cchd_flashcards
What conditions are included in Congenital Cyanotic Heart Disease?
Transposition of great arteries, Tricuspid atresia, Tetralogy of Fallot.
What is the initial management for stabilizing the airway and breathing in congenital cyanotic heart disease?
Intubate if indicated, consider hyperoxia test, start 10 minutes 100% oxygen. If SpO2 persistently low, likely congenital cyanotic heart disease (or primary pulmonary pathology). Supplemental oxygen to maintain saturations 75-85%.
What is the initial circulation management for congenital cyanotic heart disease?
Gain access: site 2 IV cannulae or consider placing umbilical vein/artery catheter (UVC/UAC). 10ml/kg crystalloid bolus (maximum 30ml/kg) for hypotension. Give adrenaline for resistant hypotension.
How is duct patency maintained in congenital cyanotic heart disease?
Start prostaglandin E1 infusion. Most infants with cyanotic heart disease presenting in the first week of life are duct-dependent.
What are the side effects of prostaglandins?
Apnoea, hypoglycaemia (jitteriness, flushing), seizures, vasodilation, hypotension, fever.
What should be checked regularly in the management of congenital cyanotic heart disease?
Blood glucose levels.
