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Principles of managment of a acutely cyanotic infant with a heart lesion include:
- prostaglandin E2 infusions in duct dependant lesions. Note that prostaglandin is contraindicated in total anomolous pulmonary venous return.
- supportive measures including:
- maintain temperature
- correct acidosis
- intravenous dextrose to maintain blood glucose
Transfer to a cardiac centre should be considered early in the management, but in most cases should be delayed until the child is stabilised.
Last reviewed 01/2018