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Total Anomalous Pulmonary Venous Connection- Overview
Total anomalous pulmonary venous connection (TAPVC) is a condition in which, with or without pulmonary venous blockage, all four pulmonary veins drain into systemic veins or the right atrium. In the right atrium, systemic and pulmonary venous blood are mixed. In both foetal and newborn circulation, the presence of an atrial defect or foramen ovale (a component of the complex) is significant for left ventricular output. TAPVR and PAPVR may be detected during pregnancy, however this is less common than discovering them immediately after a baby is delivered. TAPVR babies will require surgery to correct the flaw. The severity of the child's illness and the precise design of the atypical connections between the pulmonary veins and the right atrium determine the age at which the surgery is performed. Normal blood flow through the heart will be restored as a result of the surgical TAPVR correction. In order to correct this problem, clinicians typically join the pulmonary veins to the left atrium, block any unnatural blood vessel connections, and seal the atrial septal defect. Infants with surgically corrected abnormalities may experience lifelong consequences; they are not necessarily cured. A cardiologist (a physician who specialises in the heart) will need to see a kid or adult with TAPVR on a regular basis to check on their progress, prevent problems, and assess their heart.
About the Speaker
Dr. Prabhata Rashmi
Sr. consultant & HOD of Pediatric Cardiac Surgery
Upcoming Case Discussions
Treatment of Renal Disease in ANCA Vasculitis
The treatment of renal disease in ANCA-associated vasculitis (AAV) typically involves a combination of immunosuppressive therapies to control inflammation and prevent further kidney damage. First-line treatment often includes high-dose corticosteroids and cyclophosphamide or rituximab, both of which help to induce remission by targeting the underlying immune system dysfunction. In cases of kidney failure or rapidly progressive glomerulonephritis, plasmapheresis may be used to remove circulating autoantibodies. Once remission is achieved, maintenance therapy with lower doses of immunosuppressants, such as azathioprine or mycophenolate mofetil, is used to prevent relapses and preserve kidney function.
Management of Pediatric Type 1 Diabetes
Pediatric type 1 diabetes management focuses on maintaining glycemic control while supporting normal growth. Insulin therapy, via multiple daily injections or pumps, is essential, with doses adjusted based on blood glucose monitoring or continuous glucose monitoring (CGM). Nutrition plans emphasizing carbohydrate counting and balanced meals are crucial, alongside adjustments for physical activity to prevent glucose fluctuations. Education for families on recognizing hypo- and hyperglycemia symptoms and managing sick days is vital. Regular follow-ups with a pediatric endocrinologist help monitor HbA1c levels, growth, and complications. Psychosocial support is key for ensuring adherence and addressing emotional challenges.
Rising Cardiac Arrests in Young Entrepreneurs
The increasing cases of cardiac arrests among young entrepreneurs are becoming a serious health concern. Intense stress, long working hours, unhealthy eating habits, and lack of physical activity are major contributors to heart-related issues in this group. This often leads to neglecting personal health, resulting in irregular sleep patterns and chronic fatigue. Additionally, skipping regular medical check-ups can leave underlying heart conditions undetected. Emphasizing stress management, healthy lifestyle choices, and routine health screenings is crucial to reducing this growing risk
Analytical Skills in Problem Solving
Today’s session on analytical tools and techniques in healthcare can provide valuable insights into how data-driven approaches enhance decision-making and problem-solving. Sharing personal or professional experiences where analytical skills were effectively used to address challenges can offer practical understanding and inspire learners. These skills are crucial in healthcare for accurate patient diagnosis, effective treatment planning, and efficient resource allocation. By applying analytical methods, healthcare professionals can improve patient outcomes, streamline operations, and make informed, evidence-based decisions that contribute to overall healthcare efficiency and quality.
Building Strong Interpersonal Relationships
A case discussion can highlight real-life situations where strong interpersonal relationships are essential, such as handling challenging patients or working effectively with colleagues. Sharing personal or professional experiences, or observations of successful interactions, can provide valuable insights. Emphasizing the key factors that contributed to building trust, mutual respect, and effective communication can help illustrate how strong relationships improve collaboration and patient care. This approach encourages participants to reflect on their own interactions and apply these strategies in their professional environments.