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Ultrafast Tracking in Pediatric Cardiac Surgery

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Book cover A Practical Handbook on Pediatric Cardiac Intensive Care Therapy

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Abstract

The ultrafast track protocol describes in detail the pre-, intra-, and postoperative procedures, which in their entirety aim to extubate all children, who have undergone pediatric cardiac surgery, on the operating table. The knows only a few exceptions from this general rule, e.g. the Norwood-stage I operation or premature infants, who are on mechanical ventilation before surgery. The concept of early extubation with its advantages and disadvantages is critically questioned from a pathophysiological perspective. In addition, the effects of the ultrafast track concept on important patient-centered outcomes and on patient safety are discussed in detail. Another focus of the chapter is the characterization of the pharmacokinetic and pharmacodynamic properties of the centrally acting substances used for anesthesia and postoperative analgesia.

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Author information

Authors and Affiliations

  1. Department of Anesthesiology, Surgical Intensive Care Medicine and Pain Therapy, Münster University Medical Center, Münster, Germany

    Christoph Schmidt

  2. Division of Pediatric Cardiac Surgery, Münster University Medical Center, Münster, Germany

    Edward Malec

Authors
  1. Christoph Schmidt
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Correspondence to Christoph Schmidt .

Editor information

Editors and Affiliations

  1. Center for Paediatrics and Youth Health Singen, Singen, Germany

    Dietrich Klauwer

  2. Universitätsklinikum Gießen und Marburg, Paediatric Cardiac ICU and Heart Transplantation Program, Gießen, Germany

    Christoph Neuhaeuser

  3. Universitätsklinikum Gießen und Marburg, Paediatric Cardiac ICU and Heart Transplantation Program, Gießen, Germany

    Josef Thul

  4. Global Medical Leader in Medical Affairs, Actelion Pharmaceuticals, Allschwil, Switzerland

    Rainer Zimmermann

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Schmidt, C., Malec, E. (2019). Ultrafast Tracking in Pediatric Cardiac Surgery. In: Klauwer, D., Neuhaeuser, C., Thul, J., Zimmermann, R. (eds) A Practical Handbook on Pediatric Cardiac Intensive Care Therapy. Springer, Cham. https://doi.org/10.1007/978-3-319-92441-0_18

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  • DOI: https://doi.org/10.1007/978-3-319-92441-0_18

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-92440-3

  • Online ISBN: 978-3-319-92441-0

  • eBook Packages: MedicineMedicine (R0)

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