The Lonely Ventricle
The stages of single ventricle surgical palliation for hypoplastic left heart syndrome
What is Norwood, Glenn, Fontan
The two major vessels that bring blood back from the body to the heart
What is the SVC and IVC?
The most common acyanotic congenital heart defect, characterized by a hole between the lower chambers of the heart
What is a VSD?
All blue needleless connectors must be changed this frequently (unless connected to TPN/Lipids)
What is q96h
Code role responsible for keeping record of all meds, interventions and vital signs during a code
What is the documenter (recorder)?
This congenital defect is the most common cause of single ventricle physiology
What is Hypoplastic Left Heart Syndrome?
The four pulmonary veins bring oxygenated blood back to this chamber
What is the left atrium?
A cyanotic heart defect where the pulmonary artery and aorta are completely swapped, creating two parallel loops of blood flow
What is Transposition of the Great Arteries (TGA)?
Must be scrubbed for 15 seconds and allowed to air dry for 15 seconds
What is the HUB?
The code sheet indicates to draw up 0.5mls of code Epi. You just attended skills day so you know if 10:1 Epi was requested you would draw up this amount
What is 0.5mls?
The Glenn procedure connects this vessel to the pulmonary artery
What is the Superior Vena Cava?
This chamber forms the apex of the heart and pumps oxygenated blood into the systemic circulation
What is the left ventricle?
A single ventricle defect where the right sided AV Valve fails to form entirely, leaving no direct communication between the right atrium and the right ventricle
What is Tricuspid Atresia?
These must remain clean, dry, in tact and occlusive, or it should be changed as soon as possible
What is a central line dressing?
This needs to be ordered by a provider and brought to the bedside during an ECMO deployment
What is a cooler of blood products?
A physiological state in which decreased pulmonary vascular resistance causes excessive pulmonary blood flow, resulting in decreased systemic perfusion
What is pulmonary over-circulation?
This atrioventricular valve is located between the right atrium and the right ventricle
What is the tricuspid valve?
A congenital heart condition where the center of the heart does not form correctly, resulting in large holes between both upper and lower chambers and a single shared valve
What is Complete AV Canal Defect?
This device is used on 3B for pressure injury prevention, but intentionally NOT usually used on 3A to promote safe sleep practices
What is a z-flo pillow?
Call this number for a RRT or Code Blue (outside of the ICU), or an ECMO deployment
What is 115?
A ratio used to describe the amount of blood flow to the lungs vs. to the body; this ratio is intricately managed in single ventricle patients immediately before and after surgery
What is Qp:Qs ratio?
These primary vessels branch directly off the base of the ascending aorta and supply oxygen and nutrients to the myocardium
What are the coronary arteries?
A type of heart defect where the blood vessels carrying oxygen-rich blood from the lungs connect to the wrong side of the heart
What is Total Anomalous Pulmonary Venous Return (TAPVR)?
Method used to draw labs from a central venous line
What is the "turkey foot" method?
Two medications you should prepare to give during an ECMO deployment - when instructed by the surgical and ICU team
What is heparin and Ancef?