BCV for Post Fontan & Fallot
Tetralogy of Fallot is a congenital heart defect which is classically understood to involve four anatomical abnormalities of the heart.
It is the most common cyanotic heart defect, and the most common cause of blue baby syndrome. In addition to persistent hypoxemia, tetralogy of Fallot may present with other anatomical anomalies, including stenosis of the left pulmonary artery, a bicuspid pulmonary valve, right-sided aortic arch, and coronary artery anomalies, to name a few.
The goal of BCV is to support the cardiopulmonary system prior to and post surgical intervention. Continuous Negative Extrathoracic Pressure (CNEP) is a primary intervention that helps recruit smaller airways and allow optimization of ventilation and perfusion to improve hypoxemia. Ventilation and Secretion Clearance modes may be necessary for correcting hypoventilation and retained pulmonary secretions.