الفهرس 
Postoperative MonitoringOnly 14 pages are availabe for public view
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Abstract
This easy discusses caring of pediatric patient after cardiac surgery which starts immediately in the operating room after finishing the procedure by anthesthiet then the intensivist complete monitoring and observation in the ICU Several items should be monitored in the ICU: ECG changes, temperature, fluid balance of the patient, urine output, oxygen saturation and electrolytes.
Pulmonary hypertension that developed following congenital heart surgery if sufficiently sever to provoke acute right heart syndrome is of high mortality. Basic principles of management include maintenance of systemic perfusion pressure, optimization of cardiac inotropy, lung protective ventilation strategy and pulmonary vasodilators.
Arrhythmias are common after pediatric cardiac surgery. Atrial fibrillation is the commonest type, although ventricular arrhythmias and Brady arrhythmias can also occur.
Aggressive identification and treatment of low cardiac output conditions after cardiac surgery are central to the critical care of children with congenital heart disease. Successful application of treatment strategies has undoubtedly contributed to the remarkable decline in mortality.
Respiratory system considered one of the most important systems to be observed in the starting from weaning of the patient from mechanical ventilation after surgery and avoiding respiratory complication that may develop.
For the postoperative circulatory manipulation in children, with CHD commonly used tools are: pharmacological agents which target cardiac function and vascular tone; respiratory manipulation through heart-lung interactions, mechanical support with extracorporeal techniques; and the manipulation of rate and rhythm to optimize systemic oxygen delivery