What is included in postoperative care following surgical repair of tetralogy of Fallot (TOF) in infants?

Updated: Nov 13, 2018
  • Author: Shabir Bhimji, MD, PhD; Chief Editor: Yasmine S Ali, MD, FACC, FACP, MSCI  more...
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Answer

All infants who undergo open-heart procedures are sent to the pediatric intensive care unit (PICU). with close monitoring of hemodynamic parameters. One study of children who underwent complex open heart surgery procedures found short-term outcome may be predicted by the amount of inotropic and pressor support received in the ICU. The greater the support, the worse the outcome. [31] All infants initially remain intubated on a ventilator until cardiac and respiratory statuses stabilize. To maintain systemic peripheral perfusion, adequate cardiac output and atrial pacing may be required. Patients are weighed daily to follow volume status. Those with heart block typically have temporary atrioventricular (AV) pacing; if intrinsic conduction has not returned in 5-6 days, the patient probably needs a permanent pacemaker.


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