AVSD Repair
Clinical Procedure
 
Aliases:
Atrioventricular septal defect repair
AVSD surgery

Topic aliases are alternate phrasings for a particular topic.


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Considerations as for patient with AVSD, paediatric cardiac-surgery, and paediatric cpb

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Radial arterial where possible.

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This patient population is known to be difficult for inserting radial arterial-lines.

Abnormally small and absent radial arteries were found in 16% of this series of patients with trisomy 21 (common in patients with AVSD) and congenital heart-disease and 11% of those without congenital heart-disease.

Archives of Disease in Childhood, 1986, 61, 885-890
adc.bmj.com/content/61/9/...

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Suction the ETT coming off bypass.
Pulmonary overcirculation is common in this group resulting in atelectasis and build up of pulmonary secretions.
#IS

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complete heart-block is common following AVSD repair.

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Consider administering cryoprecipitate on spec coming off bypass. (After MUF )

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Have a low threshold for administering platelets coming off bypass.

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