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from Section 9 - Paediatric Care
Published online by Cambridge University Press: 27 July 2023
Key Learning Points
1. Up to one-third of neonates with congenital heart disease will be discharged without a diagnosis.
2. Infants with congenital heart disease can present critically unwell in infancy.
3. Maintaining ductal patency with prostaglandin can be lifesaving in children with duct-dependent congenital heart disease.
4. Children undergoing staged single-ventricle palliation are at increased risk of death, and stabilisation requires some understanding of their underlying anatomy and physiology.
5. Children presenting with cardiogenic shock secondary to cardiomyopathy and myocarditis can be difficult to differentiate from children with septic shock. Initial management is supportive, aimed at maintaining adequate oxygen delivery.
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