Current Concepts in Pediatric Critical Care-13: Pediatric Pulmonary Hypertension Management: An Update

Video Transcription

Video Summary

The video is a presentation by Dr. Corey Charton, an assistant professor of pediatrics in the Division of Critical Care Medicine and Pulmonary Medicine at Baylor College of Medicine. He provides an update on pediatric pulmonary hypertension (PH) management. He discusses the definition of PH, classifications, pathobiology, and therapeutic implications. Dr. Charton explains the importance of understanding the hemodynamic, structural, and functional implications of PH. He also discusses the physics involved in PH, including Ohm's law and Poiseuille's law. Dr. Charton highlights the management goals for PH, including preventing and treating vasoconstriction, supporting the right ventricle, and treating the underlying condition. He also discusses the recognition and treatment of acute PH crises. Dr. Charton reviews the different medications used in PH management, such as sildenafil, endothelin receptor antagonists, and prostacyclins. He discusses the dosing, side effects, and survival rates associated with these medications. Lastly, Dr. Charton discusses surgical and interventional therapies, such as atrial septostomy and the creation of potential right-to-left communication. He also mentions ECMO as a bridge to therapy or transplant.

Asset Caption

Corey Chartan, MD

Keywords

pediatric pulmonary hypertension

Dr. Corey Charton

PH management

hemodynamics

vasoconstriction

sildenafil

atrial septostomy

ECMO

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