Home monitoring of infants after stage one palliation for hypoplastic left heart syndrome. Semin Thorac Cardiovasc Surg Pediatr Card Surg Annu 2004;7:32-8
Date
07/31/2004Pubmed ID
15283350DOI
10.1053/j.pcsu.2004.02.017Scopus ID
2-s2.0-2542424014 (requires institutional sign-in at Scopus site) 63 CitationsAbstract
Despite improved early results with the Norwood procedure (stage one palliation), patients remain with at-risk anatomy and interstage mortality continues to be a limitation of staged single ventricle palliation. Retrospective analyses have implicated residual or recurrent anatomic lesions as well as intercurrent illness as causes of interstage mortality. We hypothesized that potentially life-threatening anatomic lesions and illnesses would be manifest before serious physiologic impact by alteration in arterial saturation, failure to gain weight or in the case of dehydration, acute weight loss. As a result, we developed a home monitoring program of daily weights and oxygen saturations to earlier identify those patients at increased risk for interstage death. Frequent monitoring of these physiologic variables between stage one and two palliation identified life-threatening anatomic lesions and illness and permitted timely intervention that ultimately improved survival. All 36 survivors of the stage one palliation discharged from the hospital and entered into the home monitoring program survived the interstage period.
Author List
Ghanayem NS, Cava JR, Jaquiss RD, Tweddell JSAuthor
Joseph R. Cava MD, PhD Associate Professor in the Pediatrics department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
Body WeightCardiac Surgical Procedures
Caregivers
Home Nursing
Humans
Hypoplastic Left Heart Syndrome
Infant
Infant, Newborn
Monitoring, Ambulatory
Oximetry
Time Factors