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Approach to a Neonate with Cyanosis
 

Approach to a Neonate with Cyanosis

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comprehansive review of approach to neonatal cyanosis

comprehansive review of approach to neonatal cyanosis

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  • Methemoglobinemia- An oxidized form of hemoglobin, cannot carry oxygen and, when present in significant quantities, will cause cyanosis. Acquired or congenital disorder due to nicotinamide adenine dinucleotide (NADH) cytochrome b5 reductase deficiency and hemoglobin M disorder. <br />
  • Lithium- Ebstein anomaly <br /> Fetal hydantoin synd- PS, AS <br /> Fetal alcohol- VSD,ASD <br /> Connective tissue disorder- congenital complete heart block associated with anti-Ro/SSA and anti-La/SSB antibodies. <br /> Congenital infections- cytomegalovirus, herpesvirus, rubella, or coxsackie virus can lead to cardiac structural abnormalities or functional impairment. <br />
  • several of the most serious anatomic abnormalities, such as transposition of the great arteries, produce only a very soft murmur or no murmur at all. <br />
  • Probe site — Postductal probe placement is the optimal site because defects with right-to-left shunting of desaturated blood through the ductus arteriosus will not be detected with preductal placement. <br /> Signal quality and infant behavior [28] — Measurements should not be performed when the infant is crying or moving as it reduces the quality of the signal and the accuracy of the test. <br />

Approach to a Neonate with Cyanosis Approach to a Neonate with Cyanosis Presentation Transcript