Online ISSN: 2187-2988 Print ISSN: 0911-1794
特定非営利活動法人日本小児循環器学会 Japanese Society of Pediatric Cardiology and Cardiac Surgery
Pediatric Cardiology and Cardiac Surgery 39(4): 179-191 (2023)


小児および先天性心疾患における集中治療の感染管理・神経管理の原則Principles of Infection Control and Neurologic Management in Pediatric Cardiac Critical Care

国立成育医療研究センター集中治療科Division of Critical Care Medicine, National Center for Child Health and Development ◇ Tokyo, Japan

発行日:2023年12月31日Published: December 31, 2023


Infection control and neurologic management play a major role in the management of congenital heart diseases, specifically in perioperative care. Unlike the highly individualized circulatory and respiratory management of congenital heart diseases, the principles of infection control and neurologic management are uniformly applied to all patients admitted to the intensive care unit (ICU). Moreover, it is characterized by the involvement of multiple professionals and not only physicians. In various healthcare-associated infections, prevention using effective and sustainable bundles and treatment based on urgency and severity along with the three factors of pathogen, route of infection, and host are required. In neurologic management, setting management goals, objective evaluation using validated assessment tools, and titration based on the evaluation are necessary. Bundles and protocols tailored to the situation of each ICU, reliable implementation and monitoring, and regular review and improvement are required to optimize the management.

Key words: analgosedation; children; congenital heart disease; critical care; healthcare-associated infection

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