Central venous catheters

Cite this article as: Anders, M. Central venous catheters, Don't Forget the Bubbles, 2013. Available at: http://doi.org/10.31440/DFTB.3767Use of central venous catheters in the acute care setting is an integral approach to deliver fluids, blood products, nutrients, medications, obtaining blood specimens, maintaining emergency vascular access, and for haemodynamic monitoring. Risk factors: Mechanical complications (malposition, occlusion, dislodgement,…

Infection

Cite this article as: Anders, M. Infection, Don't Forget the Bubbles, 2013. Available at: http://doi.org/10.31440/DFTB.3764Surgical site infection (superficial/deep/organ): Prevalence 5-10% Within 10-14 days post surgery Most common: Staphylococcus aureus Risk factors: neonate, HLHS, hospitalization prior surgery, TPN, emergency procedures, long CPB Blood stream infection: Prevalence 5-10% Within 10-14 days post surgery Most common: gram negative…

Formulae

Cite this article as: Anders, M. Formulae, Don't Forget the Bubbles, 2013. Available at: http://doi.org/10.31440/DFTB.3746Body surface index (BSA) = ( [Height(cm) x Weight(kg) ] / 3600 )½ Mean arterial blood pressure (MAP) = (SBP + 2 x DBP) / 3 Transpulmonary gradient (TPG) = mPAP – PCWP or in Glenn/Fontan: SVC (CVP) – LAP Cardiac output (CO) = SV x…

Empiric antibiotics for general infection

Cite this article as: Anders, M. Empiric antibiotics for general infection, Don't Forget the Bubbles, 2013. Available at: http://doi.org/10.31440/DFTB.3846 Age if meningitis excluded if meningitis is NOT excluded if Staphylococcus aureus suspected < 3 months Amoxicillin 50 mg/kg q6hrGentamycin 7.5 mg/kg q24hr Amoxicillin 50 mg/kg q6hrGentamycin 7.5 mg/kg q24hr Cefotaxime 50 mg/kg q6hr Consider especially…

Initial post-operative care and problems

Cite this article as: Anders, M. Initial post-operative care and problems, Don't Forget the Bubbles, 2013. Available at: http://doi.org/10.31440/DFTB.3739ABDOMINAL DISTENSION Causes: Air in stomach or bowel (usually from mask ventilation at induction of anaesthesia) or tension pneumothorax Fuid in bowel or in peritoneal cavity (usually capillary leak, high RA pressure or PD fluid Rarely fluid…

Ventricular Septal Defect

Ventricular Septal Defect

Cite this article as: Anders, M. Ventricular Septal Defect, Don't Forget the Bubbles, 2013. Available at: http://doi.org/10.31440/DFTB.3613Definition: interventricular septal communication (IVS) defined by its location. The IVS can be divided into a muscular and membranous portion, hence perimembranous VSD (80%) or muscular VSD (inlet/trabecular/outlet = infundibular region).

Truncus Arteriosus

Truncus Arteriosus

Cite this article as: Anders, M. Truncus Arteriosus, Don't Forget the Bubbles, 2013. Available at: http://doi.org/10.31440/DFTB.3527Definition: single arterial trunk and overriding VSD, arising from normally formed ventricles. Absent or diminutive PDA.

tricuspid atresia

Tricuspid atresia

Cite this article as: Anders, M. Tricuspid atresia, Don't Forget the Bubbles, 2013. Available at: http://doi.org/10.31440/DFTB.3492Definition: complete obstruction RA → RV (muscular TA, membranous, valvular TA and Ebstein’s anomaly) with presence of PFO/ASD, VSD, and increased mitral valve annulus, leading to hypertrophic LV and hypoplastic RV.

T3 in cardiac surgery

Cite this article as: Anders, M. T3 in cardiac surgery, Don't Forget the Bubbles, 2013. Available at: http://doi.org/10.31440/DFTB.3709Definition: triiodothyronine levels decrease in infants and children after cardiopulmonary bypass. Lower T3 concentration is associated with a more complicated recovery in PICU after congenital heart surgery.

Total anomalous pulmonary venous drainage

Total anomalous pulmonary venous return

Cite this article as: Anders, M. Total anomalous pulmonary venous return, Don't Forget the Bubbles, 2013. Available at: http://doi.org/10.31440/DFTB.3626Definition: connection of the pulmonary vein to remnants of embryologic venous circulation rather than the left atrium. This may include all four pulmonary veins (TAPVR) or only part of it (PAPVR).