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<< Congenital Heart Disease In Pediatric Patients: Recognizing The Undiagnosed And Managing Complications In The Emergency Department

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Oxygen In Congenital Heart Disease

Most emergency clinicians instinctively provide supplemental oxygen in the setting of hypoxia or critical illness, and it is often an important adjunct to improve oxygen delivery to critical organs and tissues. In the setting of CHD, however, it is important to be aware of the fact that oxygen is a medication with powerful vasodilatory effects on the pulmonary vasculature. In complex CHD, undiagnosed or palliated, the balance between pulmonary and systemic vascular circulation through anomalous or surgically created shunts or conduits depends on the relative pulmonary and systemic vascular resistance.19,65,72 

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Last Modified: 09/22/2017
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