Master Teacher Series: Lessons Learned in Pediatric Cardiac

Learning Objectives
Recall foundational physiologic principles—especially the alveolar gas equation—that govern oxygenation and ventilation in critically ill pediatric cardiac patients
Explain how hypoventilation, rather than intrinsic lung disease, is a common cause of hypoxemia in sedated or intubated children with congenital heart disease
Apply airway and ventilation strategies that minimize harm in patients with fragile cardiac physiology (e.g., Tetralogy of Fallot, HLHS/Norwood, Glenn, Fontan, cardiomyopathy)
Analyze cyanosis, hypoxemia, and hemodynamic deterioration to distinguish airway problems from circulatory or shunt‑related causes
Evaluate safe approaches to airway management, suctioning, oxygen delivery, ventilation, and intubation in patients with low cardiac output or passive pulmonary blood flow
Author(s)
David Wessel, MD
Professior, Anesthesiology & Critical Care Medicine | Children's National Hospital
Lisa DelSignore, MD
Associate Professor, Fellowship Program Director, Pediatric Critical Care Medicine | Yale University
Jefferey Burns, MD, MPH
Assoc. Chief Medical Officer, Critical Care Services; Shapiro Chair in Critical Care Medicine, Division of Critical Care MedicineDirector, OPENPediatrics; Sr. Assoc. in Critical Care Medicine; Department of Anesthesiology, Critical Care & Pain Medicine | Boston Children's Hospital
Professor of Anesthesia | Harvard Medical School
Citation
Wessel D, DelSignore L, Burns JP. Master Teacher Series: Lessons Learned in Pediatric Cardiac Intensive Care. 5/2016. Online Video. OPENPediatrics. https://learn.openpediatrics.org/learn/course/internal/view/elearning/3162/master-teacher-series-lessons-learned-in-pediatric-cardiac-intensive-care.
