapeutic aspects of cardiac and neonatal issues have advanced the care of the newborn. To achieve excellence in cardiac care, however, close interaction and collaboration of the pediatric cardiologists with neonatologists, pediatricians, general/family practitioners (who care for children), anesthesiologists, cardiac surgeons, pediatric cardiac intensivists, and other subspecialty pediatricians is mandatory. This book provides the reader with up-to-date evidence-based information in three major areas of neonatology and prenatal and neonatal cardiology. First, it provides an overview of advances in the disciplines of neonatology, prenatal and neonatal cardiology, and neonatal cardiac surgery in making early diagnosis and offering treatment options. Secondly, it presents a multidisciplinary approach to managing infants with congenital heart defects. Finally, it provides evidence-based therapeutic approaches to successfully treat the fetus and the newborn with important neonatal issues and congenital cardiac lesions. This first volume specifically explores issues related to perinatal circulation, the fetus, ethics, changes in oxygen saturations at birth, and pulse oximetry screening, diagnosis, and management.
A distinguished list of contributors from some of the major international centers covers this specialty like never before. With recent advances in ultrasound technology and pharmacology the expertise required to care for a critically ill child with heart disease takes an integrated approach with a multidisciplinary team and central focus. This resource provides comprehensive discussions of pertinent cardiac issues in the ICU setting with emphasis on perioperative care.
Pediatric intensivists, cardiologists, cardiac surgeons, and anesthesiologists from the leading centers around the world present the collaborative perspectives, concepts, and state-of-the-art knowledge required to care for children with congenital and acquired heart disease in the ICU. Their multidisciplinary approach encompasses every aspect of the relevant basic scientific principles, medical and pharmacologic treatments, and surgical techniques and equipment. From the extracardiac Fontan procedure, and the Ross procedure through new pharmacologic agents and the treatment of pulmonary hypertension to mechanical assist devices, heart and lung transplantation, and interventional cardiac catheterization—all of the developments that are affecting this rapidly advancing field are covered in depth. Employs well-documented tables, text boxes, and algorithms to make clinical information easy to access. Features chapters each written and reviewed by intensivists, surgeons, and cardiologists. Integrates the authors' extensive experiences with state-of-the-art knowledge from the literature. Offers four completely new chapters: Cardiac Trauma, Congenital Heart Disease in the Adult, Congenitally Corrected Transposition of the Great Arteries, and Outcome Evaluation. Describes the basic pharmacology and clinical applications of all of the new pharmacologic agents. Details important refinements and developments in surgical techniques, including the Ross pulmonary autograft replacement of the aortic valve, video-assisted fluoroscopy, and the extracardiac Fontan connection, and discusses their indications and potential complications. Explores the latest advances in the treatment of pulmonary hypertension, new developments in mechanical assist devices, heart and lung transplantation, and interventional cardiac catheterization. Examines issues affecting adults with congenital heart disease.
Clinical Management of Congenital Heart Disease from Infancy to Adulthood This practical resource for the clinical management of congenital heart disease offers essential instruction on the presentation and treatment of congenital heart defects throughout the life stages. Edited by renowned pediatric cardiologist Douglas S Moodie, MD, MS, from Texas Children’s Hospital, and authored by seasoned practitioners with vast clinical experience, this book expertly addresses the continuum of clinical care issues at distinct stages of growth and development: Fetuses, neonates, and infants Children Adolescents and adults Organized by specific congenital heart condition, each well-referenced and highly organized chapter examines the clinical features, diagnostic testing, management, and outcomes associated with age groups and includes tips and tricks gleaned from years of practice in the field of pediatric cardiology. This exceptionally readable text will serve as both a great learning tool and a handy reference for practitioners, students, and nurses who need to stay up-to-date on the unique clinical challenges that CHD presents in the neonate to the adult. Audience Suited for the general pediatrician, cardiology fellow, pediatrics resident and medical student. Practicing cardiologists (pediatric and internist) and cardiology nurse practitioners will also find it a good and quick reference source that is very readable.
Congenital Heart Disease: A Surgical Color Atlas is a pictorial illustration with over 750 stunning photographs and line drawings that highlight important surgical, anatomic and pathologic points of congenital heart disease. This impressive work by a surgeon, a cardiologist, and a pathologist, features full-color images as seen through the surgeon’s eyes, juxtaposed with line drawings to allow for the full examination of anatomic and surgical details. From the Preface: “This Atlas may very well be the most accurate photographic description of congenital heart disease ever published.” - Hisashi Nikaidoh, MD
Presents the insights gained in the last several decades at the Children's Hospital, Boston on early primary repair of the neonate and infant with congenital heart disease. This multidisciplinary approach includes treatment philosophy and techniques (in and out of the operating room) and treatment of complications.
This practical guide equips you with the advanced techniques and knowledge you need to successfully manage the full range of cardiovascular disorders seen in neonates and children today. Case studies examine key issues in perinatal cardiology, including definition of heart defects, functional status, clues to fetal diagnosis, testing, postnatal management, surgical options, long-term follow up, and recurrence of risk. Each chapter covers a particular disease and contains a handy reference section detailing the pathophysiology of each disorder. Helpful appendices cover the latest in advanced imaging techniques, including 3-dimensional echocardiography and color Doppler ultrasound. This handbook is ideal for anyone who cares for children with cardiac problems or pregnant patients with fetuses with congenital heart disease. - A user-friendly bulleted format makes critical information easy to digest. - The latest clinical information on advanced imaging techniques and fetal therapy helps you provide effective, state-of-the-art care. - Extensive case-oriented discussions help you identify and treat specific fetal anomalies. - Full-color Doppler images highlight areas of importance, making cardiac disease easier to detect. - Helpful appendices provide quick guidance on normal echo measurements and Doppler venous flow values.
This unique book is a first-of-its-kind resource that comprehensively covers each facet and challenge of providing optimal perinatal palliative care. Designed for a wide and multi-disciplinary audience, the subjects covered range from theoretical to the clinical and the practically relevant, and all chapters include case studies that provide real-world scenarios as additional teaching tools for the reader. Perinatal Palliative Care: A Clinical Guide is divided into four sections. Part One provides the foundation, covering an overview of the field, key theories that guide the practice of perinatal palliative care, and includes a discussion of perinatal ethics and parental experiences and needs upon receiving a life-limiting fetal diagnosis. Part Two delves further into practical clinical care, guiding readers through issues of obstetrical management, genetic counseling, neonatal pain management, non-pain symptom management, spiritual care, and perinatal bereavement care. Part Three discusses models of perinatal palliative care, closely examining evidence for different types of PPC programs: from hospital-based programs, to community-based care, and examines issues of interdisciplinary PPC care coordination, birth planning, and team support. Finally, Part Four concludes the book with a close look at special considerations in the field. In this section, racial, ethnic, and cultural perspectives and implications for PPC are discussed, along with lessons in how to provide PPC for a wide-range of clinical and other healthcare workers. The book closes with a look to the future of the field of perinatal palliative care. Thorough and practical, Perinatal Palliative Care: A Clinical Guide is an ideal resource for any healthcare practitioner working with these vulnerable patient populations, from palliative care specialists, to obstetricians, midwifes, neonatologists, hospice providers, nurses, doulas, social workers, chaplains, therapists, ethicists, and child life specialists.