Perioperative Care Models for Neonates With Congenital Heart Disease: Evolving Role of Neonatology Within the Cardiac Intensive Care Unit
A multidisciplinary team is needed to optimally care for infants with congenital heart disease (CHD). Different compositions of teams trained in cardiology, critical care, cardiothoracic surgery, anesthesia, and neonatology have been identified as being primarily responsible for perioperative care o...
Saved in:
Published in | World journal for pediatric & congenital heart surgery Vol. 14; no. 4; p. 481 |
---|---|
Main Authors | , , , , , , , , , , , |
Format | Journal Article |
Language | English |
Published |
United States
01.07.2023
|
Subjects | |
Online Access | Get more information |
Cover
Loading…
Abstract | A multidisciplinary team is needed to optimally care for infants with congenital heart disease (CHD). Different compositions of teams trained in cardiology, critical care, cardiothoracic surgery, anesthesia, and neonatology have been identified as being primarily responsible for perioperative care of this high-risk population in dedicated cardiac intensive care units (CICUs). Although the specific role of cardiac intensivists has become more well defined over the past two decades, the responsibilities of neonatologists remain highly variable in the CICU with neonatologists providing care along with a unique spectrum of primary, shared, or consultative care. The neonatologist can function as the primary physician and assume all or share responsibility with the cardiac intensivists for the management of infants with CHD. A neonatologist can provide care as a secondary consultant physician in a supportive role for the primary CICU team. Additionally, neonates with CHD can be mixed with older children in a CICU, cohorted in a dedicated space within the CICU or placed in a stand-alone infant CICU without older children. Although variations exist between centers on which model of care is deployed and the location within a CICU, characterization of current practice patterns represents the initial step required to determine optimal best practices to improve the quality of care for neonates with cardiac disease. In this manuscript, we present four models utilized in the United States in which the neonatologist provides neonatal-cardiac-focused care in a dedicated CICU. We also outline the different permutations of location where neonates can be cared for in dedicated pediatric/infant CICUs. |
---|---|
AbstractList | A multidisciplinary team is needed to optimally care for infants with congenital heart disease (CHD). Different compositions of teams trained in cardiology, critical care, cardiothoracic surgery, anesthesia, and neonatology have been identified as being primarily responsible for perioperative care of this high-risk population in dedicated cardiac intensive care units (CICUs). Although the specific role of cardiac intensivists has become more well defined over the past two decades, the responsibilities of neonatologists remain highly variable in the CICU with neonatologists providing care along with a unique spectrum of primary, shared, or consultative care. The neonatologist can function as the primary physician and assume all or share responsibility with the cardiac intensivists for the management of infants with CHD. A neonatologist can provide care as a secondary consultant physician in a supportive role for the primary CICU team. Additionally, neonates with CHD can be mixed with older children in a CICU, cohorted in a dedicated space within the CICU or placed in a stand-alone infant CICU without older children. Although variations exist between centers on which model of care is deployed and the location within a CICU, characterization of current practice patterns represents the initial step required to determine optimal best practices to improve the quality of care for neonates with cardiac disease. In this manuscript, we present four models utilized in the United States in which the neonatologist provides neonatal-cardiac-focused care in a dedicated CICU. We also outline the different permutations of location where neonates can be cared for in dedicated pediatric/infant CICUs. |
Author | Levy, Philip T Sen, Shawn Emani, Sitaram M Gowda, Sharada Ball, Molly K Steurer, Martina Levy, Victor Y Ashrafi, Amir Checchia, Paul A Krishnamurthy, Ganga Bacha, Emile A Chaudhry, Paulomi M |
Author_xml | – sequence: 1 givenname: Paulomi M surname: Chaudhry fullname: Chaudhry, Paulomi M organization: Division of Neonatology, Department of Pediatrics, Riley Hospital for Children, Indiana University School of Medicine, Indianapolis, IN, USA – sequence: 2 givenname: Shawn orcidid: 0000-0001-5619-0905 surname: Sen fullname: Sen, Shawn organization: Division of Neonatology and Pediatric Cardiology, Department of Pediatrics, Northwestern University Feinberg School of Medicine, Chicago, IL, USA – sequence: 3 givenname: Martina surname: Steurer fullname: Steurer, Martina organization: Department of Epidemiology and Biostatistics, California Preterm Birth Initiative, University of California San Francisco, San Francisco, CA, USA – sequence: 4 givenname: Victor Y surname: Levy fullname: Levy, Victor Y organization: Department of Pediatrics, Texas Tech University Health Sciences Center, Lubbock, TX, USA – sequence: 5 givenname: Sharada surname: Gowda fullname: Gowda, Sharada organization: Division of Neonatology, Department of Pediatrics, Texas Children's Hospital, Baylor College of Medicine, Houston, TX, USA – sequence: 6 givenname: Molly K surname: Ball fullname: Ball, Molly K organization: Division of Neonatology, Department of Pediatrics, The Ohio State University College of Medicine, Columbus, OH, USA – sequence: 7 givenname: Amir surname: Ashrafi fullname: Ashrafi, Amir organization: University of California Irvine, Orange, CA, USA – sequence: 8 givenname: Sitaram M surname: Emani fullname: Emani, Sitaram M organization: Department of Cardiac Surgery, Boston Children's Hospital, Department of Surgery, Harvard Medical School Boston, Boston, MA, USA – sequence: 9 givenname: Emile A surname: Bacha fullname: Bacha, Emile A organization: Division of Cardiac, Thoracic and Vascular Surgery, New York-Presbyterian/Morgan Stanley Children's Hospital, Columbia University Medical Center, Pediatric and Congenital Cardiac Surgery, New York, NY, USA – sequence: 10 givenname: Paul A surname: Checchia fullname: Checchia, Paul A organization: Division of Critical Care Medicine, Department of Pediatrics, Texas Children's Hospital, Baylor College of Medicine, Houston, TX, USA – sequence: 11 givenname: Philip T surname: Levy fullname: Levy, Philip T organization: Division of Newborn Medicine, Department of Pediatrics, Boston Children's Hospital, Harvard Medical School, Boston, MA, USA – sequence: 12 givenname: Ganga surname: Krishnamurthy fullname: Krishnamurthy, Ganga organization: Division of Neonatology, Department of Pediatrics, New York-Presbyterian Morgan Stanley Children's Hospital, Columbia University Irving Medical Center, New York, NY, USA |
BackLink | https://www.ncbi.nlm.nih.gov/pubmed/37309123$$D View this record in MEDLINE/PubMed |
BookMark | eNo9kE1OwzAQhS0EoqX0AGyQLxDwTxIn7FBoaaXyI0QFu8qNx61Rale2idQjcGtCKczmaZ7e-0aaM3RsnQWELii5olSIa0YzQnlGGe9WIgQ7Qv0fL6E8f--hYQgfpJs05zxNT1GPC07KLt1HX8_gjduCl9G0gCvpAT84BU3A2nn8CM7KCAG_mbjGlbMrsCbKBk9A-ojvTAAZ4AaPWte0xq7wi2sAO30ousatdvuusTiu93xlZI2nNoIN_xfnHfQcnWjZBBgedIDm49FrNUlmT_fT6naW1DwlMZFFLbQi-ZJnqtB1xqmqWaFpxlNgJNeCaKkJ0YTJtCz1Mhe0UEQyxTLGSibYAF3-crefyw2oxdabjfS7xd9P2DecBGWI |
CitedBy_id | crossref_primary_10_1016_j_jpeds_2024_113947 crossref_primary_10_1038_s41372_023_01827_w |
ContentType | Journal Article |
DBID | CGR CUY CVF ECM EIF NPM |
DOI | 10.1177/21501351231170772 |
DatabaseName | Medline MEDLINE MEDLINE (Ovid) MEDLINE MEDLINE PubMed |
DatabaseTitle | MEDLINE Medline Complete MEDLINE with Full Text PubMed MEDLINE (Ovid) |
DatabaseTitleList | MEDLINE |
Database_xml | – sequence: 1 dbid: NPM name: PubMed url: https://proxy.k.utb.cz/login?url=http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed sourceTypes: Index Database – sequence: 2 dbid: EIF name: MEDLINE url: https://proxy.k.utb.cz/login?url=https://www.webofscience.com/wos/medline/basic-search sourceTypes: Index Database |
DeliveryMethod | no_fulltext_linktorsrc |
Discipline | Medicine |
EISSN | 2150-136X |
ExternalDocumentID | 37309123 |
Genre | Journal Article |
GeographicLocations | United States |
GeographicLocations_xml | – name: United States |
GroupedDBID | .2E .2J .2N 01A 0R~ 1~K 31R 31U 31X 31Z 4.4 53G 54M 5VS AACMV AACTG AADTT AAEWN AAGMC AAKGS AAQQG AARIX AATAA AATBZ AAUAS ABAWP ABCCA ABHQH ABJNI ABLUO ABPNF ABQXT ABRHV ABVFX ABXGC ACARO ACDXX ACFEJ ACGFS ACGZU ACJER ACJTF ACLFY ACLZU ACOXC ACROE ACSBE ACSIQ ACTQU ACUAV ACUIR ACXKE ACXMB ADBBV ADRRZ ADVBO AECGH AEDTQ AEKYL AEPTA AERKM AESZF AEUHG AEUIJ AEWDL AEWHI AFKRG AFMOU AFQAA AFUIA AGKLV AGNHF AGWFA AGWNL AIIQI AIOMO AJUZI AJXAJ ALKWR ALMA_UNASSIGNED_HOLDINGS ALTZF AMCVQ ANDLU ARTOV AUTPY AUVAJ AYAKG B3H B8R B8Z B94 BBRGL BDDNI BKIIM BKSCU BPACV BSEHC BWJAD CAG CGR COF CUY CVF DB0 DC. DF0 DO- DV7 DV9 EBS ECM EIF EJD FHBDP GROUPED_SAGE_PREMIER_JOURNAL_COLLECTION H13 HF~ HZ~ J8X JCYGO K.F M4V N9A NPM O9- P.B Q7L Q7U Q83 ROL S01 SCNPE SDB SFC SFK SFT SGO SGR SGV SGZ SHG SNB SPJ SPP SPQ SPV STM ZONMY ZPPRI ZRKOI ZSSAH |
ID | FETCH-LOGICAL-c340t-a8c7fd06b35d8fc531dc28f1534e206f70faf00f02a499fb6718d0a2d25229272 |
IngestDate | Wed Oct 23 09:59:06 EDT 2024 |
IsPeerReviewed | true |
IsScholarly | true |
Issue | 4 |
Keywords | congenital heart disease neonatology CICU |
Language | English |
LinkModel | OpenURL |
MergedId | FETCHMERGED-LOGICAL-c340t-a8c7fd06b35d8fc531dc28f1534e206f70faf00f02a499fb6718d0a2d25229272 |
ORCID | 0000-0001-5619-0905 |
PMID | 37309123 |
ParticipantIDs | pubmed_primary_37309123 |
PublicationCentury | 2000 |
PublicationDate | 2023-07-00 |
PublicationDateYYYYMMDD | 2023-07-01 |
PublicationDate_xml | – month: 07 year: 2023 text: 2023-07-00 |
PublicationDecade | 2020 |
PublicationPlace | United States |
PublicationPlace_xml | – name: United States |
PublicationTitle | World journal for pediatric & congenital heart surgery |
PublicationTitleAlternate | World J Pediatr Congenit Heart Surg |
PublicationYear | 2023 |
SSID | ssj0000463344 |
Score | 2.3204546 |
Snippet | A multidisciplinary team is needed to optimally care for infants with congenital heart disease (CHD). Different compositions of teams trained in cardiology,... |
SourceID | pubmed |
SourceType | Index Database |
StartPage | 481 |
SubjectTerms | Adolescent Child Critical Care Heart Defects, Congenital - surgery Humans Infant Infant, Newborn Intensive Care Units Neonatology Perioperative Care United States |
Title | Perioperative Care Models for Neonates With Congenital Heart Disease: Evolving Role of Neonatology Within the Cardiac Intensive Care Unit |
URI | https://www.ncbi.nlm.nih.gov/pubmed/37309123 |
Volume | 14 |
hasFullText | |
inHoldings | 1 |
isFullTextHit | |
isPrint | |
link | http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwnZ1ba9VAEICXU4XSl-K99cY8-CaRzWZPLr5JqRTBItpK30qyF3rAnhw056X_oP-vP6gzO5uLrYr6EkJCkiXzMTO7OxchXvk0b1xqVWIL6xJdNWnSoBlPvNamKBtXxWiLw_zgWH84mZ_MZleTqKV117wxF7_MK_kfqeI1lCtlyf6DZIeX4gU8R_niESWMx7-S8Sf8SLtysXg3pRKF3mbfQo0F1F-0Mu4owpUSjVrKolp0XEz4e0d1N2lrhpYE9lFHhYWFzzHWkB_l8kz0dAyG3As4mddj3Hv4JvmtUyeXA3T6mhQ0lFXfECSQZsahnIWh_JjkZnOowdqe8f4-RS6254tJ22PWk9TyfeD6S-fWsS03l0UYbE3fkvnrgjYnorGJixwqGwJi0UYFZYieiUzSLHQ9HDW3nhCqJ2pYcxuY2-YhbFDTu6gxIbq2aSELbh00wWV1HnjJUPlVKWdD__nujYrd_a0NsVGUpHUP4wpS8A50nmVaxw12qv11azhbYrN_xY3JTnB6ju6J7ThbgXeM3n0xc8sHYvNjjMd4KC5_IhCIBmACAcUOPYFADMFIIAQCIRL4Fnr-gPiD1sOEP2D-APmDyB8M_PEXib9H4vj9_tHeQRKbeyQm07JL6tIU3sq8yea29AZNgTWq9GiAtVMy94X0tZfSS1XjpNw3OTpRVtbKKpwxVKpQj8WdZbt0OwIya8s5OhCVQX8UHyhzPJXaK-9pRa_eFU_4J56uuILLaf97n_72zjOxNXL4XNz1qDLcC_Q_u-ZlEOg1yKqIHw |
link.rule.ids | 786 |
linkProvider | National Library of Medicine |
openUrl | ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=Perioperative+Care+Models+for+Neonates+With+Congenital+Heart+Disease%3A+Evolving+Role+of+Neonatology+Within+the+Cardiac+Intensive+Care+Unit&rft.jtitle=World+journal+for+pediatric+%26+congenital+heart+surgery&rft.au=Chaudhry%2C+Paulomi+M&rft.au=Sen%2C+Shawn&rft.au=Steurer%2C+Martina&rft.au=Levy%2C+Victor+Y&rft.date=2023-07-01&rft.eissn=2150-136X&rft.volume=14&rft.issue=4&rft.spage=481&rft_id=info:doi/10.1177%2F21501351231170772&rft_id=info%3Apmid%2F37309123&rft_id=info%3Apmid%2F37309123&rft.externalDocID=37309123 |