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Care of the Pediatric Patient with a Congenital Heart Defect

This course is designed to assist the neonatal-pediatric healthcare provider in performing patient assessment, gathering appropriate information, and using pertinent clinical information to make clinical decisions in the treatment of infants and children with congenital heart defects.

Successful completion of this course requires passing the post-course with a score of 70% or higher.

This course was developed in partnership with Duke Pediatric Critical Care.

Dr. Cheifetz discloses a relationship with Philips (medical advisor). None of the other faculty or planning committee have relationships to disclose.

This course was sponsored in part by an unrestricted educational grant from Draeger, Inc.

**Please note that all programs require the participant to view the entire program prior to taking the final quiz and obtaining a course certificate.**
2023

Approved for 5.00 CRCE Hours.

SEMINAR OBJECTIVES


Discuss the prevalence and incidence of congenital heart defects in the United States
Explain the differences between fetal cardiac anatomy/blood flow pattern to that of the adult (post-fetal transition)
Identify pertinent patient assessment outcomes that indicate potential congenital heart defect in the neonatal patient
Recommend diagnostic tests to detect a congenital heart defect in the neonatal population
Describe the pathophysiology of various shunts
Identify common lesions
Identify physical signs and symptoms associated with CHD
Recommend diagnostic tests to confirm CHD
List treatment options, both surgical and non-surgical
Discuss post-surgical and long-term expectations for clinical interventions and outcomes for the patient with a congenital heart defect
Describe the indications and effects of mechanical ventilation on right and left heart function and on the pulmonary vasculature in the healthy heart and on the heart with a lesion
Discuss the indications and implication of supplemental oxygen on the clinical outcomes for patients with various lesions
Discuss the indications and implications of subambient oxygen on the clinical outcomes for patients various lesions

CHAPTERS

Cardiorespiratory Interactions: The Heart-Lung Connection

At the end of this presentation, the learner will be able to:

Describe the indications and effects of mechanical ventilation on right and left heart function and on the pulmonary vasculature in the healthy heart and on the heart with a lesion
Discuss the indications and implication of supplemental oxygen on the clinical outcomes for patients with various lesions
Discuss the indications and implications of subambient oxygen on the clinical outcomes for patients various lesions

This video is approximately 34 minutes in length.


Speaker Information

Ira Cheifetz MD, FCCM, FAARC


Decreased Pulmonary Blood Flow (Right-to-Left Shunt)

At the end of this presentation, the learner will be able to:

Describe the pathophysiology of the right-to-left shunt
Identify common lesions that create decreased pulmonary blood flow
Identify physical signs and symptoms associated with CHD with decreased pulmonary blood flow
Recommend diagnostic tests to confirm CHD with decreased pulmonary blood flow
List treatment options, both surgical and non-surgical, for the patient with these types of lesions
Discuss post-surgical and long-term expectations for clinical interventions and outcomes for the patient with these types of lesions

This video is approximately 59 minutes in length.


Speaker Information

Michael Camitta MD


Increased Pulmonary Blood Flow (Left-to-Right Shunt)

At the end of this presentation, the learner will be able to:

Describe the pathophysiology of the left-to-right shunt
Identify common lesions that create increased pulmonary blood flow
Identify physical signs and symptoms associated with CHD with increased pulmonary blood flow
Recommend diagnostic tests to confirm CHD with increased pulmonary blood flow
List treatment options, both surgical and non-surgical, for the patient with these types of lesions
Discuss post-surgical and long-term expectations for clinical interventions and outcomes for the patient with these types of lesions

This video is approximately 1 hour and 4 minutes in length.


Speaker Information

Christoph Hornik MD, MPH


Introduction to Congenital Heart Defects

At the end of this presentation, the learner will be able to:

Discuss the prevalence and incidence of congenital heart defects in the United States
Explain the differences between fetal cardiac anatomy/blood flow pattern to that of the adult (post-fetal transition)
Identify pertinent patient assessment outcomes that indicate potential congenital heart defect in the neonatal patient
Recommend diagnostic tests to detect a congenital heart defect in the neonatal population

This video is approximately 32 minutes in length.


Speaker Information

Travis Vesel MD, FCCM


Left Side Obstructive Lesions

At the end of this presentation, the learner will be able to:

Describe the pathophysiology of the obstructions
Identify common lesions that create obstructed pulmonary blood flow
Identify physical signs and symptoms associated with CHD with obstructed pulmonary blood flow
Recommend diagnostic tests to confirm CHD with obstructed pulmonary blood flow
List treatment options, both surgical and non-surgical, for the patient with these types of lesions
Discuss post-surgical and long-term expectations for clinical interventions and outcomes for the patient with these types of lesions

This video is approximately 53 minutes in length.


Speaker Information

Jon Meliones MD, MS, FCCM


Mixed Pulmonary Blood Flow

At the end of this presentation, the learner will be able to:

Describe the pathophysiology of the shunt
Identify common lesions that create mixed pulmonary blood flow
Identify physical signs and symptoms associated with CHD with mixed pulmonary blood flow
Recommend diagnostic tests to confirm CHD with mixed pulmonary blood flow
List treatment options, both surgical and non-surgical, for the patient with these types of lesions
Discuss post-surgical and long-term expectations for clinical interventions and outcomes for the patient with these types of lesions

This video is approximately 60 minutes in length.


Speaker Information

Jennifer Turi MD