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Variability in the preoperative management of infants with hypoplastic left heart syndrome. Pediatr Cardiol 2008 May;29(3):515-20

Date

11/24/2007

Pubmed ID

18034198

DOI

10.1007/s00246-007-9022-1

Scopus ID

2-s2.0-43549096442 (requires institutional sign-in at Scopus site)   41 Citations

Abstract

Infants with hypoplastic left heart syndrome (HLHS) commonly undergo initial surgical palliation during the first week of life. Few data exist on optimal preoperative management strategies; therefore, the management of these infants prior to surgery is anecdotal and variable. To more fully define this variability in preoperative care of infants with HLHS, a survey was designed to describe current preoperative management practices in the infant with HLHS. The questionnaire explored management styles as well as preoperative monitoring techniques and characteristics of the respondent's health care institution. The responses were compiled and are reported. A striking lack of consistency in preoperative management techniques for infants with HLHS is apparent. The impact of these preoperative strategies is unknown. Despite challenges in anatomic and hemodynamic variability at presentation, a prospective randomized controlled trial comparing ventilatory management techniques, enteral feeding strategies, and the utility of various monitoring tools on short- and long-term outcome is needed.

Author List

Johnson BA, Mussatto K, Uhing MR, Zimmerman H, Tweddell J, Ghanayem N

Author

Kathleen Mussatto Ph.D. Associate Professor in the School of Nursing department at Milwaukee School of Engineering




MESH terms used to index this publication - Major topics in bold

Health Care Surveys
Humans
Hypoplastic Left Heart Syndrome
Infant, Newborn
Preoperative Care