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Experts in the operating room
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Treatment in the operating room is tightly coordinated within a team of pediatric cardiac surgical experts. Surgeons, anes-thesiologists, perfusionists and nurses - all with years of pediatric cardiac surgical experience - work together to perform some of the most complex and difficult procedures in medicine. There is absolutely no room for error in these critical moments when a child's heart is exposed. In surgery after surgery, the Riley teams have performed with precision. Riley cardiac surgeons perform every open and closed heart procedure available to treat every pediatric cardiac problem, and are at the forefront of developing and evaluating new techniques. Surgical categories include:
Leaders in neonatal and pediatric heart transplantationWhen a child's heart is so damaged that no surgical intervention will be effective, a transplant may be the only option. Few hospitals in the country can equal the pediatric transplant experience and capabilities at Riley Hospital for Children. The first infant heart transplant in Indiana was performed at Riley in 1989. A second pioneering case took place that same year when a four-day-old infant - the youngest child to undergo a heart transplant in an Indiana hospital - received a new heart in the world's first and only twin-to-twin transplant. That child was Indiana's Children's Miracle Network Champion in 1996. More than 80 pediatric heart transplants have been performed at Riley, with that number growing annually. Riley is one of 22 leading hospitals in the United States and Canada which meet strict criteria for volume, quality of care and outcomes in pediatric heart transplant and membership in the Pediatric Heart Transplant Study Group. This organization aggregates and disseminates to its members essential data on all aspects of pediatric transplant, from surgical technology to drug interactions to follow up protocols. Comprehensive data on over 1,500 cases is available to group members, providing each with an exceptional range of clinical knowledge. Anesthesia and perfusionThe excellence of the cardiac surgeons at Riley is enhanced by the expertise of two subspecialty groups, the pediatric anesthesia and perfusion teams. The cardiovascular perfusion department maintains a staff of seven pediatric perfusionists specially trained to assist in congenital heart surgical proce-dures in newborns and children. The perfusionist's role in keeping patients stable during complex cardiac surgeries is vital. Through research and technology development, the Riley perfusion team continually evolves that role for perfu-sionists around the world. The perfusion team's clinical and research experience trans-lates into recognized academic excellence as one of the few groups in the country involved in the training of tomorrow's pediatric perfusion specialists. Riley Hospital for Children has the only anesthesia group in the state providing anesthesia care exclusively to pediatric patients. Their experience is unparalleled, taking part in thousands of procedures each year, including the more than 650 heart surgeries and 500 cardiac catheterizations performed annually at Riley. Anesthetic care involves the pre-operative evaluation of the child followed by the administration of anesthetic designed to meet the needs of the patient, and at the same time, allow the cardiologist or surgeon to complete the planned procedure. Because of the unique challenges presented by patients with congenital heart disease, optimal care of these patients requires continuous attention to the latest advances in periop-erative care and close coordination with the cardiovascular surgery and pediatric cardiology services. Riley's pediatric anesthesiologists are also involved in the post-operative ventilatory care and pain management of surgical cardiac patients and were instrumental in the introduction of nitric oxide into clinical use at Riley. Nitric oxide is used in the treatment of pulmonary hypertension, a major clinical problem that can occur following cardiac surgery. Philanthropic careRiley Hospital for Children was founded over 75 years ago on the principle that no Indiana child will be denied medical treatment, regardless of their family's ability to pay. That philosophy holds true today. Children from every county of the state receive care at Riley each year. Hoosier youngsters are not the only children who benefit from the hospital's philanthropy. Riley Hospital for Children partners with various community, national and international agencies to provide unparalleled care to the kids who need it most, but who may not be able to receive or afford that level of care close to home. As a partner in the Rotarian Service Club's Gift of Life program, Riley Heart Center cardiologists and surgeons have provided treatment to children from as far away as Russia, China, Nigeria and Honduras.
[Keywords: pediatric cardiac surgery, congenital heart defects, developmental defects of the heart and great vessels, acquired heart disease, heart valve replacement repair, coronary artery, cardiac tumor, heart failure, mechanical heart device implantation support, cardiac transplantation, heart transplant, thoracic, vascular, chest wall pectus defects, lung mediastinal, aortic repair replacement, heart] |
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