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Innovations and Future Directions in Pediatric Cardiac Anesthesia and Surgery

Division of Pediatric Cardiothoracic Surgery (perfusion services)

Nancy Pike

Division of Pediatric Cardiothoracic Surgery (perfusion services)

Mark Koransky

Division of Pediatric Cardiothoracic Surgery (perfusion services)

Michelle Humel

Department of Anesthesia, Stanford University School of Medicine

Patrick J. McCarthy

Department of Anesthesia, Stanford University School of Medicine

Robert Smith

Department of Anesthesia, Stanford University School of Medicine

Gail M. Boltz

Lucile Salter Packard Children's Hospital at Stanford and Stanford University School of Medicine, Stanford, CA.

Vinit Wellis

Lucile Salter Packard Children's Hospital at Stanford and Stanford University School of Medicine, Stanford, CA.

Shoichi Uezono

Lucile Salter Packard Children's Hospital at Stanford and Stanford University School of Medicine, Stanford, CA.

Gregory B. Hammer

Lucile Salter Packard Children's Hospital at Stanford and Stanford University School of Medicine, Stanford, CA.

Minimally invasive pediatric cardiac surgery, although still evolving, lacks much of the corporate "thunder" directed to wards the adult patient. Because the majority of pediatric procedures remain "open" requiring cardiopulmonary bypass, innovations and/or modifications of already established tech niques might have important adult medical applications. The care of children born with congenital heart disease at our institution presently incorporates cardioscopy, active venous suction, epidural/spinal anesthesia, and, most recently, robotic video assistance. This mufti-disciplinary combination has not only optimized the cosmetics of the operation and use of hospital resources but also has maintained the safety and reproducibility of the surgical interventions.

Seminars in Cardiothoracic and Vascular Anesthesia, Vol. 5, No. 1, 113-116 (2001)
DOI: 10.1053/scva.2001.21590


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