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Tetralogy of Fallot — RACP Paediatrics MCQ

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ModerateCardiologyTetralogy of FallotRACP Paediatrics

A neonate with Tetralogy of Fallot has a hypercyanotic spell. He becomes deeply cyanotic and hyperpnoeic. What is the immediate first-line management?

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Correct answer: A — Knee-to-chest positioning, oxygen, and morphine

Tet spells are managed initially with calming, knee-to-chest positioning (increases SVR), high-flow oxygen, and IV morphine.

Reference: RCH Melbourne – 2024 – Clinical Practice Guidelines: Tetralogy of Fallot