Diagnosis and management of Transposition of great arteries within a pediatric cardiology network with the aid of telemedicine: A case report from Brazil.
| Autor: | Galdino MM; Universidade Federal da Paraíba, Brazil., Hazin SM; Círculo do Coração de Pernambuco, Brazil., de Araújo JS; Círculo do Coração de Pernambuco, Brazil., Regis CT; Círculo do Coração de Pernambuco, Brazil., Rodrigues KN; Círculo do Coração de Pernambuco, Brazil., Mourato FA; Círculo do Coração de Pernambuco, Brazil felipe.a.mourato@gmail.com., Mattos Sda S; Círculo do Coração de Pernambuco, Brazil. |
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| Jazyk: | angličtina |
| Zdroj: | Journal of telemedicine and telecare [J Telemed Telecare] 2016 Apr; Vol. 22 (3), pp. 179-82. Date of Electronic Publication: 2015 Jul 08. |
| DOI: | 10.1177/1357633X15592733 |
| Abstrakt: | We present a case of a newborn from a remote, underserved area in the inland of Paraíba, a state from Northeast Brazil. She presented with clinical cyanosis at birth. With the aid of telemedicine, a neonatologist under online cardiology supervision performed a screening echocardiogram. The session established the diagnosis of simple transposition of the great vessels in the baby's first few hours of life. During the same telemedicine session, the necessary arrangements for transferal to a larger maternity center took place. The baby was maintained stable on prostaglandins and was subsequently transferred to a tertiary cardiac center in the neighboring State, Pernambuco. She underwent anatomical correction at day 10, presented no surgical or postoperative complications, and was discharged home at the age of 21 days. She is now over three years old and continues her follow-up care mostly at her hometown, with local pediatricians under online supervision by a cardiologist in a virtual outpatient clinic. The establishment of a Pediatric Cardiology Network, with the aid of telemedicine, can produce a major impact on the access to specialized health care for poor regions of developing countries. (© The Author(s) 2015.) |
| Databáze: | MEDLINE |
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