دانلود کتاب راهنمای عملی در درمان مراقبت های ویژه قلب کودکان

Over the past decades, the care for children with congenital heart disease has seen significant change. The number of operations and the complexity of surgery have increased. This included a move from initial palliation to early repair of several structural lesions. More challenging surgical approaches warranted more specialized pediatric cardiac critical care units which were established at larger centers in Europe and North America, leading to better outcomes but also to a need for more trained and knowledgeable nurses and physicians in this area of patient care. A new pediatric subspecialty was emerging – but sometimes without the usual established training programs. Gaining appropriate knowledge may become a challenge. For the beginner in the field of pediatric cardiac critical care, everything is new. Being exposed to (different) terminologies of congenital heart disease, making the correct diagnosis and treatment plan is sometimes challenging. In the interests of the children who need advanced care on the critical care unit, the entire team – physicians and nurses – need to understand both normal and relevant physiology of the underlying defect along with preoperative and post-intervention hemodynamics. The great advantage of this book is that it serves the learners, while taking command as reference for advanced practitioners in that it bridges many areas, and also provides detailed problem-solving. Without repeating the table of contents, a couple of important chapters should be highlighted, emphasizing well-explained ventilation strategies for different situations and frequently used medications (antibiotics, inotropes, vasopressors, etc.). Analgesia and sedation pathways for early extubation or prolonged ventilation are described, and a pro/con chapter for fast track is included. In addition, the authors cover important other areas like structured handover, nutrition, pulmonary hypertension, and mechanical support. Well-designed illustrations and tables provide an instant overview.