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seesaw
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star
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shark
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banana
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10
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Name any procedure that increases the risk for JET
Any surgery that involves manipulation near AV node/His bundle. VSD, TOF, AVSD, Truncus, Single Vent palliation
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15
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Why is rewarming dangerous JET?
Too fast = â metabolic demand and risk for JET. Always rewarm slowly.
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trap
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star
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rocket
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lifesaver
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25
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Why are neonates more at risk?
Small size = more surgical manipulation; immature calcium handling in myocardium (sarcoplasmic reticulum - immature and can't store/release Ca).
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5
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Where does JET originate?
From the AV node or His bundle (abnormal automaticity).
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boom
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fairy
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rocket
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baam
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5
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What is JET?
A junctional tachyarrhythmia
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20
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What is AV dissociation?
The atria and ventricles are beating independentlyâP waves and QRS complexes are no longer linked.
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25
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What will you see in CVP tracing?
Cannon A waves
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10
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What type of onset and offset does JET typically have?
Gradual â has a âwarm-upâ and âcooling-downâ phase.
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15
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How can we support chronotropy?
Overdrive pacing
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15
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What sedation medication is used to help lower heart rate and reduce sympathetic tone?
Precedex
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20
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What does AV dissociation look like on ECG?
If Atach and 3rd degree linked. P waves are either absent, inverted, or marching through without a consistent PR interval.
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15
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Your patient is post-op Norwood with a Sano shunt. On arrival to the CICU, their core temperature is 34.9°C. To warm or not to warm?
High risk for JET. Plan target temp with team. 35.5-36.0. Rewarm slowely.
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seesaw
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gold
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gift
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banana
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