A newborn male, normal at bih staed developing cyanosis. On auscultation a continuous murmur was audible. The child was put on supplemental oxygen but no improvement was noted rather the oxygen saturation of the neonate kept falling fuher. Pediatrician on call made a provisional diagnosis of a Duct dependant lesion. What is the next line of management?: (A) Administer prostaglandin inhibitor, (B) Administer PGG2, (C) Administer PGE1, (D) Take the baby to OR immediately for surgical management of the defect
Answer is C. Image shows a cyanosed child. An infant or a newborn with CHD that is dependent on the patency of the ductus aeriosus for survival can be termed as having a duct-dependent lesion. Neonates with duct-dependent physiology require prostaglandin El (PGEl) for survival. Early recognition of a duct-dependent situation allows early initiation of PGEl and stabilization until definitive procedure is accomplished