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TOF, obst

• 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

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