TYK212

You are providing care to a 3-day-old male who has just undergone the Arterial Switch Operation for Transposition of the Great Arteries (d-TGA). In preparation for separation from CPB, all of the following are necessary EXCEPT:

a) Core temperature > 36 oC

b) Infusion of vasoactive medications

c) Availability of blood products to address bleeding issues after separation

d) No pacemaker requirement

e) Afterload reduction

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Answer

Answer d. It is not unusual for cardiac surgical patients to require pacing to maintain AV synchrony and improved cardiac output and perfusion. The need for a pacemaker should not prevent separation from CPB.

Notes

This question originally printed in the Pediatric Anesthesiology Review Topics kindle book series, and appears courtesy of Naerthwyn Press, LLC.

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