Treatment of Tetralogy of Fallot hypoxic spell with intranasal fentanyl Academic Article uri icon

Overview

MeSH Major

  • Analgesics, Opioid
  • Fentanyl
  • Hypoxia
  • Tetralogy of Fallot

abstract

  • We present the case of a 3-month-old girl who had unrepaired Tetralogy of Fallot who presented to the emergency department with an acute hypoxic episode. The patient was hyperpneic and cyanotic, with an initial oxygen saturation of 56%. She did not respond to knee-to-chest positioning. A single dose of intranasal fentanyl was administered with subsequent resolution of her symptoms and improvement of her oxygen saturation to 78% within 10 minutes. To our knowledge, this is the first report of the successful treatment of a hypoxic episode of Tetralogy of Fallot using intranasal fentanyl.

publication date

  • January 2014

Research

keywords

  • Academic Article

Identity

Language

  • eng

Digital Object Identifier (DOI)

  • 10.1542/peds.2013-3183

PubMed ID

  • 24936003

Additional Document Info

start page

  • e266

end page

  • 9

volume

  • 134

number

  • 1