Date of Graduation
Bachelor of Science in Nursing
Dr. Allison Scott
Committee Member/Second Reader
Dr. Kelly Vowell-Johnson
The purpose of this literature review is to evaluate current research surrounding management of pediatric patients after cardiac surgery. Acute kidney injury (AKI) and neurodevelopmental deficits are the main discussion topics. This review analyzes the causes, risk factors, and effects of AKI. The diagnostic and management methods surrounding AKI are compared, and diagnostic approaches such as serum Cystatin C and fibroblast growth factor 23 are analyzed as potential future replacements to serum creatinine. The modality of renal replacement therapy is evaluated, and early initiation of peritoneal dialysis is preferred. This review discusses the most common causes, effects, and management of neurodevelopmental delays. Interventions in the preoperative, perioperative, and postoperative stages are examined, and the research indicates that preoperative factors are most influential in determining patient status. Neuromotor and cognitive delays are considered to be the most common adverse effects pediatric patients face after cardiac surgery. Both the AKI and neurodevelopmental studies lack sufficient patient populations, and more findings are needed to validate best practice evidence.
neurodevelopment, acute kidney injury, congenital heart disease, pediatric, cardiac surgery, ICU
Berndt, H. (2020). Complications and Management in Pediatric Heart Surgery. The Eleanor Mann School of Nursing Undergraduate Honors Theses Retrieved from https://scholarworks.uark.edu/nursuht/111