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Related Concept Videos

Cardiomyopathy VII: Pre and Post Operative Nursing Management01:28

Cardiomyopathy VII: Pre and Post Operative Nursing Management

Patients with hypertrophic cardiomyopathy (HCM) and left ventricular outflow tract (LVOT) obstruction who remain symptomatic despite optimal medical therapy may undergo a septal myectomy (Morrow procedure). This procedure involves excising a portion of the hypertrophied septum below the aortic valve using a heart-lung machine to improve blood flow through the LVOT. Effective preoperative and postoperative nursing management ensures successful patient outcomes, minimizes complications, and...
Aneurysm IV: Nursing Management01:22

Aneurysm IV: Nursing Management

Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...
Cardiac Catheterization IV: Nursing Management01:26

Cardiac Catheterization IV: Nursing Management

Nursing responsibilities before cardiac catheterization include:Assess for allergies and establish baseline health status.Before cardiac catheterization, assess the patient for allergies to contrast dye. Perform a comprehensive baseline assessment, including vital signs, heart and breath sounds, and a neurovascular assessment of the extremities, noting distal pulses, skin color, and temperature. Instruct the patient to fast for 8-12 hours before the procedure. Evaluate baseline laboratory...
Peripheral Artery Disease V: Postoperative Nursing Management01:23

Peripheral Artery Disease V: Postoperative Nursing Management

During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
Cardiac Catheterization I: Pre-Procedure Overview01:28

Cardiac Catheterization I: Pre-Procedure Overview

Cardiac catheterization is an invasive diagnostic technique used to identify and evaluate structural and functional diseases of the heart and major blood vessels. This technique diagnoses congenital heart disease, coronary artery disease, valvular heart disease, and coronary spasms and assesses ventricular function. It helps guide treatment decisions, including the need for revascularization procedures like percutaneous coronary intervention (PCI) or coronary artery bypass grafting (CABG) and...
Cardiac Catheterization II: Right Heart Catheterization01:21

Cardiac Catheterization II: Right Heart Catheterization

Right Heart Catheterization: An OverviewRight heart catheterization is an invasive diagnostic procedure that measures right-sided cardiac and pulmonary artery pressures, calculates cardiac output, and identifies intracardiac shunts. It provides detailed hemodynamic data essential for diagnosing and managing various cardiovascular conditions, such as pulmonary hypertension.Access SitesCommon access sites for right heart catheterization include the internal jugular vein in the neck region, the...

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Related Experiment Video

Updated: Jun 25, 2026

Instrumentation of Near-term Fetal Sheep for Multivariate Chronic Non-anesthetized Recordings
14:40

Instrumentation of Near-term Fetal Sheep for Multivariate Chronic Non-anesthetized Recordings

Published on: October 25, 2015

Cardiac surgery in the parturient.

Shobana Chandrasekhar1, Christopher R Cook, Charles D Collard

  • 1Baylor College of Medicine Division of Cardiovascular Anesthesiology at the TX Heart Institute, St. Luke's Episcopal Hospital, 6720 Bertner Ave., Houston, TX 77030, USA.

Anesthesia and Analgesia
|February 20, 2009
PubMed
Summary

Heart disease in pregnancy poses risks to both mother and fetus. Medical management is preferred, but cardiac surgery can be safe with careful planning and optimized cardiopulmonary bypass.

Related Experiment Videos

Last Updated: Jun 25, 2026

Instrumentation of Near-term Fetal Sheep for Multivariate Chronic Non-anesthetized Recordings
14:40

Instrumentation of Near-term Fetal Sheep for Multivariate Chronic Non-anesthetized Recordings

Published on: October 25, 2015

Area of Science:

  • Cardiology
  • Maternal-Fetal Medicine
  • Cardiac Surgery

Background:

  • Heart disease is a leading cause of nonobstetric mortality in pregnancy, with congenital heart disease increasingly prevalent.
  • Maternal heart disease poses significant risks to fetal well-being and neonatal outcomes.

Purpose of the Study:

  • To review the risks and management strategies for pregnant patients with heart disease, including considerations for cardiac surgery.
  • To outline current recommendations for cardiopulmonary bypass during cardiac surgery in pregnant patients.

Main Methods:

  • Review of existing literature on maternal cardiac disease, pregnancy outcomes, and cardiac surgery in parturients.
  • Analysis of risk factors for maternal and fetal mortality and morbidity associated with cardiac surgery during pregnancy.
  • Compilation of current guidelines for cardiopulmonary bypass management in pregnant patients.

Main Results:

  • Cardiac surgery in pregnant patients carries higher risks than in nonpregnant individuals, with specific risk factors identified for both maternal and fetal mortality.
  • Medical management is typically the first line of treatment, with surgery reserved for cases refractory to medical therapy.
  • Optimized cardiopulmonary bypass strategies, including specific flow rates, perfusion pressures, hematocrit levels, temperature, flow type, and pH management, can improve outcomes.

Conclusions:

  • Acceptable maternal and fetal outcomes are achievable with meticulous preoperative assessment, fetal monitoring, and elective surgical timing.
  • Careful management of cardiopulmonary bypass is crucial for minimizing fetal morbidity during cardiac surgery in pregnancy.
  • Multidisciplinary care involving cardiologists, cardiac surgeons, and maternal-fetal medicine specialists is essential for optimal patient management.