ECMO-/ECLS

repeated as necessary (if still on 20ppm, repeat once a day). MetHb levels are not required once below 5 PPM. If a baby never ha ...

conjunction with vasopressor agents. Milrinone works synergistically with inhaled prostacyclin in the same signaling axis. ECMO: ...

OXYGENATION INDEX: MAP x FIO2 PaO2 ...

Chapter 19 CARDIOLOGY BASICS Marjorie J. Arca, MD There are several reasons why a pediatric heart may require support. When look ...

triggered by a premature beat. Automaticity is a function of phase and depolarization ectopic activity, action potential. Slow r ...

is fixed. Adenosine 50-200 mg/kg is the first agent. Magnesium (25-50 mg/kg up to 2 grams) may also be used. Post operative junc ...

(^) Sensed by (^) Juxtoglomecular Cells in Macula Densa of Kidney Renin release Vasoconstriction Angiotensingen Renin Angiotensi ...

Loop diuretics – can be useful to achieve euvolemic state but must be used judiciously in patients who may need elevated filling ...

Pediatric CPR delivered with arrest is associated with 60% return of spontaneous circulation. 27% of the pool of patients are ab ...

Cerebral protection should be achieved by normalizing BP, avoiding hyperglycemia and avoidance of hyperthermia. There is a curre ...

Atrial septal dejects (ASD): Most ASD’s have left to right shunt and may present with right ventricular volume overload. Other l ...

OBSTRUCTIVE CARDIAC LESIONS Tetralogy of Fallot (TOF) is an eponym for a large VSD, dynamic right ventricular outflow tract obst ...

such as captopril and enalapril. Diastolic hypertension is more pronounced and spasm of the mesenteric arteries can be seen. DUC ...

Mixing of blood in Single Ventricle Physiology can occur at three levels:  Atrial level mixing (PFO, ASD) o At times, this must ...

o Examples include:  Tricuspid Atresia  Pulmonary Atresia  Tetralogy of Fallot with Pulmonary Atresia  Severe Ebstein’s Anom ...

Qp/Qs Qp/Qs describes the ratio of pulmonary and systemic blood flow in single ventricle physiology. The portion of total cardia ...

Thus, if your pulse ox is 75%, your Qp/Qs is roughly 1, if your pulse ox is 80%, your Qp/Qs is roughly 1.25, if your pulse ox is ...

 Vasodilation and capillary leak  Hypotension  Jitteriness  Temperature elevation  Hypocalcemia  Inhibition of platelet ag ...

Caffeine can be given (10mg/kg caffeine base load, followed by 5 mg/kg daily dose) in an attempt to reduce the prostaglandin ind ...

MONITORING OF DUCTAL DEPENDENT LESIONS IN THE NICU All newborns with ductal dependent cardiac defects requiring prostaglandin in ...