Cardiothoracic Care for Children and Young People: A by Cook K., Langton H.

By Cook K., Langton H.

Cardiothoracic deal with childrens and children is a accomplished and interprofessional advisor geared toward all healthcare execs operating with youngsters and adolescents with Congenital center affliction. dependent round the timeline of the patient’s healthcare trip, this booklet explores the care of the sufferer from the purpose of presentation and prognosis (whether that's antenatally, within the neonatal interval or later) till there's a transition within the patient’s healthcare trip both onto grownup prone, or every now and then, finish of lifestyles. It considers all features of care that the child/young individual may possibly obtain, supported in a proof established demeanour, with chapters written by means of specialists from a number of expert teams concerned with this sufferer workforce.

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Extra info for Cardiothoracic Care for Children and Young People: A Multidisciplinary Approach

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Fetal arrhythmias There are three main groups of rhythm disturbance encountered in the fetus. These are irregular heart rhythms, fast heart rhythms (tachycardias) and slow heart rhythms (bradycardias). Arrhythmias in fetal life can be evaluated by the use of various echocardiographic methods to examine the relationship of the atrial and ventricular contractions. This can be achieved by M-mode echocardiography or Doppler methods, which can be used either independently or in combination (Jaeggi et al, 1998; Fouron et al, 2003; Carvalho et al, 2007).

Parents given option to talk with other parents who have had a child with TGA, and also with a cardiac surgeon, if they wish ↓ Parents decide whether or not to continue with pregnancy ↓ If continuing, arrange follow-up appointments including an appointment in a fetal medicine unit. Arrange follow-up fetal cardiology scans ↓ Discuss site of delivery with parents and referring obstetrician ↓ For diagnosis of TGA, recommend delivery at or near paediatric cardiac centre ↓ Prepare parents for what will happen after delivery ↓ Aim for delivery at or near term ↓ After birth transfer to neonatal/paediatric intensive care unit ↓ Follow neonatal pathway from point of diagnosis of TGA by paediatric cardiologist If parents elect to stop pregnancy: – request post mortem – arrange post-termination counselling In the fetus, it easiest to first check the abdominal situs and ensure that the heart and stomach are both on the left.

The routine physical examinations of the neonate and 6–8-week infant are an integral part of the universal Child Health Promotion Programme (UK National Screening Committee, 2008). The UK National Screening Committee (2008) launched national guidance on the standards and competencies necessary to deliver a high standard of care to women and their babies. This examination is established as being good clinical practice for newborn health assessment, screening for abnormality and providing reassurance to parents that their baby is healthy and fully developed (Hall, 1999; Watts, 2003; UK National Screening Committee, 2008).

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