MANAGEMENT OF PULMONARY OVER-FLOW
{"Image DocumentName": "MANAGEMENT OF PULMONARY OVER-FLOW", "Image ImageDescription": "Often difficult. More common if PDA is present & may resolve as the duct closes. In immediate post-op period or later when ventilation is weaned. Diagnosis: \uf0e1SaO2, \uf0e2 SvO2 & increasing lactate /BD. Widening toe - core temperature gap. CXR- oedematous lungs. ECG changes due to ischaemia from low diastolic BP (more severe cases) Signs of right heart failure (late sign) Treatment: Mild form : fluid restriction and diuretics. More severe form : manipulate PVR and SVR ( \uf0e1 PVR/\uf0e2 SVR) If ECG changes are present - emergency. May occur with low cardiac output state - inotropes may be required. The shunt may need to be clipped/banded /redone.", "Image XResolution": "37", "Image YResolution": "37", "Image ResolutionUnit": "Pixels/Centimeter", "Image Software": "SlidePlayer", "Image YCbCrPositioning": "Centered"}