Intensive Care of the Adult with Congenital Heart Disease

Eduardo da Cruz trained in medicine and in pediatrics at the Universidad de Costa Rica and then in pediatric cardiology and intensive care at the Hôpital Necker-Enfants Malades, Université René Descartes-Paris V. He was an attending physician in France, the UK, Portugal and Switzerland until 2007, when he joined Children's Hospital Colorado in the USA. He is a Tenured Professor of Pediatrics, the Associate Medical Director of the Heart Institute and Head of the Pediatric Cardiac Critical Care Program and Inpatient Services at that institution. He has extensive experience in the management of patients with complex congenital or acquired heart disease. He is a reviewer for 25 medical journals, and the editor of five CICU books and has published more than 50 book chapters and dozens of manuscripts. He is the founder of the Working Group on Pediatric Cardiac Intensive Care of the Association for the European Pediatric and Congenital Cardiology, founder and Chair of the Section of Pediatric and Congenital Cardiac Intensive Care and Mechanical Circulatory Assistance of the European Society of Pediatric and Neonatal Intensive Care, and an active member of multiple other international Societies. He serves as an Expert Reviewer for the European Commission and is the President of Surgeons of Hope Foundation. 

Duncan Macrae is a pediatric intensivist at the Royal Brompton hospital, London, U.K.  and also holds an academic appointment at Imperial College, London. He has worked in critical care for over 30 years, supporting the evolution  of specialist congenital cardiac critical care. Dr. Macrae has made major contributions through research and teaching in areas such as ECMO, inhaled nitric oxide therapy and glycemic control.  He is a member of the editorial boards of several major journals including Pediatric Critical Care Medicine,  Intensive Care Medicine and the World journal for Pediatric and CongenitalHeart Surgery. He is a former president of the Pediatric Cardiac Intensive Care Society.

Dedicated to the critical management of acutely ill adults with congenital heart disease, this comprehensive book discusses the many challenges faced in the management of these patients, who require intensive inter- and trans-disciplinary care. It provides the first universal review of the practical management of patients with these complex conditions, who survive into adulthood with congenital cardiac malformations and are often affected by other morbidities. For this reason, it reflects a consistent interaction and collaboration between several disciplines: pediatric and adult cardiology, cardiac surgery, pediatric and adult cardiac intensive care, anesthesia, intensive care nursing, nutrition, psychology and many other specialties. It offers concise and pragmatic recommendations, and provides basic and advanced concepts that allow caregivers to anticipate, prevent and effectively treat such pathologies. The book also includes chapters focusing on cardiac-database and risk-factorassessment, organizational and operational topics, advanced mechanical circulatory assistance and pharmacology.

Whilst bringing together top international experts who are leading reference programs around the globe, this book is an indispensable teaching tool for clinicians and caregivers involved in the management of critically ill adults with congenital heart disease.

I General aspects.- 1 The ideal Intensive Care Unit for Adults with Congenital Heart Disease.- 2 A macroscopic overview of the critically-ill Adult with Congenital Heart Disease.- 3 Nomenclature, classification and risk Score Assessment of the Adult with Congenital Heart Disease.- 4 Overview of cardiac surgical challenges in Adults with Congenital Heart Disease.- 5 Pharmacological considerations in the acute care of Adults with Congenital Heart Disease.- 6 Preparing Adults with Congenital Heart Disease for surgery or interventions.- 7 General intensive care monitoring and management.- 8 Cardiovascular anesthesia of the Adult with Congenital Heart Disease.- 9 Sedation and analgesia of the Adult with Congenital Heart Disease.- II Advanced management of the critically-ill Adult with Congenital Heart Disease.- 10 Cardio-pulmonary interactions in Adults with Congenital Heart Disease.- 11 Critical Care Management of the Adult with Tetralogy of Fallot.- 12 Critical Care Management of the Adult with Aortic Coarctation.- 13 Critical Care Management of the Adult with Univentricular heart.- 14 Critical Care Management of the ACHD patient with Aortopathies.- 15 Critical Care Management of the ACHD patient with Heart failure.- 16 Critical Care Management of the Adult with Eisenmenger Syndrome and Pulmonary Arterial Hypertension.- 17 Critical Care Management of the ACHD patient with Arrhythmias and conduction disorders.- 18 Critical Care Management of the ACHD patient with Endocarditis.- 19 The critically-ill pregnant ACHD patient.- III Specific Management Topics.- 20 Advanced Cardiac support in Adults with Congenital Heart Disease.- 21 Transplant evaluation and acute Post-Transplant care of the Adult with Congenital Heart Disease.- 22 Management of extra-cardiac complications of Adults with Congenital Heart Disease.- 23 Impact of non-cardiac co-morbidities in Adults with Congenital Heart Disease.- 24 Critical care nursing of the Adult with Congenital Heart Disease.- 25 Nutrition of the critically-ill Adult with Congenital Heart Disease and nutritional rehabilitation.- 26 Cardiac rehabilitation.- 27 Neuro-psychological rehabilitation and Post-Traumatic Stress Disorder in ACHD patients.- 28 Transitioning the Adult with Congenital Heart Disease patient from the intensive care to the ward.- 29 Modern Anticoagulation options for Adults with Congenital Heart Disease.- 30 ACHD Advanced Directives & discontinuation of life in the critical care environment.- Tables: normal values, algorithms (Appendix).