Congenital Cardiac Disease
Intro and technique
Considerations
Preparation
Tetralogy of Fallot:
- β-blockade
- Predmedication
- Drink
Minimise fasting time to maintain preload. - Place 1st on list
Induction
Tetralogy of Fallot:
- IV fluid
- α-agonists available
- Esmolol available
Requiring it is a bad sign.
Restrictive VSD:
- Hypoxia is predominantly an A+B problem
- Reversal of a left to right shunt is rare
- Keep PVR ↑ to ↓ pulmonary overflow and maintain left heart output