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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
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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
Drepturi de autor:
Attribution Non-Commercial (BY-NC)
Formate disponibile
Descărcați ca DOC, PDF, TXT sau citiți online pe 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