PREPARATIONS BEFORE THE SURGERY
After the necessary examinations are performed on your child and the anomaly in the heart is detected, pediatric heart disease specialists and cardiovascular surgeons evaluate the examinations together and decide whether your child will benefit from the surgery. The decision to have your child operated on is taken at council meetings of physicians who are experienced in their field and have an academic career.
Your child is usually hospitalized shortly before the surgery. The average hospital stay is 5 to 10 days. This period may be extended under some conditions. During your stay in the hospital, especially for young children, their favorite toys and clothes specially prepared for children will be provided. We try to make your child feel at home as much as possible.
It is extremely important that your child is as healthy as possible before the surgery. If your child has a fever, cough or cold, notify the pediatric cardiologist or cardiac surgeon. For this reason, the team may decide to postpone the surgery for a few days.
Sometimes there may be changes in the surgery appointment. For example, an emergency surgery may delay your child's surgery. You and your child should be prepared for possible delays. If you would like to see the children's clothes and playroom, the patient consultants in our hospital's pediatric service will help you. You can get help from the "inpatient relations manager" regarding the effects of this experience on your child's psychological state and your family. You can talk to your pediatric cardiologist, surgeon, or inpatient relations manager about how you can best support your child emotionally. If necessary, psychologist support can be provided for your child.
General Examinations
Your child will be examined for liver, kidney functions and clotting factors before the surgery. A general examination is performed by a pediatrician and a dental examination is performed by a dentist in order to detect the focal infection focus and, if necessary, treat it. In terms of whether your child is ready for surgery and the necessary surgery preparation The surgery coordinator will guide and assist you in the evaluation of your blood pressure.
Providing Blood from the Blood Bank
Blood transfusion is needed during heart surgeries. The amount of blood needed varies depending on the surgery performed. Generally, 4-6 units of blood are used in open heart surgeries and 2 units of blood are used in closed heart surgeries. It may not be possible to use all the blood found due to donor blood not being fully compatible with your child and some technical reasons. Blood samples are meticulously screened for AIDS, Hepatitis (B and C)and all kinds of infectious diseases. Blood Bank provides 24-hour service for the preparation of blood and blood products.
SURGERY
Heart surgeries are carried out by a team of doctors, technicians and nurses specialized in this field. . While the surgeon concentrates on the surgery, others deal with the devices that ensure the patient's blood circulation, breathing and other vital functions.
The coordinator nurse will guide and assist you in evaluating your child's readiness for surgery and in terms of the necessary preparations for surgery.
A heart-lung machine is used in open heart surgery. This device bypasses the lungs and heart, allowing blood to be oxygenated and pumped throughout the body. Thus, it may be possible to safely open and repair the heart. With this method, the surgeon can easily see and correct the inside of the heart and the heart defect. At the end of the surgery, the pump is removed and the heart and lungs return to their normal pumping and oxygenation duties. Some operations can be performed without the use of a heart-lung pump, and these surgeries are called "closed heart surgery". In some open heart surgeries, it may be necessary to perform surgery using a technique called hypothermia. In the hypothermia technique, the child's body temperature is reduced, blood flow is slowed down or even stopped, and the heart is repaired safely.
In some heart anomalies, heart surgeries are performed by entering the chest through a very small opening and using some special tools and a video camera. � can be done. In these surgeries, which are called minimally invasive heart surgeries, the scar will be smaller and less visible, and recovery will be faster. However, it should be known that such surgeries are not suitable for every heart anomaly.
PREPARATIONS BEFORE THE SURGERY
After the necessary examinations are performed on your child and the anomaly in the heart is detected, pediatric heart diseases specialists and Cardiovascular surgeons evaluate the examinations together and decide whether your child will benefit from surgery. The decision to have your child operated on is taken at council meetings of physicians who are experienced in their field and have an academic career.
Your child is usually hospitalized shortly before the surgery. The average hospital stay is 5 to 10 days. This period may be extended under some conditions. During your stay in the hospital, especially for young children, their favorite toys and clothes specially prepared for children will be provided. We try to make your child feel at home as much as possible.
It is extremely important that your child is as healthy as possible before the surgery. If your child has a fever, cough or cold, notify the pediatric cardiologist or cardiac surgeon. For this reason, the team may decide to postpone the surgery for a few days.
Sometimes there may be changes in the surgery appointment. For example, an emergency surgery may delay your child's surgery. You and your child should be prepared for possible delays. If you would like to see the children's clothes and playroom, the patient consultants in our hospital's pediatric service will help you. You can get help from the "inpatient relations manager" regarding the effects of this experience on your child's psychological state and your family. You can talk to your pediatric cardiologist, surgeon, or inpatient relations manager about how you can best support your child emotionally. If necessary, psychologist support can be provided for your child.
General Examinations
Your child will be examined for liver, kidney functions and clotting factors before the surgery. Detection of focal infection focus A general examination is performed by a pediatrician and a dental examination is performed by a dentist for the purpose of pituitary disease and, if necessary, its treatment. The surgical coordinator will guide and assist you in evaluating whether your child is ready for surgery and in terms of the necessary preparations for surgery.
Supply of Blood from the Blood Bank
Blood transfusion is needed during heart surgeries. The amount of blood needed varies depending on the surgery performed. Generally, 4-6 units of blood are used in open heart surgeries and 2 units of blood are used in closed heart surgeries. It may not be possible to use all the blood found due to donor blood not being fully compatible with your child and some technical reasons. Blood samples are meticulously screened forAIDS, Hepatitis (B and C)and all kinds of infectious diseases. Blood Bank provides 24-hour service for the preparation of blood and blood products.
SURGERY
Heart surgeries are carried out by a team of doctors, technicians and nurses specialized in this field. . While the surgeon concentrates on the surgery, others deal with the devices that ensure the patient's blood circulation, breathing and other vital functions.
The coordinator nurse will guide and assist you in evaluating whether your child is ready for surgery and in terms of the necessary preparations for surgery.
A heart-lung machine is used in open heart surgery. This device bypasses the lungs and heart, allowing blood to be oxygenated and pumped throughout the body. Thus, it may be possible to safely open and repair the heart. With this method, the surgeon can easily see and correct the inside of the heart and the heart defect. At the end of the surgery, the pump is removed and the heart and lungs return to their normal pumping and oxygenation duties. Some operations can be performed without the use of a heart-lung pump, and these surgeries are called "closed heart surgery". In some open heart surgeries, it may be necessary to perform surgery using a technique called hypothermia. In the hypothermia technique, the child's body temperature is lowered, blood flow is slowed down or even stopped, and the patient remains safe. Bin repair is performed.
In some heart anomalies, heart surgeries can be performed by entering the chest through a very small opening and using some special tools and a video camera. In these surgeries, which are called minimally invasive heart surgeries, the scar will be smaller and less visible, and recovery will be faster. However, it should be known that this type of surgery is not suitable for every heart anomaly.
AFTER SURGERY
Intensive Care Period:
After the surgery, your child will be taken to the intensive care unit. Specially trained doctors, nurses and technicians provide 24-hour service here. Your child is monitored with computerized electronic devices in terms of all vital functions in the intensive care unit. Do not worry about the devices in the intensive care unit and the tubes attached to the child. These are all necessary and routinely used equipment. Gradually, all of this equipment is removed from your child when it is no longer needed. Examples of these special devices include the following:
– Breathing machine (ventilator)
– Breathing tube attached to the trachea (endotracheal tube)
– Oxygen mask worn to give extra oxygen
– During surgery to drain blood and fluids accumulated in the chest evacuation tubes placed (drain)
– Intravenous applications where blood, serum and medications are administered
– Pipes inserted through the nose and reaching the stomach. Such as electrodes and cables attached to a nasogastric tube to monitor heart rhythm and blood pressure.
All of the above are needed to monitor your child in intensive care after surgery. You will be informed regularly about your child's condition in intensive care. You can get information about your patient the next day by phone or face to face with the intensive care unit manager at the door of the KVC intensive care unit.
Intensive care visits are limited to prevent outsiders from transmitting the disease to your child. If the stay in intensive care is prolonged, one member of the family, if the doctor deems it appropriate
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