Echocardiography
Sedation or neuromuscular blockade
Prostaglandin E1 for RV dysfunction to allow right to left flow through PDA
Fluid bolus for hypotension and underfilled LV
Sodium bicarbonate for low pH with unimpaired ventilation
iCa>1.2, normal magnesium and potassium levels
Low dose dopamine and epinephrine, or milrinone for biventricular cardiac dysfunction
Low dose vasopressin for catecholamine sparking effect if tachycardic
Avoid iNO with LV dysfunction
Esmolol for RVOT obstruction