4th Pediatric Infectious Diseases Conference
 
 
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Congenital Heart Disease
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Specialist Answers
Question
How knee chest positioning helps in managing cyanotic spell in TOF? What is the developmental anomaly of heart in TOF?
Answer
Children with TOF typically are born with 4 abnormalities of the heart:


Obstruction of the right ventricular outflow tract

Ventricular septal defect-VSD

Enlargement of the right ventricle

Over-riding of the ventricular septum by the aorta

Knee-to-chest position is advised in a cyanotic spell to increase peripheral vascular resistance. This reduces the right-to-left shunting at the VSD, resulting in diminished pulmonary blood flow.
 
 
 
Pedi Poll
Today's Poll
Should teicoplannin, colistin be used in case of neonatal sepsis where culture does not reveal any organism_?
No, it should be used only after drug sensitivity report
Yes, under guidance of an infectious disease expert
Educational Section
 
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