Inpatient Clinical Pathway for the Evaluation/Treatment of a Newborn
with Norwood Physiology or Shunt Dependent Pulmonary Blood Flow

Pre-operative care
Intraoperative care
  • Intraoperative guidelines for neonates undergoing Norwood operation
    • Hemodynamic monitoring
    • Vascular access
    • Anesthesia plan
    • Airway management
    • Cardiopulmonary bypass
    • Medications
    • Hemostasis
  • OR team debrief, OR to CICU handoff
Post-operative Care
  • Post-operative guidelines days 0-2 after
    Norwood operation
  • Identify outpatient cardiologist prior to CICU transfer
De-intensification in 2-3 days
Not achieved
  • Focused echo to assess for:
    • Residual defects
    • Ventricular dysfunction
    • AVVR
    • Effusions
Continued recovery and discharge planning
Posted: July 2011
Revised: June 2023
Editors: Clinical Pathways Team