Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Concept Videos

Cardiomyopathy VII: Pre and Post Operative Nursing Management01:28

Cardiomyopathy VII: Pre and Post Operative Nursing Management

424
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...
424
Aneurysm IV: Nursing Management01:22

Aneurysm IV: Nursing Management

579
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...
579
Cardiac Catheterization IV: Nursing Management01:26

Cardiac Catheterization IV: Nursing Management

1.1K
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...
1.1K
Peripheral Artery Disease V: Postoperative Nursing Management01:23

Peripheral Artery Disease V: Postoperative Nursing Management

561
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...
561
Continuous Renal Replacement Therapy01:30

Continuous Renal Replacement Therapy

1.8K
Continuous Renal Replacement Therapy, also known as CRRT, is a procedural treatment for acute kidney injury (AKI) that gradually removes uremic toxins and fluids while maintaining acid-base balance and stabilizing electrolytes. It is particularly useful for hemodynamically unstable patients. Unlike intermittent hemodialysis, which is faster, CRRT provides a gentler approach over 24 hours, closely mimicking the function of natural kidneys. However, CRRT is not ideal for patients with...
1.8K
Aortic Regurgitation IV: Nursing Management01:17

Aortic Regurgitation IV: Nursing Management

400
A nurse managing a patient with aortic regurgitation begins with a comprehensive assessment, including a review of the patient's medical history, family history, and lifestyle factors. During the cardiac examination, the nurse listens for heart sounds and checks for signs of valve abnormalities. The nurse also observes for symptoms such as dyspnea, orthopnea, and paroxysmal nocturnal dyspnea and assesses the patient's endurance and daily activity tolerance.Based on the findings, the nurse...
400

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Biventricular repair in symptomatic neonates with Ebstein anomaly: 25 to 30 years of follow-up.

The Journal of thoracic and cardiovascular surgery·2026
Same author

Midterm to Long-term Outcomes After Aortic Valve Replacement With Homograft in Children.

Annals of thoracic surgery short reports·2025
Same author

Aortopexy With Plication of Kommerell Diverticulum Is an Effective Alternative to Diverticulum Resection and Reimplantation of the Aberrant Left Subclavian Artery for Surgical Management of Vascular Rings in Children.

World journal for pediatric & congenital heart surgery·2025
Same author

Right ventricular endomyocardial fibrosis with an unguarded tricuspid valve: Surgical management of a 9-year-old girl with severe right heart failure.

The Journal of thoracic and cardiovascular surgery·2025
Same author

A Simplified Staged Left Ventricular Recruitment Strategy to Achieve Biventricular Repair in a Neonate With Hypoplastic Left Heart Variant.

World journal for pediatric & congenital heart surgery·2024
Same author

Commentary: Ebstein anomaly with circular shunt-round and round we go but not necessarily very fast.

The Journal of thoracic and cardiovascular surgery·2023

Related Experiment Video

Updated: Mar 28, 2026

Wireless Telemetry Device Implantation in a Fontan Ovine Model for Continuous and Long-Term Hemodynamic Monitoring
06:29

Wireless Telemetry Device Implantation in a Fontan Ovine Model for Continuous and Long-Term Hemodynamic Monitoring

Published on: May 2, 2025

903

Vasopressin After the Fontan Operation.

T K Susheel Kumar1, Pooja Kashyap2, Mayte Figueroa2

  • 1Department of Pediatric Cardiothoracic Surgery, Ann Arbor, MI, USA tskumar@uthsc.edu.

World Journal for Pediatric & Congenital Heart Surgery
|December 31, 2015
PubMed
Summary

Perioperative vasopressin (VP) administration significantly reduced chest tube output and hospital stay in Fontan operation patients. This intervention improved fluid balance and decreased drainage duration, enhancing recovery post-surgery.

Keywords:
Fontaninflammationmorbiditypostoperative caresurgery

More Related Videos

Continuous IV Infusion is the Choice Treatment Route for Arginine-vasopressin Receptor Blocker Conivaptan in Mice to Study Stroke-evoked Brain Edema
08:44

Continuous IV Infusion is the Choice Treatment Route for Arginine-vasopressin Receptor Blocker Conivaptan in Mice to Study Stroke-evoked Brain Edema

Published on: September 1, 2016

9.4K
Author Spotlight: Establishment and Confirmation of a Postnatal Right Ventricular Volume Overload Mouse Model
06:04

Author Spotlight: Establishment and Confirmation of a Postnatal Right Ventricular Volume Overload Mouse Model

Published on: June 9, 2023

1.6K

Related Experiment Videos

Last Updated: Mar 28, 2026

Wireless Telemetry Device Implantation in a Fontan Ovine Model for Continuous and Long-Term Hemodynamic Monitoring
06:29

Wireless Telemetry Device Implantation in a Fontan Ovine Model for Continuous and Long-Term Hemodynamic Monitoring

Published on: May 2, 2025

903
Continuous IV Infusion is the Choice Treatment Route for Arginine-vasopressin Receptor Blocker Conivaptan in Mice to Study Stroke-evoked Brain Edema
08:44

Continuous IV Infusion is the Choice Treatment Route for Arginine-vasopressin Receptor Blocker Conivaptan in Mice to Study Stroke-evoked Brain Edema

Published on: September 1, 2016

9.4K
Author Spotlight: Establishment and Confirmation of a Postnatal Right Ventricular Volume Overload Mouse Model
06:04

Author Spotlight: Establishment and Confirmation of a Postnatal Right Ventricular Volume Overload Mouse Model

Published on: June 9, 2023

1.6K

Area of Science:

  • Cardiovascular Surgery
  • Pediatric Cardiology
  • Pharmacology

Background:

  • Prolonged pleural effusion is a common complication after Fontan operation, increasing morbidity and hospital stay.
  • Vasopressin (VP), a neurohypophysial hormone, affects the cardiovascular system by increasing peripheral vascular resistance and potentially reducing capillary leakage.
  • The study investigates the impact of perioperative VP administration on outcomes following Fontan operation.

Purpose of the Study:

  • To evaluate the efficacy of perioperative vasopressin (VP) in managing patients undergoing Fontan operation.
  • To assess the impact of VP on key postoperative outcomes, including chest tube output, fluid balance, and hospital length of stay.

Main Methods:

  • Retrospective review of 62 patients who underwent Fontan operation between January 2004 and June 2014.
  • Patients were divided into two groups: those who received perioperative VP (N=40) and those who did not (non-VP, N=22).
  • Primary endpoint was chest tube output; secondary endpoints included fluid balance and hospital stay. Mann-Whitney U test was used for comparisons.

Main Results:

  • No hospital mortality was observed in either group.
  • The VP group showed significantly lower median chest tube output (22 mL/kg vs. 68 mL/kg) and shorter chest tube indwelling time (5 days vs. 11 days) compared to the non-VP group (P < .001).
  • The VP group also had improved fluid balance on postoperative day 1 (13 mL/kg vs. 38 mL/kg) and a shorter hospital stay (9 days vs. 16 days) (P = .002).

Conclusions:

  • Perioperative vasopressin administration was associated with reduced chest tube output and shorter drainage duration after Fontan operation.
  • Patients receiving VP experienced less positive fluid balance and shorter hospital stays compared to those who did not.
  • VP represents a potentially beneficial adjunct in the perioperative management of Fontan operation patients.