Cyanosis natural history, complications and prognosis: Difference between revisions
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{{Cyanosis}} | {{Cyanosis}} | ||
{{CMG}}; {{AE}} | {{CMG}}; {{AE}} {{Sara.Zand}} | ||
==Overview== | ==Overview== | ||
[[Central cyanosis]] in the first hours or days of life in the neonate may happen and implies life-threatening conditions such as [[ congenital cardiac abnormalities ]], [[ airway obstruction ]], [[central nervous system problem]], [[hemoglobinopathy]]. Peripheral cyanosis may happen in neonate called [[acrocyanosis]]. If the underlying causes of [[cyanosis ]] are found and treated, the prognosis is generally good. | |||
==Natural History, Complications, and Prognosis== | ==Natural History, Complications, and Prognosis== | ||
===Natural History=== | ===Natural History=== | ||
*The symptoms of neonatal cyanosis usually develop in the first hours or days of life.<ref name="pmid15275985">{{cite journal |vauthors=Sasidharan P |title=An approach to diagnosis and management of cyanosis and tachypnea in term infants |journal=Pediatr Clin North Am |volume=51 |issue=4 |pages=999–1021, ix |date=August 2004 |pmid=15275985 |doi=10.1016/j.pcl.2004.03.010 |url=}}</ref> | *The symptoms of neonatal cyanosis usually develop in the first hours or days of life.<ref name="pmid15275985">{{cite journal |vauthors=Sasidharan P |title=An approach to diagnosis and management of cyanosis and tachypnea in term infants |journal=Pediatr Clin North Am |volume=51 |issue=4 |pages=999–1021, ix |date=August 2004 |pmid=15275985 |doi=10.1016/j.pcl.2004.03.010 |url=}}</ref> | ||
* [[Acrocyanosis]] or [[peripheral cyanosis]] is a physiologic finding limited to extremities and | * [[Acrocyanosis]] or [[peripheral cyanosis]] is a physiologic finding limited to extremities and caused by slowing flow through the [[peripheral capillary bed]] and large difference between arteriovenous [[oxygen]] content. | ||
* The [[symptoms]] of [[ | * The [[symptoms]] of [[central cyanosis]] is presentation as bluish of [[mucous membranes]] and [[tongue]]. | ||
* Early clinical features related to [[central | * Early clinical features related to [[central cyanosis]] include severe [[respiratory distress]], [[tachycardia]], [[tachypnea]], [[apnea]] and need to immediate evaluation. | ||
*[[Central cyanosis]] implies life threatening condition in neonate such as [[cardiac ]], [[ airway ]], [[central nerve system]], [[hemoglobinopathy]]. | *[[Central cyanosis]] implies life-threatening condition in neonate such as [[ congenital cardiac abnormalities ]], [[ airway obstruction ]], [[central nerve system problem]], [[hemoglobinopathy]]. | ||
===Complications=== | ===Complications=== | ||
Common complications of underlying causes of [[ | *Common complications of the underlying causes of [[central cyanosis]] in neonate include [[airway obstruction]], [[hyporventilation]] due to [[CNS]] disease or [[apnea]] and [[circulatory collapse]]. | ||
===Prognosis=== | ===Prognosis=== | ||
Prognosis is generally good and dependent on the diagnosis and treatment of underlying causes. | *Prognosis is generally good and dependent on the diagnosis and treatment of underlying causes. | ||
*The 10-year survival rate of children with severe [[ congenital heart disease]] is approximately 90%. | |||
==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} | ||
[[Category:Primary care]] | |||
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Latest revision as of 20:16, 29 January 2021
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Sara Zand, M.D.[2]
Overview
Central cyanosis in the first hours or days of life in the neonate may happen and implies life-threatening conditions such as congenital cardiac abnormalities , airway obstruction , central nervous system problem, hemoglobinopathy. Peripheral cyanosis may happen in neonate called acrocyanosis. If the underlying causes of cyanosis are found and treated, the prognosis is generally good.
Natural History, Complications, and Prognosis
Natural History
- The symptoms of neonatal cyanosis usually develop in the first hours or days of life.[1]
- Acrocyanosis or peripheral cyanosis is a physiologic finding limited to extremities and caused by slowing flow through the peripheral capillary bed and large difference between arteriovenous oxygen content.
- The symptoms of central cyanosis is presentation as bluish of mucous membranes and tongue.
- Early clinical features related to central cyanosis include severe respiratory distress, tachycardia, tachypnea, apnea and need to immediate evaluation.
- Central cyanosis implies life-threatening condition in neonate such as congenital cardiac abnormalities , airway obstruction , central nerve system problem, hemoglobinopathy.
Complications
- Common complications of the underlying causes of central cyanosis in neonate include airway obstruction, hyporventilation due to CNS disease or apnea and circulatory collapse.
Prognosis
- Prognosis is generally good and dependent on the diagnosis and treatment of underlying causes.
- The 10-year survival rate of children with severe congenital heart disease is approximately 90%.
References
- ↑ Sasidharan P (August 2004). "An approach to diagnosis and management of cyanosis and tachypnea in term infants". Pediatr Clin North Am. 51 (4): 999–1021, ix. doi:10.1016/j.pcl.2004.03.010. PMID 15275985.