Postoperative Care
Inotropic support was initiated through the combined use of dopamine and dobutamine. Adrenaline was also needed in most patients, combined with vasodilators such as milrinone to reduce afterload. In three patients aged >1 year, inhaled nitrous oxide and oral sildenafil and bosentan were used to treat postoperative pulmonary hypertension and prevent pulmonary hypertension crisis. Peritoneal dialysis was used in seven patients to remove excessive water. The median ICU stay was 23.4 days (range: 2–35 days).