Embedded Files
Glenn Shunt
A second operation, a Glenn shunt, often performed at about 4 to 12 months of age, replaces the Blalock-Taussig shunt with another connection to the pulmonary artery. In this operation, the Blalock-Taussig shunt is removed, and the superior vena cava (the large vein that brings oxygen-poor blood from the head and arms back to the heart) is connected to the right pulmonary artery.
This operation helps create some of the connections necessary for the final operation, the Fontan procedure.
The Glenn procedure is done for children who are born with heart problems like hypoplastic left heart syndrome (HLHS), tricuspid atresia, and double outlet right ventricle.
Glenn Shunt procedure
Surgeons perform the Glenn heart procedure when a child is 3 to 6 months old (usually no younger than 2 months old). Survival odds are best when a child has the Glenn procedure 3hree to six months after the first operation in the neonatal period (if they have a condition requiring that procedure to improve their circulation).
During the Glenn procedure, the surgeon disconnects the superior vena cava (SVC) from the heart and connects it to the pulmonary artery. Now the blood from the upper part of the body flows directly into the pulmonary artery. The pulmonary artery takes the blood to the lungs.
Nursing Responsibility
Babies who have the Glenn procedure usually spend 1 to 2 weeks in the hospital to recover. They get-around-the-clock care and monitoring. They also get medicines to help the heart and improve blood flow. They will keep taking some of these medicines at home.
During this time, the care team teaches parents how to care for their baby at home. Babies usually can go home when they are feeding well, growing well, and gaining weight.
Depending on the heart problem, a child might need another surgery, the Fontan procedure, when they’re around 18–36 months old.
Reference
https://kidshealth.org/en/parents/glenn.html
https://registry.healthresearch.ph/index.php?view=research&cid=60301
Supplies and Instruments
Pedia open heart set
Pedia prep bowls
Pedia paddle
Pedia set no.1
Basura box
Stryker saw / Bbraun saw
Fine mixter
Y-connector 1/4 all
Mayo/Metz
Castañeda clamp
Castro viejo
Clip applier small
VSD Retractor
5pcs mosquito cu.
Asepto
10pcs Operating Gauze
Cautery cord
Cautery Pad (neo/pedia)
Bonewax
Blade no.11 & no.15
Peanut
1 20cc syringe
Small clip
Sterile pen marker
Feeding tube no.5 & no.8
Ioban
IV Cannula G20
1 Suction
2 silk 2.0 (strands)
1 Cotton 2.0 (strands)
steel wire #1
Tegaderm (medium)
1 Monocryl 3.0 or equivalent
1 Vicryl 4.0 PC5 or equivalent
Thoracic Drape
Drainage: JP Drain
Doctor Reference:
1. Dr. Nicolas / Dr. Catalan
Antergrade cannula:
- IV Gray cannula Fr. 16 (adult)
- IV cannula Fr.18 (neo/pedia)
Dr. Catalan's set (2sets)
Dr. Catalan's Noir metz scissor
Saw: Bottom to Top
2. Dr. Garcia
Antegrade cannula: DLP Aortic Root Medtronic
1 Silk 3.0 HR26
3 pcs instruments
Saw: Bottom to Top
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