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The goal is balanced circulation (Qp:Qs = 1) with target SpO2 ~85%. Anything that disrupts this ratio by favoring pulmonary over systemic circulation can lead to shock. Factors that Worsen HLHS: ↑ FiO2 → ↓ Pulmonary vascular resistance → ↑ Pulmonary blood flow → ↓ Systemic blood flow → shock ↑ Ventilation (↓ CO2) → ↓ ...
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