A newborn male, normal at bih staed developing cyanosis. On auscultation a continuous murmur was audible. The child was put on supplemental oxygen but no improvement was noted rather the oxygen saturation of the neonate kept falling fuher. Pediatrician on call made a provisional diagnosis of a Duct dependant lesion. What is the next line of management?
Image shows a cyanosed child. An infant or a newborn with CHD that is dependent on the patency of the ductus aeriosus for survival can be termed as having a duct-dependent lesion. Neonates with duct-dependent physiology require prostaglandin El (PGEl) for survival. Early recognition of a duct-dependent situation allows early initiation of PGEl and stabilization until definitive procedure is accomplished
Administer prostaglandin inhibitor
Administer PGG2
Administer PGE1
Take the baby to OR immediately for surgical management of the defect
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