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3. 48 MANAGEMENT OF HYPERCYANOTIC SPELLS IN CHILDREN WITH TETRALOGY OF . . . Ongoing spells after these interventions are unusual but the recommendation would be then to escalate to IV phenylephrine or IV propranolol following specialist advice The flow chart below summarises the emergency management of hypercyanotic spells:
Hypercyanotic Spell - Management - Pediatric EM Morsels Don’t only occur in patients with Tetralogy of Fallot Can be in other cyanotic heart lesions with VSD and decreased pulmonary blood flow Recall that with VSD and pulmonary artery stenosis, PBF will be affected by pulmonary vascular resistance (PVR) and systemic vascular resistence (SVR)
Tetralogy of Fallot - Seattle Childrens Some babies with tetralogy of Fallot have episodes called tet spells, when they suddenly turn bluish and may faint These spells are serious A tet spell may be caused by activities that change the pressure in your baby’s heart and increase the flow of oxygen-poor blood to their body
Tetralogy spells (tet spells) - Children’s Health Queensland Children who have heart conditions such as Tetralogy of fallot are most likely to experience a tet spell During a tet spell it becomes harder for the heart to pump blood into the lungs
Tetralogy of Fallot - Pediatrics - Merck Manual Professional Edition In some children with unrepaired tetralogy of Fallot, most often those several months up to 2 years of age, sudden episodes of profound cyanosis and hypoxia (hypercyanotic or "tet" spells) may occur, which may be lethal
Hypercyanotic episodes in tetralogy of fallot, paediatrics (534) To provide a guideline for the recognition and management of paediatric hypercyanotic episodes This guideline is intended for all healthcare professionals involved in the care of paediatric patients with congenital heart disease susceptible to hypercyanotic episodes
Cyanotic spells (blue spells) in tetralogy of fallot Children with TOF may have a period where they become irritable with uncontrolled crying, have rapid and deep breathing and become very blue or pale grey and floppy This is called a hypercyanotic episode or ‘spell’ During a spell, blood flow to the lungs is severely decreased
Tetralogy of Fallot - Symptoms and causes - Mayo Clinic These episodes are called tet spells Tet spells are caused by a rapid drop in the amount of oxygen in the blood They are most common in young infants, around 2 to 4 months old Tet spells may be less noticeable in toddlers and older children That's because they typically squat when they're short of breath Squatting sends more blood to the
Tetralogy of Fallot (TOF) - Stanford Medicine Childrens Health What are the symptoms of tetralogy of Fallot? Symptoms can show up a bit differently in each child The most common symptom is a bluish color of the skin, lips, and nail beds This may come on in sudden spells, called TET spells It happens when blood oxygen level drops quickly During the spell, babies may have a hard time breathing
Patient, parent or visitor While medical intervention is indicated, many episodes are self-limiting Those involved in the care of a child with Tetralogy of Fallot should be familiar with a spell's presentation and early management