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Cardiovascular Critical Care in Children

Katherine Cashen1, Raya Safa2

  • 1Division of Pediatric Critical Care Medicine, Department of Pediatrics, Duke Children's Hospital, Durham, NC 27710, USA; Duke University Medical Center, 2301 Erwin Road, Suite 5260Y, DUMC 3046, Durham, NC 27710, USA.

Pediatric Clinics of North America
|June 6, 2022
PubMed

Insights

Pediatric cardiac critical care has advanced significantly. Multidisciplinary expert collaboration in congenital heart disease care is key to optimal outcomes, with a future focus on preventing morbidity.

Area of Science:

  • Pediatric Critical Care Medicine
  • Congenital Heart Disease
  • Cardiology

Background:

  • Pediatric cardiac critical care has evolved due to advancements in congenital heart surgery, interventional cardiac catheterization, and diagnostics.
  • Optimal care location and training remain debated, despite evidence favoring multidisciplinary expert collaboration for children with congenital heart disease.
  • Current focus shifts from low operative mortality to preventing morbidity.

Purpose of the Study:

  • To review recent advances in pediatric cardiac critical care.
  • To highlight the importance of multidisciplinary collaboration in congenital heart disease management.
  • To discuss future directions in the field.

Main Methods:

  • Review of current literature and advancements in pediatric cardiac critical care.
  • Analysis of outcomes associated with multidisciplinary care models.
  • Discussion of emerging technologies and research initiatives.

Main Results:

  • Collaborative systems with multidisciplinary experts are associated with superior outcomes in pediatric congenital heart disease care.
  • Significant progress has been made in screening, fetal diagnosis, and mechanical circulatory support.
  • Quality improvement initiatives and collaborative research are crucial for advancing care.

Conclusions:

  • Multidisciplinary collaboration is essential for achieving the best outcomes in pediatric cardiac critical care.
  • The future of pediatric cardiac critical care emphasizes morbidity prevention, advanced diagnostics, and mechanical support.
  • Continued research and quality improvement are vital for addressing the complexities of congenital heart disease.

Keywords:
Acquired heart diseaseCardiac surgeryChildrenCongenital heart diseaseInfantsOutcomesPediatric

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