Pediatric emergency medicine trisk 2463 2463
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FIGURE 96.1 Congenital heart disease screening algorithm. (Reproduced with permission
from Kemper AR, Mahle WT, Martin GR, et al. Strategies for implementing screening for
critical congenital heart disease. Pediatrics 2011;128(5):e1259–1267. Copyright © 2011
American Academy of Pediatrics.)
Supplemental oxygen should be administered to infants with suspected or
confirmed respiratory disease. Hypoxic premature infants with lung disease
should be administered oxygen judiciously, particularly if they have not corrected
to term gestation. Hyperoxia is associated with retinopathy of prematurity,
increased risk of pneumonia, and exacerbations of chronic lung disease. Target
saturations for this population should be discussed with a neonatologist.
Similarly, oxygen administration to infants with CHD can alter pulmonary
