Aliases:
BT Shunt (BTS)
Blalock Taussig Shunt
RMBTS
LMBTS
MBT
MBT shunt

Topic aliases are alternate phrasings for a particular topic.


You cannot endorse your own point endorse endorse
Compared to a RV PA-conduit, the MBT shunt generates continuous forward flow into the pulmonary arteries, leading to diastolic runoff, coronary steal, and an increased ratio of pulmonary blood flow to systemic blood flow.

This physiological response may cause hemodynamic instability early after the Norwood procedure, as well as during the interstage period

www.nejm.org/doi/full/10....

Improve to correct grammar or spelling, but do not significantly alter the substance of the original author's text.


Cancel
attachment
Endorsed by , more...
Locksmallsmush Private
Locksmallsmush only
Locksmallsmush only


delete
own this
Feb 24, 2013
You cannot endorse your own point endorse endorse
The modified Blalock Taussig Shunt procedure involves connecting either the left pulmonary artery (acronym LMBTS) or right pulmonary artery (acronym RMBTS) to the corresponding subclavian or carotid artery with the use of a tube graft.
Image from en.m.wikipedia.org/wiki/B... showing
a. classic BTS
b. RMBTS

Improve to correct grammar or spelling, but do not significantly alter the substance of the original author's text.


Cancel
attachment
Endorsed by , more...
Locksmallsmush Private
Locksmallsmush only
Locksmallsmush only


delete
own this
Nov 22, 2012
Cancel
You cannot endorse your own point endorse endorse
The purpose of Blalock-Thomas-Taussig shunt is to increase pulmonary blood flow in patients with a duct-dependent circulation in the interim prior to a definitive (ie, anatomic) reconstruction.

Improve to correct grammar or spelling, but do not significantly alter the substance of the original author's text.


Cancel
attachment
Endorsed by , more...
Locksmallsmush Private
Locksmallsmush only
Locksmallsmush only


delete
own this
Feb 01, 2013
Cancel
1 You cannot endorse your own point endorse endorse
When inserting a central line for placement of a RMBT (right modified BT shunt), it is important to avoid inadvertantly puncturing the innominate artery as this may result in haematoma around the artery making placement of the shunt by the surgeon technically difficult.

Improve to correct grammar or spelling, but do not significantly alter the substance of the original author's text.


Cancel
attachment
Endorsed by , Pieter Peach , more...
Locksmallsmush Private
Locksmallsmush only
Locksmallsmush only


delete
own this
Jul 14, 2012
You cannot endorse your own point endorse endorse
Maintain near room air FiO2, and preoperative MAP and pCO2 when the surgeon is determining the required graft size. Sizing must be performed under as near normal physiological conditions as is possible.

Improve to correct grammar or spelling, but do not significantly alter the substance of the original author's text.


Cancel
attachment
Endorsed by , more...
Locksmallsmush Private
Locksmallsmush only
Locksmallsmush only


delete
own this
Dec 24, 2012
Cancel
You cannot endorse your own point endorse endorse
Place the arterial line on the side opposite the planned BTS to obtain a value that better reflects cerebral perfusion-pressure

Improve to correct grammar or spelling, but do not significantly alter the substance of the original author's text.


Cancel
attachment
Endorsed by , more...
Locksmallsmush Private
Locksmallsmush only
Locksmallsmush only


delete
own this
Feb 22, 2013
Download attachment
Cancel
You cannot endorse your own point endorse endorse
Recombinant factor-viia may thrombose gortex shunts. Consider this risk if needing to use it.

Improve to correct grammar or spelling, but do not significantly alter the substance of the original author's text.


Cancel
attachment
Endorsed by , more...
Locksmallsmush Private
Locksmallsmush only
Locksmallsmush only


delete
own this
Nov 22, 2012
You cannot endorse your own point endorse endorse
Tranexamic acid may increase the risk of shunt thrombosis in small diameter shunts. Consider this risk when deciding to use it .
#ref

Improve to correct grammar or spelling, but do not significantly alter the substance of the original author's text.


Cancel
attachment
Endorsed by , more...
Locksmallsmush Private
Locksmallsmush only
Locksmallsmush only


delete
own this
Dec 12, 2012
You cannot endorse your own point endorse endorse
The surgeon may ask for heparin for the brief aortic cross clamping required to anastamose the shunt to the aorta.

Improve to correct grammar or spelling, but do not significantly alter the substance of the original author's text.


Cancel
attachment
Endorsed by , more...
Locksmallsmush Private
Locksmallsmush only
Locksmallsmush only


delete
own this
Dec 19, 2012
Cancel
You cannot endorse your own point endorse endorse
Consider aiming for a high normal haemaglobin (>140 g/dL) coming off the table in neonates and infants undergoing a shunt. A low viscosity state may result in excessive flow through the new shunt (which is already oversized to allow the infant to grow into it) #IS

Improve to correct grammar or spelling, but do not significantly alter the substance of the original author's text.


Cancel
attachment
Endorsed by , more...
Locksmallsmush Private
Locksmallsmush only
Locksmallsmush only


delete
own this
Jul 17, 2012
Download attachment
Cancel
You cannot endorse your own point endorse endorse
Postoperative ventilation is recommended for 12–24 hours after a BT shunt because of the risk of developing post procedure pulmonary edema.
Andropolous p343

Improve to correct grammar or spelling, but do not significantly alter the substance of the original author's text.


Cancel
attachment
Locksmallsmush Private
Locksmallsmush only
Locksmallsmush only


delete
own this
Mar 06, 2013
Cancel
0
Video
0
Other