Treatment of Tetralogy of Fallot Hypoxic Spell With Intranasal Fentanyl

@article{Tsze2014TreatmentOT,
  title={Treatment of Tetralogy of Fallot Hypoxic Spell With Intranasal Fentanyl},
  author={D. Tsze and Yaffa M. Vitberg and J. Berezow and T. Starc and P. Dayan},
  journal={Pediatrics},
  year={2014},
  volume={134},
  pages={e266 - e269}
}
We present the case of a 3-month-old girl who had unrepaired Tetralogy of Fallot who presented to the emergency department with an acute hypoxic episode. The patient was hyperpneic and cyanotic, with an initial oxygen saturation of 56%. She did not respond to knee-to-chest positioning. A single dose of intranasal fentanyl was administered with subsequent resolution of her symptoms and improvement of her oxygen saturation to 78% within 10 minutes. To our knowledge, this is the first report of… Expand
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