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Management of hypercyanotic attacks

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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The content herein is provided for informational purposes and does not replace the need to apply professional clinical judgement when diagnosing or treating any medical condition. A licensed medical practitioner should be consulted for diagnosis and treatment of any and all medical conditions.

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