Cyanotic Congenital Cardiac Defects: Diagnosis and Therapy

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.
