In this episode of the CTSNet podcast, The Lifeline, host and nurse educator Jill Ley, Clinical Professor at the University of California San Francisco School of Nursing, Founder of the Essentials of Cardiac Surgical Resuscitation, and former Cardiac Surgery Clinical Nurse Specialist at California Pacific Medical Center in San Francisco, California, USA, speaks with Sameh Said, Chief of the Division of Pediatric and Adult Congenital Cardiac Surgery at Maria Fareri Children’s Hospital in Valhalla, New York, USA. Together, they discuss the science behind new therapies for vasoplegia and potential treatment algorithms to rapidly restore vascular tone and hemodynamic stability.
The discussion explores the challenges of managing adults with congenital heart disease and its unique clinical considerations. It features two detailed case studies. The first examines a patient with tetralogy of Fallot, focusing on Dr. Said’s approach to managing a patient with a complex surgical history. Key topics include right ventricular function, the selection of appropriate inotropes, strategies for ventilator and blood gas management.
The second case involves a 56-year-old patient with a history ventricular septal defect (VSD) patch repair and a moderate left-to-right shunt. This analysis covers methods for quantifying the magnitude and determining the direction of the shunt. Dr. Said concludes with clinical advice, emphasizing the importance of teamwork, establishing a thorough understanding of the patient’s baseline, and maintaining composure in complex clinical scenarios.
Every month, The Lifeline features intensive care specialists sharing their expert insights into the rapid and effective management of critically ill cardiac surgical patients. Don’t miss next month’s episode and stay tuned for part 2!
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