The sick neonate with cardiac disease

Research output: Contribution to journalArticlepeer-review

Abstract

The approach to the infant with a cardiac emergency begins with identification of the unstable or critically ill child and proceeds rapidly into stabilization and provision of immediate therapies. Support of oxygenation, ventilation, and circulation will precede identification of specific cardiac lesions. The emergency clinician can use clinical findings, chest x-ray, and electrocardiographic information to plan emergent intervention. Infants in the first days of life who present with circulatory collapse secondary to obstruction of pulmonary or systemic blood flow (ductus dependent) conditions can be stabilized with prostaglandin E infusion. The more common presentation of cardiac disease in the first month of life is congestive heart failure. Infants with congestive heart failure require respiratory support, careful fluid management, and inotropic support.

Original languageEnglish (US)
Pages (from-to)301-312
Number of pages12
JournalClinical Pediatric Emergency Medicine
Volume12
Issue number4
DOIs
StatePublished - Dec 1 2011

Keywords

  • Congenital heart disease
  • Prostaglandin

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Emergency Medicine

Fingerprint Dive into the research topics of 'The sick neonate with cardiac disease'. Together they form a unique fingerprint.

Cite this