Year: 2016 | Month: November | Volume: 6 | Issue: 11 | Pages: 250-253
Emergency Management of Critical CHD in Limited Resource Settings
Puneet Anand, Anuj Dhyani
ESI Medical College, Faridabad.
Corresponding Author: Anuj Dhyani
Critical congenital heart disease (CCHD) is defined as lesions that are ductal dependant and/or require surgical or catheter intervention in neonatal period. The incidence of congenital heart disease is estimated to be 8-10 per 1000 live births and one third to half of these CHD are critical CHD, requiring urgent intervention. Considering high number of births in India, the need to diagnose and manage such newborns gains importance. Newborn with CCHD are apparently well at birth. Thorough Physical examination at birth does not provide any additional helpful information, as many normal newborns at birth may have murmurs, and many critical CHD may not have any murmur. Not many hospitals in developing countries like India have access to pediatric cardio surgeon. The article reviews management and issues in children with critical CHD in limited resource settings.
Key words: critical CHD, ductal dependent heart disease, prostaglandin, pulse oximetry screening.