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Cyanotic Congenital Cardiac Defects: Diagnosis and Therapy

Listen to Dr. Thomas Kulik review the physiological causes of cyanosis in the newborn, explain the pathophysiolgoy of some of the most common cyanotic congenital cardiac defects, review diagnostic considerations for these conditions, and describe some therapeutic management strategies.

Released:

March 8, 2016

Audience:

Physicians, Emergency Medical Technicians, Paramedics

Learning Objectives
  • Identify intubation equipment and airway support resources required when managing infants with cyanotic congenital heart disease and life‑threatening hypoxemia

  • Explain how cyanotic cardiac physiology and oxygen delivery considerations influence the decision to prepare for endotracheal intubation and mechanical ventilation

  • Apply appropriate airway preparation and ventilatory support planning for infants at risk of apnea or respiratory failure during medical stabilization or transport

  • Analyze clinical and physiologic factors to determine when escalation to intubation and advanced airway equipment is indicated in cyanotic infants

  • Evaluate the risks and benefits of intubation, mechanical ventilation, and supportive airway equipment in infants with ductal‑dependent cardiac lesions

Author(s)

Thomas Kulik, MD

Interim Chief and Director of Cardiovascular Critical Care | Boston Children's Hospital

Attending, Cardiac Intensive Care Unit/Cardiac Inpatient Unit | Boston Children's Hospital

Director of the Pulmonary Hypertension Program | Boston Children's Hospital

Associate Professor of Pediatrics | Harvard Medical School

Senior Associate in Cardiology | Harvard Medical School

Director of the Division, Cardiology | Cincinnati Children’s Medical Center 

Associate Chair of Clinical Affairs | University of Michigan

Interim Chair of the Department of Pediatrics | Univeristy of Michigan

Amnon Rosenthal Professor, Pediatrics and Communicable Diseases | University of Michigan

Professor, Pediatrics and Communicable Diseases | University of Michigan

Director, Pediatric Cardiothoracic Intensive Care Unit, Division of Pediatric Cardiology | University of Michigan

Attending, Department of Cardiology | Intensive Care Unit | Boston Children’s Hospital


Traci Wolbrink, MD, MPH

Co-Director, OPENPediatrics; Co-Director, Center for Educational Excellence and Innovation; Program Director, Pediatric Critical Care Medicine Fellowship; Senior Associate in Critical Care Medicine | Boston Children’s Hospital

Associate Professor of Anaesthesia | Harvard Medical School


Aleksandra E. Olszewski, MD
Physician, Assistant Professor of Critical Care Medicine and Pediatrics, Department of Critical Care Medicine | UPMC Children's Hospital of Pittsburgh


Lisa DelSignore, MD

Associate Professor, Fellowship Program Director, Pediatric Critical Care Medicine | Yale University

Citation

Kulik T, Olszewski AE, DelSignore L, Wolbrink TA. Cyanotic Congenital Cardiac Defects: Diagnosis and Therapy. 3/2016. Online Video. OPENPediatrics. https://learn.openpediatrics.org/learn/course/internal/view/elearning/3112/cyanotic-congenital-cardiac-defects-diagnosis-and-therapy.

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