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Doody's Review ServiceReviewer: Geoffrey L. Rosenthal, MD, PhD (University of Washington School of Medicine)
Description: Pediatric cardiac intensive care is an emerging and rapidly developing subspecialty practiced in intensive care and recovery units by pediatric cardiologists, cardiovascular surgeons, pediatric intensivists, neonatologists, and cardiovascular anesthesiologists. This book is a reference text for physicians, nurses, and allied health professionals working with infants and children with critical cardiovascular disease.
Purpose: The contributors review basic pediatric cardiac anatomy, dysmorphology, physiology, pathophysiology, surgery, and anesthesia, in addition to basic principles of critical care relevant to cardiac patients. Heart-lung interactions and neurological issues are reviewed. A rational approach to routine perioperative care for common cardiac lesions is detailed. Mechanical cardiovascular support, cardiac transplantation, and evaluation and treatment of chronic and acquired pediatric heart disease are also discussed.
Audience: It is written for physicians, nurses, allied health professionals, and students caring for critically ill pediatric cardiac patients.
Features: The text reviews basic cardiovascular anatomy, pathophysiology, and pharmacology. Heart-lung interactions are described, both in the normal state and in the presence of specific cardiovascular abnormalities. Cardiovascular diagnostics and imaging are detailed well. Rational care plans prior to and following cardiovascular surgery are outlined, including the process of "troubleshooting" when postoperative cardiovascular function is poor. Perioperative care is broadly defined, and nursing, psychosocial, and ethical issues are addressed well.
Assessment: To provide optimal care in pediatric cardiac critical care, practitioners must have a broad and deep understanding of cardiovascular anatomy and pathophysiology, interactions between the cardiovascular and other organ systems, and pharmacology. Problems arising in the postoperative period must be approached rationally. This book exemplifies the team approach needed to optimize care of critically ill pediatric cardiac patients. The contributors are leaders, both in their respective disciplines and in pediatric cardiac intensive care. This text is an integrated and inclusive resource with both breadth and specificity.