CICU/CCU Clinical Pathway for the Evaluation/Treatment
of Fetus or Newborn with Single Ventricle

Perioperative care
  • Perioperative guidelines for neonates undergoing Norwood operation
  • Identify pre-op patient factors
  • Identify comorbidities
  • Case conference discussion
  • OR team schedule
  • Evaluate/enroll in Single Ventricle Monitoring Program
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
De-intensification within 4 days
  • Achieved
Not achieved
Convalescence and discharge planning
Discharge
  • Assess discharge readiness
  • Review parent discharge checklist – View checklist
  • ISVMP APRN
    • Contacts community providers
    • Sends information, protocols, patient reports
Posted: July 2011
Reviewed: April 2020
Authors: T. Giglia, MD, A. Stagg, CRNP, S. Natarajan, MD