Heart surgery in children is completed to overhaul heart imperfections a child is born with (congenital heart defects) and heart diseases a child gets afterward birth that want surgery. The surgery is desirable for the child's happiness.
There are many categories of heart defects. One surgery may be sufficient to repair the heart defect, but occasionally a series of processes is required. Three dissimilar techniques for setting congenital defects of the heart in children are defined below.
Open-heart surgery is when the surgeon procedures a heart-lung bypass machine.
A notch is made through the breastbone (sternum) though the child is under overall anesthesia (the child is sleeping and pain free).
Tubes are used to re-route the blood over and done with a special pump named a heart-lung bypass machine. This machine enhances oxygen to the blood and retains the blood warm and stirring through the rest of the body while the surgeon is mending the heart.
By means of the machine lets the heart to be stopped. Discontinuing the heart makes it promising to repair the heart muscle itself, the heart valves, or the blood vessels external the heart. Afterwards the repair is completed, the heart is started again, and the machine is detached. The breastbone and the skin opening are then closed.
For some heart fault repairs, the incision is made on the side of the chest, among the ribs. This is named a thoracotomy. It is at times termed closed-heart surgery.
Additional way to fix flaws in the heart is to pull-out small tubes into an artery in the leg and permit them up to the heart
In all-purpose, symptoms that show that surgery is required are:
- Blue or else gray skin, lips, as well as nail beds (cyanosis). These indications mean there is not adequate oxygen in the blood (hypoxia).
- Exertion breathing since the lungs are misty, overfilled, otherwise occupied with fluid (heart failure).
- Difficulties with heart rate or heart beat (arrhythmias).
- Poor nourishing or napping, besides lack of growth and growth of the child.
- Bleeding throughout surgery or in the days subsequently surgery
- Bad responses to medications
- Problems inhalation
- Blood lumps (thrombi)
- Air foams (air emboli)
- Heartbeat complications (arrhythmias)
- Heart attack
Before the Procedure
- Your child may requisite many different checks:
- Blood tests (whole blood count, electrolytes, clotting issues, in addition cross match)
- X-rays of the upper body
- Electrocardiogram (EKG, or else ECG)
- Echocardiogram (ECHO, or else ultrasound of the heart)
- Cardiac catheterization
- At all times tell your child's health care benefactor what prescriptions your child is taking.
During the days earlier the surgery:
- Enquire which drugs the child ought to still take on the day of the surgery.
- On the day of the operation:
- Your child will utmost often be probed not to drink or eat whatsoever after midnight the night earlier the surgery.
- Contribute your child some drugs you have been said to give with a small drop of water.
- You will be stated when to reach at the hospital.
After the Procedure
Through their time in the ICU, your child will have:
A tube in the airway (endotracheal tube) in addition a ventilator to benefit with breathing. Your child will be kept sound asleep (sedated) even though on the respirator.
One or more small tubes in a vein (IV line) to offer liquids also medications.
A minor tube in an artery (arterial line).
One or else 2 chest tubes to gutter air, blood, as well as fluid from the chest hole.
A tube over the nose into the abdominal (nasogastric tube) to unfilled the stomach and bring medicines and feedings for numerous days.
A tube in the bladder to groove and degree the urine for more than a few days.
Several electrical lines besides tubes used to display the child.
Read more about childrens heart conditions