SKMC PULSE Issue No. 8 - Sheikh Khalifa Medical City

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Pediatric Cardiac Program atSheikh Khalifa Medical CityThe large young population of the UAE and the critical needs of pediatricpatients with congenital heart disease dictated the need for a nationalservice center in pediatric cardiac care. With its Pediatric Cardiac Program,SKMC is able to treat neonates and children suffering from cardiac problemsin the UAE; rather than sending them abroad for treatment. As most of thesenewborns would require immediate surgical interference after birth, theexistence of such a program saves their lives and minimizes their sufferingby providing them with a healing environment amongst their families andculture.SKMC’s Pediatric Cardiac Program team consists of internationally recognizedpediatric cardiac surgeons, pediatric cardiologists, cardiac intensive care andanesthesia physicians. The team has access to a Pediatric Cardiac OperatingRoom, Pediatric Cardiac Intensive Care Unit (PCICU) with a capacity of 9 bedssupported by High Dependency Unit (HDU) of 5 beds, the pediatric wardsand auxiliary service of a pediatric cardiac catheterization laboratory, noninvasivecardiology and outpatient clinics.SKMC’s Pediatric Cardiac Surgery Program is the only pediatric cardiactreatment center in the UAE that provides its services around the clock,offering complex neonatal cardiac repairs. With more than 55 arterial switchoperations and almost 50 hybrid procedures performed since its openingin April 2007, the program has more than 900 procedures in its records.Moreover, several first of its kind surgeries in the UAE were successfullyperformed by SKMC’s Pediatric Cardiac Surgery team during the past threeyears, such as a modified Norwood-1 operation for hypoplastic left heartsyndrome (HLHS), Damus-Kaye-Stansel operation, double switch operation,Ross-procedure and baby-Ross procedure with homograft implantation.Moreover, the team performs all kinds of open heart surgeries for neonates.Since two-third of our patient population is neonates and/or infants lessthan six months of age, the median complexity of cases far exceeds thatof the international average. When compared to standards of internationaldatabases (e.g. European Association for Cardio-Thoracic Surgery (EACTS)Congenital Database), SKMC’s results are superior, both in terms of survivalrate and length of stay.Pediatric Cardiac Surgeries: Complexity ChartSimple21%MostSimple16%MostComplex45%Complex18%6
Pediatric Cardiac CatheterizationThe pediatric surgical program is complemented by the pediatric cardiologyprogram creating a continuum of care on in-hospital and outpatientsconsultations as well as all the modalities of non-invasive / invasiveinvestigations including cardiac catheterizatin. The interventional pediatriccardiologists at SKMC have performed about 350 catheters, most of whichwere catheter interventions.Hybrid approach to careSKMC adopts the Hybrid approach in care which is a very modern andemerging multidisciplinary therapeutic modality where the pediatric cardiacsurgeon and pediatric cardiologist work closely together to perform theirrelevant parts in the same procedure. These procedures are performed inthe catheterization laboratory that also acts as a full cardiac operation room.This therapeutic modality is only available in the most advanced medicalcenters around the world.Unique offerings of SKMC (amongst feworganizations worldwide and first in the Gulf)•Extracorporeallife support (Extra-Corporeal Membrane Oxygenation =ECMO, “artificial heart”) therapy is utilized in situations where the heartis unable to maintain the circulation. In such instances, it is literally thequestion of life-or-death to avail such a therapeutic modality. ECMO is atypically multidisciplinary effort, performed by specially trained ECMOnurses,the surgical, perfusion and medical teams. ECMO is applied tobridge various forms of pre/postoperative cardiogenic shock.•SKMC’sPediatric Cardiac team has developed good cooperation withother SEHA hospitals for the Patent Ductus Arteriosus (PDA) ligation ofpreterm neonates with extremely low bodyweight (the smallest patientweighted only 450g!). PDA ligation is a corrective surgery for childrenwhose Ductus Arteriosus did not close after birth.Overall ServicesThe Pediatric Cardiac Program at Sheikh Khalifa Medical City (SKMC), managedby Cleveland Clinic, provides unparalleled service to the entire communityfrom neonates to grown-ups with congenital heart disease. Our servicescover the following:•24/7 (all-around) service for emergency/urgent and elective treatment•of congenital heart disease (CHD)Treatment possibility from neonatal complex repairs to grown-up congenitalcardiac care (GUCH)Predominantly primary repairs and staged operationsPediatric cardiology: non-invasive/invasive; catheter interventionsHybrid pediatric cardiac surgery program•Extracorporeal life support (ECMO)Comprehensive continuity of care (preoperative/operative/postoperative/follow-up)350300250200150100500SKMC Pediatric Cardiac Surgery:Surgical Volume802052923242007 2008 2009 20107
Page 1: Issue No. 8THE OFFICIAL MAGAZINE OF
Page 4 and 5: NOTE FROM THE CEODear Reader,Now th
Page 8 and 9: Pediatric Cardiac ICUThe vision of
Page 10 and 11: SURGICAL PROCEDURESMinimally Invasi
Page 12 and 13: A THORN IN MY BOY’S FOOTThis is a
Page 14 and 15: CONFERENCES AND SYMPOSIUMSSKMC ‘s
Page 16 and 17: IN SHORTNew Features added to theHe

SKMC PULSE Issue No. 8 - Sheikh Khalifa Medical City

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