Arrhythmias

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Prevalence of postoperative arrhythmia: 15-48% At risk: young age, low body weight, long CPB time, complex surgery, presence of residual defects Prevalence of postoperative arrhythmia is up to 50% Haemodynamic impairment in >50% Aggressive treatment in >50% required Most common is sinus bradycardia with/without junctional escape; then premature complexes; then supraventricular tachycardia; then AV block;…

Doing nothing is sometimes hard

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It's 6.30pm in a busy children's Emergency Department. Archie, 19 months, presents with his mother and grand-father. At triage his mother say he hasn't been well for a couple of days but today he has gone off his food and has had a high temperature.

Baby Tim's Cries

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Baby Tim is 3 months-old and has been crying inconsolably.  His exhausted mother has brought him into the emergency department at one in the morning desperate for help.