0 valutazioniIl 0% ha trovato utile questo documento (0 voti)
28 visualizzazioni1 pagina
TOF may have a residual or recur VSD, or pul outflow tract obstruction All TOF need Echo for that reason 12-ECG - may have arrhythmias, or conduction abnormality after the repair So for residual defect manage as TOF hemodynamic Goals: o preloado R / R - slightly maintain sinus o Cont - maintain, or slightly o afterloadmaintain, avoid sudden in SVR No spinal early epidural is desirable, may PVR Consider
TOF may have a residual or recur VSD, or pul outflow tract obstruction All TOF need Echo for that reason 12-ECG - may have arrhythmias, or conduction abnormality after the repair So for residual defect manage as TOF hemodynamic Goals: o preloado R / R - slightly maintain sinus o Cont - maintain, or slightly o afterloadmaintain, avoid sudden in SVR No spinal early epidural is desirable, may PVR Consider
Copyright:
Attribution Non-Commercial (BY-NC)
Formati disponibili
Scarica in formato DOC, PDF, TXT o leggi online su Scribd
TOF may have a residual or recur VSD, or pul outflow tract obstruction All TOF need Echo for that reason 12-ECG - may have arrhythmias, or conduction abnormality after the repair So for residual defect manage as TOF hemodynamic Goals: o preloado R / R - slightly maintain sinus o Cont - maintain, or slightly o afterloadmaintain, avoid sudden in SVR No spinal early epidural is desirable, may PVR Consider
Copyright:
Attribution Non-Commercial (BY-NC)
Formati disponibili
Scarica in formato DOC, PDF, TXT o leggi online su Scribd
• Corrected TOF, not ↑ risk, and no special precautions
• May have a residual or recur VSD, or ↑ pul outflow tract obstruction • All TOF need Echo for that reason • 12-ECG → may have arrhythmias, or conduction abnormality after the repair • So for residual defect manage as TOF • hemodynamic Goals: o preload→ ↑ o R/R → slightly ↓ maintain sinus o Cont → maintain, or slightly ↓ o Afterload→ maintain, avoid sudden ↓ in SVR • No spinal • early epidural is desirable, may ↓ PVR • Consider art-line