After heart surgery: Caring for your childAAfter heart surgery: Caring for your childAfter heart surgery: Caring for your childEnglishCardiologyChild (0-12 years);Teen (13-18 years)HeartHeartNon-drug treatmentCaregivers Adult (19+)NA2019-11-15T05:00:00ZJudith Wilson, RN, BScN, MN;Jennifer Russell, MD, FRCPC;Carrie Morgan, RN, BScN, MN;Jennifer Kilburn, BScN, MN8.5000000000000065.40000000000002325.00000000000Health (A-Z) - ProcedureHealth A-Z<p>Following heart surgery, children require extra care and attention. Read about care after heart surgery including diet, pain management and school.</p><p>When it is time for your child to go home after heart surgery, you will be given an after visit summary. The after visit summary tells you about your child's hospital stay and when your child needs to come back to the hospital for follow-up appointments.</p><h2>Key points</h2><ul><li>When your child goes home from the hospital you will be given a date and time for their first follow-up appointment.</li><li>Your child will have an incision and other small wounds from their surgery. Check these daily for signs of infection.</li><li>Your child will need to be careful about the type of physical activity they do for at least 12 weeks after the surgery.</li></ul><h2>When to seek medical attention</h2><p>Once you are home, you will need to check your child’s wounds for signs of infection. If you notice signs of infection, contact your child’s post-operative nurse practitioner, during regular business hours. If you have any concerns related to your child’s heart condition, contact their surgeon. For SickKids patients, please see the "At SickKids" section for who to contact if you have concerns about your child’s heart condition. </p><h3>What to do in case of an emergency</h3><p>Contact 911 or take your child to the nearest emergency department if your child is:</p><ul><li>having trouble breathing</li><li>experiencing seizures</li><li>not waking up</li></ul><h3>Non-urgent health concerns</h3><p>If you have any questions or concerns about your child’s health that are not related to your child’s heart problem, please contact your child’s paediatrician or family doctor. </p><h2>At SickKids</h2><p>For SickKids patients, if you have any questions or concerns related to your child’s heart condition within <strong>1 week</strong> after your child is discharged from the hospital contact the 4D Cardiac Inpatient Unit at (416)- 813- 6901.</p><p>If your child has any signs of infections or you have concerns related to their heart condition <strong>within the first 4 weeks</strong> after surgery, call (416)- 813- 6901 ext. 2 and ask to speak to the Post-Operative Nurse Practitioner during regular business hours.</p><p>If you have any non-urgent questions or concerns after <strong>1 week</strong> of discharge from the hospital and you have been seen in post-operative clinic, contact your clinic nurse directly or call 4A Cardiac Clinic at (416)- 813-5848 during regular business hours. You may also leave a message after hours.</p>
بعد جراحة القلب: رعاية طفلكببعد جراحة القلب: رعاية طفلكAfter heart surgery: Caring for your childArabicCardiologyChild (0-12 years);Teen (13-18 years)HeartHeartNon-drug treatmentCaregivers Adult (19+)NA2008-12-18T05:00:00ZJudith Wilson, RN, BScN, MN;Jennifer Russell, MD, FRCPC;Carrie Morgan, RN, BScN, MN;Jennifer Kilburn, BScN, MN8.0000000000000065.00000000000002767.00000000000Flat ContentHealth A-Z<p>أحصل علي معلومات عن عمليات جراحة القلب و نصائح للاعتناء بجروح طفلك بعد جراحة القلب. قد يشعر طفلك بالألم لعدة أسابيع بعد عملية جراحية في القلب.</p><h2>في SickKids:</h2><p>مركز موارد الاسرة: 5819-813-416 AboutKidsHealth<br>اتصل بهذا الرقم لاقتراض مقعد السيارة الخاص بالاطفال</p><br>
心臟手術之後:對孩子的護理心臟手術之後:對孩子的護理After Heart Surgery: Caring For Your ChildChineseSimplifiedNAChild (0-12 years);Teen (13-18 years)NANANAAdult (19+)NA2008-12-18T05:00:00ZJudith Wilson, RN, BScN, MNJennifer Russell, MD, FRCPCCarrie Morgan, RN, BScN, MNJennifer Kilburn, BScN, MN65.00000000000008.000000000000002767.00000000000Flat ContentHealth A-Z<p>了解兒童心髒手術後的護理知識,更好地為兒童進行心髒手術康復工作。</p><p>当你的孩子做完心脏手术后回家时,你会得到一个出院总结。出院总结告诉你你的孩子的住院期间的情况,和后续的预约。<br></p>
心脏手术后:照顾你的孩子心脏手术后:照顾你的孩子After heart surgery: Caring for your childChineseSimplifiedNAChild (0-12 years);Teen (13-18 years)NANANAAdult (19+)NA2008-12-18T05:00:00ZJudith Wilson, RN, BScN, MNJennifer Russell, MD, FRCPCCarrie Morgan, RN, BScN, MNJennifer Kilburn, BScN, MN65.00000000000008.000000000000002767.00000000000Flat ContentHealth A-Z心脏手术后,孩子需要额外的照顾。阅读关于手术后饮食,疼痛管理和上学方面的保健。
心臟手術之後:對孩子的護理心臟手術之後:對孩子的護理After Heart Surgery: Caring For Your ChildChineseTraditionalNAChild (0-12 years);Teen (13-18 years)NANANAAdult (19+)NA2008-12-18T05:00:00ZJudith Wilson, RN, BScN, MNJennifer Russell, MD, FRCPCCarrie Morgan, RN, BScN, MNJennifer Kilburn, BScN, MN65.00000000000008.000000000000002767.00000000000Flat ContentHealth A-Z<p>了解兒童心髒手術後的護理知識,更好地為兒童進行心髒手術康復工作。</p>
Chirurgie cardiaque: comment prendre soin de votre enfant après l'opérationCChirurgie cardiaque: comment prendre soin de votre enfant après l'opérationAfter heart surgery: Caring for your childFrenchCardiologyChild (0-12 years);Teen (13-18 years)HeartHeartNon-drug treatmentCaregivers Adult (19+)NA2008-12-18T05:00:00ZJudith Wilson, RN, BScN, MN;Jennifer Russell, MD, FRCPC;Carrie Morgan, RN, BScN, MN;Jennifer Kilburn, BScN, MN8.0000000000000065.00000000000002767.00000000000Health (A-Z) - ProcedureHealth A-Z<p>À la suite d’une chirurgie cardiaque, les enfants ont besoin de soins et d’attention supplémentaires. </p><p>Quand il sera temps pour votre enfant de rentrer à la maison après une chirurgie cardiaque, on vous remettra une feuille médico-administrative (une sorte de compte-rendu du séjour à l'hôpital), qui vous informera sur le séjour à l'hôpital de votre enfant et les rendez-vous de suivi à venir.</p> <p>Ces renseignements vous expliquent comment prendre soin de votre enfant à la maison.</p> <h3>Avant de quitter l'hôpital, veuillez compléter les renseignements suivants avec l'aide de votre infirmier:</h3> <p>Pédiatre ou médecin de famille de mon enfant:</p> <p>Cardiologue de mon enfant:</p> <p>Infirmier de la clinique de cardiologie:</p> <p>Chirurgien de mon enfant:</p> <p>Numéro de téléphone de la clinique de cardiologie:</p><h2>À retenir</h2> <ul> <li>Lorsque votre enfant quittera l’hôpital, on vous donnera la date et l’heure de son premier rendez-vous de suivi.</li> <li>Il aura une marque d’incision et d’autres petites plaies liées à son opération. Vérifiez-les tous les jours pour voir s’il y a des signes d’infection.</li> <li>Votre enfant devra surveiller le type d’activité physique qu’il pratique pendant au moins 12 semaines après l’opération.</li> <li>Au moment de son retour à la maison, on vous dira quelle est la plus petite quantité d’aliments dont votre enfant aura besoin dans une journée pour poursuivre sa croissance et éviter la déshydratation.</li> </ul><h2>Quand demander l'aide d'un médecin ou d'une infirmier</h2> <h3>Urgences</h3> <p>Si vous avez des préoccupations urgentes concernant votre enfant, composez le 911/Services d'urgence. Voici des exemples de préoccupations urgentes:</p> <ul> <li>difficulté à respirer;</li> <li>convulsions;</li> <li>syncope;</li> <li>ne se réveille pas. </li> </ul> <h3>Préoccupations générales concernant la santé de votre enfant</h3> <p>Si vous avez des questions ou des préoccupations à propos de la santé de votre enfant qui, selon vous, NE sont PAS associées à son problème cardiaque, veuillez communiquer avec son pédiatre ou son médecin de famille. Voici des exemples: </p> <ul> <li>éruptions;</li> <li>questions à propos de l’immunisation;</li> <li>blessures résultant d'activités ordinaires.</li> </ul> <h3>Préoccupations associées au problème cardiaque de votre enfant</h3> <p>Si vous avez des questions ou des préoccupations au cours des six premières semaines après que votre enfant a quitté l'hôpital et que vous croyez qu’elles sont associées au problème cardiaque de votre enfant: </p> <ul> <li>Communiquez avec votre infirmier de la clinique de cardiologie pendant les heures de bureau.</li> <li>Après les heures de bureau, appelez les infirmiers de l'unité de soins aux malades hospitalisés en cardiologie ou le cardiologue (médecin) de garde. </li> </ul> <p>Voici certaines de ces inquiétudes:</p> <ul> <li>Changements dans l'alimentation, comme une diminution de la consommation de fluides, une perte d'appétit, une perte de poids, de la fatigue et du sommeil pendant qu’il mange, il ne se réveille pas pour manger essoufflement pendant qu'il mange, vomissements ou diarrhée, augmentation de la transpiration pendant qu’il mange;</li> <li>Changements dans la respiration, comme respirer très rapidement, surtout lorsqu'il dort, respiration bruyante ou avec des grognements, augmentation de la transpiration, toux continuelle;</li> <li>Changements dans le comportement, comme la somnolence ou l'irritabilité extrêmes;</li> <li>Changements dans le teint, comme la pâleur, marbrure de la peau (la peau ressemble à du marbre), coloration bleue des lèvres, de la langue ou des lits de l'ongle (cyanose), éruptions sur les mains, les pieds ou le corps;</li> <li>Signes d'infection de la plaie comme la fièvre, la rougeur, la bouffissure, la sensibilité accrue ou l'écoulement;</li> <li>Signes de rétention d'eau, comme l'enflure ou la boursouflure des paupières, du visage, des mains ou des pieds, organes génitaux enflés chez les garçons, jambes ou chevilles enflées chez les enfants plus vieux, moins d'urine ou moins de couches mouillées.</li> </ul><h2>Renseignements concernant la cardiopathie congénitale</h2><p> <a target="_blank" href="http://www.heartandstroke.ca/">www.heartandstroke.ca </a></p><p> <a target="_blank" href="http://www.americanheart.org/">www.americanheart.org </a> (disponible en anglais seulement).</p><p> <a target="_blank" href="http://www.pediatricheartnetwork.org/Home.aspx">www.pediatricheartnetwork.org </a> (disponible en anglais seulement).</p>
Después de una cirugía cardíaca: cuidado de su niñoDDespués de una cirugía cardíaca: cuidado de su niñoAfter Heart Surgery: Caring For Your ChildSpanishNAChild (0-12 years);Teen (13-18 years)NANANAAdult (19+)NA2008-12-18T05:00:00ZJudith Wilson, RN, BScN, MNJennifer Russell, MD, FRCPCCarrie Morgan, RN, BScN, MNJennifer Kilburn, BScN, MN000Flat ContentHealth A-Z<p>Luego de la cirugía cardíaca, los niños requieren cuidados postoperatorios. Lea acerca del cuidado después de una cirugía cardíaca y del manejo del dolor.</p>
இருதய அறுவை சிகிச்சைக்குப் பின்னர்: உங்கள் பிள்ளையைப் பராமரித்தல்இருதய அறுவை சிகிச்சைக்குப் பின்னர்: உங்கள் பிள்ளையைப் பராமரித்தல்After Heart Surgery: Caring For Your ChildTamilNAChild (0-12 years);Teen (13-18 years)NANANAAdult (19+)NA2008-12-18T05:00:00ZJudith Wilson, RN, BScN, MNJennifer Russell, MD, FRCPCCarrie Morgan, RN, BScN, MNJennifer Kilburn, BScN, MN000Flat ContentHealth A-Z<p>இருதய அறுவை சிகிச்சையைத் தொடர்ந்து, பிள்ளைகளுக்கு கூடுதல் பராமரிப்பும் கவனமும் தேவைப்படுகிறது. </p>
دل کی جرّاحی کے بعد : اپنے بچے کی نگہداشت کرناددل کی جرّاحی کے بعد : اپنے بچے کی نگہداشت کرناAfter Heart Surgery: Caring For Your ChildUrduNAChild (0-12 years);Teen (13-18 years)NANANAAdult (19+)NA2008-12-18T05:00:00ZJudith Wilson, RN, BScN, MNJennifer Russell, MD, FRCPCCarrie Morgan, RN, BScN, MNJennifer Kilburn, BScN, MN65.00000000000008.000000000000002767.00000000000Flat ContentHealth A-Z<p>دل کی سرجری کے بعد بچوں کو اضافی نگہداشت اور توجہ کی ضرورت ہوتی ہے۔ بچوں کی دل کی سرجری کے بعد نگہداشت اور بحالی صحت بشمول غذا اور درد کے نظم و نسق کے بارے میں پڑھیں۔<br></p><p>دل کی جرّاحی کے بعد جب آپ کے بچے کے گھر جانے کا وقت ہو تو آپ کو ہسپتال سے رخصت کے وقت مختصر معلوماتی پرچہ دیا جائے گا. یہ مختصرمعلوماتی پرچہ آپ کے بچے کے ہسپتال میں رہنے اور آئندہ معائنوں کےمتعین وقت کے بارے میں بتاتا ہے۔</p><p>یہ معلومات آپ کو بتاتی ہیں کہ اپنے بچے کی گھر میں کیسے نگہداشت کرنی ہے۔<br></p><h2>بیمار بچوں کے ہسپتال میں :</h2><p>بچوں کی صحت کے بارے میں خاندان کے ذرائع کا مرکز : 416-813-5819<br>کارکی نشست اُدھار لینے کے لئے اس نمبر پر کال کریں۔</p>

 

 

 

 

After heart surgery: Caring for your child1212.00000000000After heart surgery: Caring for your childAfter heart surgery: Caring for your childAEnglishCardiologyChild (0-12 years);Teen (13-18 years)HeartHeartNon-drug treatmentCaregivers Adult (19+)NA2019-11-15T05:00:00ZJudith Wilson, RN, BScN, MN;Jennifer Russell, MD, FRCPC;Carrie Morgan, RN, BScN, MN;Jennifer Kilburn, BScN, MN8.5000000000000065.40000000000002325.00000000000Health (A-Z) - ProcedureHealth A-Z<p>Following heart surgery, children require extra care and attention. Read about care after heart surgery including diet, pain management and school.</p><p>When it is time for your child to go home after heart surgery, you will be given an after visit summary. The after visit summary tells you about your child's hospital stay and when your child needs to come back to the hospital for follow-up appointments.</p><h2>Key points</h2><ul><li>When your child goes home from the hospital you will be given a date and time for their first follow-up appointment.</li><li>Your child will have an incision and other small wounds from their surgery. Check these daily for signs of infection.</li><li>Your child will need to be careful about the type of physical activity they do for at least 12 weeks after the surgery.</li></ul><h2>Taking care of your child's wounds</h2><p>After heart surgery, your child will have an incision (surgical cut) in the middle or the side of the chest, as well as other smaller wounds where tubes and wires may have been. Check each of these wounds every day for signs of infection, including:</p><ul><li><a href="/Article?contentid=30&language=English">fever</a></li><li>redness </li><li>swelling </li><li>liquid draining from the wound </li><li> <a href="/pain">pain</a></li></ul><p>If you see any of these signs, or if you have any concerns within the first 4 weeks after surgery, contact the post-operative nurse practitioner. </p><h3>Your child's chest tube site</h3><p>Two days after your child's chest tube(s) is/are taken out, the bandages over the chest tube site(s) should be taken off. The black stitch will be removed before your child is discharged or at your child’s post-operative clinic appointment.</p><h3>Surgical incision care</h3><p>For the first 4 weeks after surgery, your child’s incisions will require special care at home to help promote healthy healing and prevent infection. This care will be required until your child’s incisions are healed and the scabs have fallen off.</p><p>Protect the incision and new skin:</p><ul><li>Do not submerge the incision in water (i.e. bathtub, swimming pool) for a minimum of 4 weeks and not until the scabs have fallen off.</li><li>Keep the incision covered with clean clothing at all times and use a bib when feeding babies.</li><li>Do not scrub the incision or pick at scabs to avoid disrupting the healing process.</li><li>The incision might be covered with Steri-Strips when your child is discharged. The Steri-Strips should be removed at your child's post-operative clinic appointment.</li></ul><p>How to clean your child's incision:</p><p>Clean the area around the incision every day for a minimum of 4 weeks and until the scabs have fallen off.</p><ol><li>With a soft, clean cloth, use liquid soap and clean water to wash the area around the incision, including the edges of the Steri-Strips.</li><li>Using a new clean cloth, wipe off the soap with clean water.</li><li>Gently pat dry with a new clean cloth.</li></ol><p>Make sure your child takes shallow baths or showers daily. If the incision gets dirty (i.e. vomit, milk), clean only the dirty portion of the incision, and then clean the area around the incision with liquid soap and water.</p><h3>Sun protection</h3><p>Until all the scabs have fallen off and the area looks healed, cover the wounds with clothing that does not let the light through. Apply sunscreen on all of your child’s exposed skin. After the scabs have fallen off and the wounds are healed, always put sunscreen on the new scars, as that skin is more sensitive.</p><h2>Managing your child’s pain</h2><p>Your child may have pain for several weeks after surgery. As time passes, the pain will become less severe. When your child leaves the hospital, they will usually have a prescription for pain medicine. As your child heals, they will need to take this medicine less frequently.</p><p>If your child’s pain gets worse, see your paediatrician or family doctor. Ask your child’s nurse how to assess your child’s pain before discharge.</p><h2>Limit your child’s physical activity for several weeks</h2><p>Children need regular physical activity as part of a healthy lifestyle. However, your child will need to be careful for several weeks after their operation, to avoid disturbing the wounds.</p><div class="pdf-page-break"><h3>Activity restrictions for babies</h3><table class="akh-table"><thead><tr><th>Time period</th><th>Activity restrictions</th></tr></thead><tbody><tr><td>For the first <strong>2</strong> weeks after surgery</td><td><p>Avoid activities that might disturb the wound.</p><p>Avoid lying on the tummy. After 2 weeks, lying on the tummy is encouraged for normal development.</p></td></tr><tr><td>For the first <strong>6</strong> weeks after surgery</td><td><p>Protect the chest muscles and bone during all activity.</p><p>Avoid lifting under the arms. Instead, lift your baby under head/neck and bottom.</p></td></tr></tbody></table></div><div class="pdf-page-break"><h3>Activity restrictions for toddlers, children and teens</h3><table class="akh-table"><thead><tr><th>Time period</th><th>Activity recommendations</th></tr></thead><tbody><tr><td>For the first <strong>2</strong> weeks after surgery</td><td><p>Avoid activities that might disturb the wound.</p><p>Avoid lying on tummy.</p></td></tr><tr><td>For the first <strong>6</strong> weeks after surgery</td><td><p>Protect the chest muscles and bone during all activity.</p><p>Avoid lifting toddlers and children under the arms. Instead, lift them under head/neck and bottom.</p><p>Avoid pushing or pulling heavy objects.</p><p>Avoid doing push-ups, sit-ups or pulling themselves up on furniture.</p><p>Avoid backward arm circle movements.</p></td></tr><tr><td>For the first <strong>12</strong> weeks after surgery</td><td><p>Protect the chest bone during all activity.</p><p>Avoid activities that could cause a blow to the chest. These include rough play, ball throwing, football, hockey, karate or other contact sports.</p></td></tr></tbody></table></div><div class="pdf-page-break"><h2>Your child’s behaviour</h2><p>After surgery, you may notice a change in your child’s behaviour. The following changes are normal after a hospital stay:</p><ul><li>disturbed sleep patterns </li><li>wetting the bed </li><li>being more fussy or clingy </li></ul></div><h2>Medicines</h2><p>If your child needs medicine at home, you will be given a prescription before you leave the hospital. It is recommended to have the prescription filled at the hospital outpatient pharmacy before you go home. Your local pharmacy may not have some of the specific medicines your child needs. The nurse or pharmacist will let you know what the medicine is for and how to give it.</p><h3>When and how to give medicines</h3><ul><li>Give the medicine at the same time every day. If your child is taking several medicines, you can ask your nurse or pharmacist to give you a chart to help you remember when to give the medicines.</li><li>You should always try to give medicine before feeding your child. Babies are more likely to take their medicine when they are hungry, and they are less likely to throw up if they get their medicine before their stomachs are full.</li><li>Try not to add medicine to food or drinks. When medicine is mixed with food or drink, it can be hard to know if the full dose has been taken. If you must add medicine to food or drink, put the medicine in a very small amount of food or drink so that the child will finish it all.</li><li>Clean the oral syringes, spoons or medicine cups with hot water and soap after each use.</li><li>Do not mix different syringes with different medicines. Each medicine must have its own syringe.</li></ul><h3>Read all the information about your child’s medicine</h3><ul><li>Read the written information about your child’s medicine before you leave the hospital. The pharmacist, nurse or doctor can answer any questions you may have.</li><li>Always read the labels on the medicine that you get from the pharmacy. Make sure that you know when to give it and how much to give.</li><li>Some of the medicine that your child takes may need to be refrigerated. Be sure to check the labels and store them correctly. </li></ul><h3>If you miss a dose or your child throws up</h3><ul><li>If your child throws up <strong>all</strong> of the medicine right away, give your child another dose.</li><li>If your child throws up 15 to 20 minutes after you have given the medicine, do NOT give your child another dose. If you are not sure what to do, call your doctor or pharmacist.</li><li>If you miss a dose, do not double up on the next dose. If you are less than two hours late, go ahead and give the medicine. If you are more than two hours late, give the next regular dose at the regularly scheduled time. If you are not sure what to do, call your doctor or pharmacist. </li></ul><h3>Other things to remember</h3><ul><li>Check with your doctor or pharmacist before you give any over-the-counter medicines. </li><li>Bring all of your child’s medicines with you to each visit to the hospital and/or take pictures of the medicine bottles on your phone.</li></ul><p> <strong>Keep all medicines locked away and out of the reach of children at all times.</strong> </p><h2>Routine health care</h2><p>Your child should see their paediatrician or family doctor within 1 or 2 weeks after your child leaves the hospital. They will follow your child’s ongoing general health needs. If you have any general concerns about your child’s health, speak to their paediatrician or family doctor.</p><h3>Immunizations</h3><p>If you have questions about your child’s <a href="/Article?contentid=1986&language=English">immunizations</a>, talk to your child’s paediatrician or family doctor. There are special considerations for some children who have had heart surgery, for example the immunization schedule may be delayed if your child received blood products. If these considerations apply to your child, this will be noted on the after visit summary that you receive when your child is discharged.</p><h3>Dental care, surgery, and other procedures</h3><p>Talk to your child’s cardiologist before your child has any dental treatment, surgery or other procedures. Ask your child’s cardiologist if your child needs to take special precautions before these procedures. Before your child has any procedures, make sure your child’s health-care providers know that your child has had heart surgery.</p><h2>Going back to school or day care</h2><p>Your child can go back to school 2 weeks after surgery, or when they feel physically well enough to go. Babies and toddlers can go back to daycare after 2 weeks.</p><p>If other children at the day care or school are sick or have an infection, your child should not go back until 4 weeks after the surgery. Good hand washing and avoiding contact with others who are sick can stop the spread of infection.</p><h2>Travel</h2><p>If you and your child live out of town, you may need to stay close to the hospital until you have had your post-operative clinic visit. Once the cardiologist is happy with your child’s condition, you can go home.</p><p>If your child has ongoing health concerns, this may limit your travel or vacation plans. If you are not sure what your child can do, contact your child’s cardiologist.</p><h3>Car seat</h3><p>When travelling in a car, you must make sure that your children are safely seated in a car seat or secured with a seat belt at all times. There is no need for modifications to the car seat or straps if your child has had heart surgery.</p><div class="pdf-page-break"><h2>Learning first aid</h2><p>Basic Life Support or BLS courses are recommended for all parents. These skills could let you save your child’s life or someone else’s. If you are interested in taking one of these courses offered by the hospital please visit <a href="http://www.cvent.com/d/g4qls1">http://www.cvent.com/d/g4qls1</a>.</p></div><h2>Feeding your child</h2><p>If your baby or child has special nutrition or feeding needs, or requires tube feeding, you will receive additional information from a dietitian and/or an occupational therapist before discharge.</p><h2>When to seek medical attention</h2><p>Once you are home, you will need to check your child’s wounds for signs of infection. If you notice signs of infection, contact your child’s post-operative nurse practitioner, during regular business hours. If you have any concerns related to your child’s heart condition, contact their surgeon. For SickKids patients, please see the "At SickKids" section for who to contact if you have concerns about your child’s heart condition. </p><h3>What to do in case of an emergency</h3><p>Contact 911 or take your child to the nearest emergency department if your child is:</p><ul><li>having trouble breathing</li><li>experiencing seizures</li><li>not waking up</li></ul><h3>Non-urgent health concerns</h3><p>If you have any questions or concerns about your child’s health that are not related to your child’s heart problem, please contact your child’s paediatrician or family doctor. </p><h2>Follow-up appointments at the cardiology clinic</h2><p>When your child leaves the hospital, you will be given a time to meet with your child's cardiologist. In the future, you can schedule follow-up appointments with the cardiologist during your child's clinic visits.</p><p>One week after your child leaves the hospital, you may have a follow-up appointment in the post-operative clinic. During this visit, your child may:</p><ul><li>have their wound checked by the nurse practitioner</li><li>have a <a href="/Article?contentid=1600&language=English">chest X-ray</a>, <a href="/Article?contentid=1274&language=English">echocardiogram</a> (heart ultrasound), or <a href="/Article?contentid=36&language=English">blood work</a></li><li>see the dietitian or occupational therapist</li></ul><p>During the follow-up appointment, you and your child will both be able to ask questions and talk about any concerns.</p><p>Please arrive on time for your appointments, and come prepared. Appointments can sometimes be delayed, or you may need to wait for tests to be done. <a href="/Article?contentid=1162&language=English">Bring books, toys, snacks</a>, diapers and anything else you and your child need to be comfortable while you wait. Before an appointment, write down questions you may have and bring them to the clinic. If you cannot come to an appointment, call the cardiology clinic as early as possible to reschedule.</p><h2>At SickKids</h2><p>For SickKids patients, if you have any questions or concerns related to your child’s heart condition within <strong>1 week</strong> after your child is discharged from the hospital contact the 4D Cardiac Inpatient Unit at (416)- 813- 6901.</p><p>If your child has any signs of infections or you have concerns related to their heart condition <strong>within the first 4 weeks</strong> after surgery, call (416)- 813- 6901 ext. 2 and ask to speak to the Post-Operative Nurse Practitioner during regular business hours.</p><p>If you have any non-urgent questions or concerns after <strong>1 week</strong> of discharge from the hospital and you have been seen in post-operative clinic, contact your clinic nurse directly or call 4A Cardiac Clinic at (416)- 813-5848 during regular business hours. You may also leave a message after hours.</p><img alt="" src="https://assets.aboutkidshealth.ca/AKHAssets/after_heart_surgery_caring_for_your_child.jpg" style="BORDER:0px solid;" />https://assets.aboutkidshealth.ca/AKHAssets/after_heart_surgery_caring_for_your_child.jpgAfter heart surgery: Caring for your childFalse