Fallot Tetralojisi-2 (İkinci Kısım Devamı) (TOF)-İMAEH Zoom Dersleri-15
Автор: Pediatrik Kardiyoloji
Загружено: 2023-11-03
Просмотров: 653
Neonates with severe right ventricle outflow obstruction presenting with profound hypoxemia and cyanosis may need prostaglandin therapy to maintain ductal patency and pulmonary flow before surgical repair. Tet spells require a rapid and aggressive approach including positioning (knee-chest) to increase systemic vascular resistance, oxygen therapy to cause pulmonary vasodilation and systemic vasoconstriction, intravenous fluid bolus to improve the right ventricle filling and pulmonary flow; morphine, intravenous beta-blockers to help improve the right ventricle outflow obstruction by relaxing the muscle, and intravenous phenylephrine to increase systemic afterload. (https://www.ncbi.nlm.nih.gov/books/NB...)
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