Question of the Week 438

{“questions”:{“e334j”:{“id”:”e334j”,”mediaType”:”image”,”answerType”:”text”,”imageCredit”:””,”image”:””,”imageId”:””,”video”:””,”imagePlaceholder”:””,”imagePlaceholderId”:””,”title”:”Author: Meera Gangadharan MD, FASA, FAAP – Children\u2019s Memorial Hermann Hospital\/McGovern Medical School, Houston, TX \r\n\r\nA 15-month-old female with hypoplastic left heart syndrome, with borderline left heart structures, has been palliated with a bidirectional Glenn and is being considered for biventricular conversion. Her preoperative echocardiogram demonstrates severe endocardial fibroelastosis (EFE) of the left ventricle. What […]

Question of the Week 437

{“questions”:{“buizk”:{“id”:”buizk”,”mediaType”:”image”,”answerType”:”text”,”imageCredit”:””,”image”:””,”imageId”:””,”video”:””,”imagePlaceholder”:””,”imagePlaceholderId”:””,”title”:”Author: Sana Ullah, MB ChB, FRCA \u2013 Dallas, TX \r\n\r\nAn 8-month-old male infant is status post repair of a large perimembranous ventricular septal defect (VSD). After separation from cardiopulmonary bypass, the patient has the following vital signs: heart rate 130, blood pressure 80\/45, and pulse oximetry 99% with a fractional inspired oxygen (FiO2) of 0.25. […]

Question of the Week 436

{“questions”:{“mil6y”:{“id”:”mil6y”,”mediaType”:”image”,”answerType”:”text”,”imageCredit”:””,”image”:””,”imageId”:””,”video”:””,”imagePlaceholder”:””,”imagePlaceholderId”:””,”title”:”Author: Meera Gangadharan, MD, FASA, FAAP – University of Texas at Houston, McGovern Medical School, Children\u2019s Memorial Hermann Hospital \r\n\r\nA 5-year-old male with a history of Tetralogy of Fallot presents for revision of a right ventricle to pulmonary artery conduit. A multi-modal plan for post-operative pain control includes regional anesthesia. Which of the following regional […]

Question of the Week 435

{“questions”:{“d7guh”:{“id”:”d7guh”,”mediaType”:”image”,”answerType”:”text”,”imageCredit”:””,”image”:””,”imageId”:””,”video”:””,”imagePlaceholder”:””,”imagePlaceholderId”:””,”title”:”Author: Meera Gangadharan, MD, FASA, FAAP – University of Texas at Houston \r\n\r\nA four-year-old male presents for computed tomography of the brain due to a history of seizures in setting of playing soccer. During inhalational induction, the patient becomes fearful and anxious with a heart rate of 190. Within seconds, there is an abrupt change […]

Question of the Week 434

{“questions”:{“3b0vg”:{“id”:”3b0vg”,”mediaType”:”image”,”answerType”:”text”,”imageCredit”:””,”image”:””,”imageId”:””,”video”:””,”imagePlaceholder”:””,”imagePlaceholderId”:””,”title”:”Author: Meera Gangadharan, MD, FASA, FAAP – University of Texas at Houston \r\n\r\nA neonate presents with cyanosis, tachypnea, and poor oral intake. Vital signs are HR 180, BP 60\/40, RR 64, SpO2 75% in room air. A transthoracic echocardiogram demonstrates severe right atrial enlargement, severely depressed right ventricular function with moderate tricuspid regurgitation and leaflets […]