Cardiovascular Critical Care in Children

Katherine Cashen; Raya Safa

doi:10.1016/j.pcl.2022.02.002

Cardiovascular Critical Care in Children

Pediatr Clin North Am. 2022 Jun;69(3):403-413. doi: 10.1016/j.pcl.2022.02.002.

Authors

Katherine Cashen¹, Raya Safa²

Affiliations

¹ Division 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. Electronic address: [email protected].
² Divisions of Cardiology and Critical Care, Children's Hospital of Michigan 3901 Beaubien Boulevard, Detroit, MI 48201, USA; Central Michigan University, Mt. Pleasant, MI, USA.

PMID: 35667753
DOI: 10.1016/j.pcl.2022.02.002

Abstract

Pediatric cardiac critical care has evolved with advances in congenital heart surgery, interventional cardiac catheterization, and diagnostic advances. Debate remains over the optimal location of care and training background despite data showing that systems established in collaboration with multidisciplinary experts in the care of children with congenital heart disease are associated with the best outcomes. Operative mortality is low, and preventing morbidity is the new focus of the future. Advances in screening and fetal diagnosis, mechanical circulatory support, and collaborative research and quality improvement initiatives are reviewed in this article.

Keywords: Acquired heart disease; Cardiac surgery; Children; Congenital heart disease; Infants; Outcomes; Pediatric.

Publication types

Review

MeSH terms

Child
Critical Care
Heart Defects, Congenital* / surgery
Heart Defects, Congenital* / therapy
Humans
Morbidity
Quality Improvement