VSD Closure Device Treatment Abroad At Affordable Cost - VSD Closure

What happens on the day of surgery ?

For patients who are hospitalized the night before surgery, an intravenous (IV) catheter may be placed. This will allow intravenous fluids to be given once NPO (nothing by mouth) status begins.

All patients – whether they are admitted to the hospital or not - will be placed on “NPO” (nothing by mouth) status after midnight the night before surgery. Clear liquids may be allowed at the specific instructions of the anesthesiologist.

On the morning of surgery, your family will meet our staff on the 18th floor of the West Tower. You will be greeted by a receptionist and given a private waiting room. Approximately one hour prior to surgery, the patient will be taken to the holding area, dressed in hospital pajamas, and placed in a crib or bed...

What type of anesthesia will be used ?

Anesthesiologists who specialize in pediatric cardiovascular anesthesia will manage the anesthetic care of the patient throughout the surgery. They collaborate closely with the surgeon and the rest of the OR team to monitor and manage the patient’s care in the operating room. Based on their pre-operative assessment, they will individualize the anesthetic to meet each patient’s physiologic needs. In most cases, a general anesthetic approach is used which results in the patient being completely unconscious and pain-free during the entire surgery as well as shortly afterward...

What happens during surgery and how is it performed ?

The type of surgery your child will undergo depends on your child’s heart defect. Prior to the surgery, the surgeon will have a detailed consultation with the family to explain the specific surgical procedure, discuss risks and benefits, and answer any questions the family may have...

Step 1 ) Preparation :

The anesthesiologist and the operating room nurses will escort the patient into the operating room. A heart monitor will be connected to the patient that will show the OR team a continuous read-out of the heart rate and rhythm throughout the surgery. The patient will be given a mask through which they will breathe a gas that causes them to fall deeply asleep.

Once the patient is asleep, the anesthesiologist will put a breathing tube (endo-tracheal tube or ET tube) into their windpipe. This tube is attached to a breathing machine (ventilator) that will do the breathing for the patient during their surgery. Once the ventilator is secured, the anesthesiologist will place several intravenous (IV) catheters in the patient’s veins. The sites typically used are the large vein in the neck or the groin. There may be one or two more IVs placed...

Step 2) Incision and operation :

A median sternotomy incision is used for “open-heart” surgery (surgery that occurs inside the heart). This incision usually begins at or below the top of the breastbone (sternal notch) and goes straight down the sternum (breastbone). The breastbone is then separated to expose the heart.

The patient is then placed on the heart-lung bypass machine, a device that provides blood flow to the body and “bypasses” the patient’s heart and lungs. Diverting the heart’s blood flow to the bypass pump allows the surgeon to open the heart and operate on the structures inside the heart. The heart-lung bypass machine provides continuous oxygenated blood to the other organ systems during the open-heart surgery. Depending on the location of the defect, an incision will be made in either the right atrium, the pulmonary artery, or the outflow tract of the right ventricle (infundibulum)...

Step 3) Completion and transfer to recovery room :

After closure of the incision, a dressing is placed that remains in place for the first 24 hours after surgery. The anesthesiologist and the operating room nurses then secure all the patient’s tubes and lines, and prepare for transport from the OR. The patient is moved from the operating room table onto an intensive care bed and transported to the Cardiovascular Intensive Care Unit (CVICU).

What happens after the surgery ?

The patient will be transferred to the Cardiovascular Intensive Care Unit (CVICU) by the cardiovascular anesthesiologist and the team of operating room nurses. The CVICU is situated directly adjacent to the cardiovascular operating rooms to maximize patient safety. This makes the transition from the operating room to the CVICU a smooth process. Once the patient arrives in the CVICU, a thorough report of the surgical procedure is given to the Cardiologist and the CVICU nursing team who will be managing care in the CVICU. The surgeon will update the family on the operation once the patient is settled into the CVICU. Family members may usually visit the patient within an hour after arrival to the CVICU...

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PDA Closure Device Treatment Abroad At Affordable Low Cost-PDA Closure

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