Table 2 Critical care strategies for treatment of PH [33]
From: Down syndrome and congenital heart disease: perioperative planning and management
Encourage | Avoid |
|---|---|
1. Anatomic investigation | 1. Residual anatomic disease |
2. Right to left atrial pop off | 2. Intact atrial septum |
3. Sedation/analgesia | 3. Agitation/pain |
4. Moderate hyperventilation | 4. Respiratory acidosis |
5. Moderate alkalosis | 5. Metabolic acidosis |
6. Adequate inspired oxygen | 6. Alveolar hypoxia |
7. Normal lung volumes | 7. Atelectasis or overdistension |
8. Optimal hematocrit | 8. Excessive hematocrit |
9. Inotropic support | 9. Low output and coronary perfusion |
10. Pulmonary vasodilators | 10. Pulmonary vasoconstrictors |