Recognition, management, and transport of sick cardiac children
Due to the centralization of specialized cardiology, cardiac surgery, and intensive care services in various regions worldwide, critically ill cardiac children frequently require stabilization and safe transport to tertiary centers for further management whether in terms of diagnosis or further inte...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2025-05-01
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| Series: | Journal of Pediatric Critical Care |
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| Online Access: | https://journals.lww.com/10.4103/jpcc.jpcc_28_25 |
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| author | Sontakke Sanket |
| author_facet | Sontakke Sanket |
| author_sort | Sontakke Sanket |
| collection | DOAJ |
| description | Due to the centralization of specialized cardiology, cardiac surgery, and intensive care services in various regions worldwide, critically ill cardiac children frequently require stabilization and safe transport to tertiary centers for further management whether in terms of diagnosis or further intervention. Ensuring optimal stabilization before transport is critical, as these patients have complex circulatory physiology and are particularly vulnerable to physiological disruptions during transport, including acceleration-deceleration forces and ventilation changes. Hence, it requires close monitoring. Given the potential for rapid deterioration, inter-hospital transport should ideally be conducted by teams with specialized training in pediatric cardiac critical care and transport. However, in low- and middle-income countries, inter-facility transport often involves long-distance road travel in inadequately equipped ambulances, often without trained medical personnel, to few specialized centers. In addition, these regions frequently lack robust communication systems, in-transit monitoring, and standardized disease-specific protocols. As a result, suboptimal transport with delayed presentation at surgical centers significantly compromises outcomes and increases the demand for intensive care resources. This highlights the critical need for “safe and optimal transport” in these settings. |
| format | Article |
| id | doaj-art-3a32b679420a4d27b0278d2ce4500a8c |
| institution | Kabale University |
| issn | 2349-6592 2455-7099 |
| language | English |
| publishDate | 2025-05-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Pediatric Critical Care |
| spelling | doaj-art-3a32b679420a4d27b0278d2ce4500a8c2025-08-20T03:29:39ZengWolters Kluwer Medknow PublicationsJournal of Pediatric Critical Care2349-65922455-70992025-05-0112312012410.4103/jpcc.jpcc_28_25Recognition, management, and transport of sick cardiac childrenSontakke SanketDue to the centralization of specialized cardiology, cardiac surgery, and intensive care services in various regions worldwide, critically ill cardiac children frequently require stabilization and safe transport to tertiary centers for further management whether in terms of diagnosis or further intervention. Ensuring optimal stabilization before transport is critical, as these patients have complex circulatory physiology and are particularly vulnerable to physiological disruptions during transport, including acceleration-deceleration forces and ventilation changes. Hence, it requires close monitoring. Given the potential for rapid deterioration, inter-hospital transport should ideally be conducted by teams with specialized training in pediatric cardiac critical care and transport. However, in low- and middle-income countries, inter-facility transport often involves long-distance road travel in inadequately equipped ambulances, often without trained medical personnel, to few specialized centers. In addition, these regions frequently lack robust communication systems, in-transit monitoring, and standardized disease-specific protocols. As a result, suboptimal transport with delayed presentation at surgical centers significantly compromises outcomes and increases the demand for intensive care resources. This highlights the critical need for “safe and optimal transport” in these settings.https://journals.lww.com/10.4103/jpcc.jpcc_28_25balanced circulationcritical care transportfractional oxygen extractionoxygen deliverypulmonary overcirulation |
| spellingShingle | Sontakke Sanket Recognition, management, and transport of sick cardiac children Journal of Pediatric Critical Care balanced circulation critical care transport fractional oxygen extraction oxygen delivery pulmonary overcirulation |
| title | Recognition, management, and transport of sick cardiac children |
| title_full | Recognition, management, and transport of sick cardiac children |
| title_fullStr | Recognition, management, and transport of sick cardiac children |
| title_full_unstemmed | Recognition, management, and transport of sick cardiac children |
| title_short | Recognition, management, and transport of sick cardiac children |
| title_sort | recognition management and transport of sick cardiac children |
| topic | balanced circulation critical care transport fractional oxygen extraction oxygen delivery pulmonary overcirulation |
| url | https://journals.lww.com/10.4103/jpcc.jpcc_28_25 |
| work_keys_str_mv | AT sontakkesanket recognitionmanagementandtransportofsickcardiacchildren |