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智胜 林
Management of postoperative cardiovascular, pulmonary and renal functions is discussed in addition to management of hemostasis, bleeding, blood coagulation, and other organ systems which influence the immediate outcome of a surgical procedure. Patients who undergo complex congenital cardiac procedures and or patients whose stay in the intensive care unit is prolonged due to critical illness, disciplines such as prolonged ventilatory support, infection, wound management, nutrition, fluid and electrolyte balance, altered endocrine function assume importance for adequate patient management and these systems are dealt comprehensively, discussing basic sciences and clinical issues relevant in management of the patient.  This manual has also dealt with issues of poor postoperative ventricular function and principles of mechanical ventricular support systems that are designed to improve patient outcomes after complex cardiac procedures. A brief postoperative management of heart and heart-lung transplant recipients with peri-operative immunosupression is also discussed. Algorithms are provided for appropriate management of cardiac emergencies, together with instructions and or calculations provided for mixing of inotropic drug solutions in emergencies. These would enable physicians and nurse practitioners to deliver expeditious care in such situations. Drug formulary provided here has dealt with several drugs that are commonly used in the intensive care. Several other drugs, including inotropes, antimicrobials, and cardiac drugs which are often used in the perioperative care of infants, and children are discussed comprehensively.