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Management of hypercyanotic attacks

Last reviewed dd mmm yyyy. Last edited dd mmm yyyy

Authoring team

Management involves:

  • placing the child with the knees against the chest
  • oxygen
  • morphine for analgesia
  • Beta-blockers may be used to reduce infundibular spasm
  • bicarbonate may be used to correct the acidosis
  • avoid agitating the child

Early surgery is indicated if there are hypercyanotic attacks.

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