Cyanosis resident survival guide (pediatrics): Difference between revisions
Jump to navigation
Jump to search
Line 134: | Line 134: | ||
* '''Medication Induced Cyanosis:''' Certain medications such as amiodarone can be a cause of cyanosis.<br> | * '''Medication Induced Cyanosis:''' Certain medications such as amiodarone can be a cause of cyanosis.<br> | ||
* '''Co-existing Pulmonary Pathology:''' Conditions such as asthma or bronchopulmonary dysplasia can result in cyanosis.<br> | * '''Co-existing Pulmonary Pathology:''' Conditions such as asthma or bronchopulmonary dysplasia can result in cyanosis.<br> | ||
* '''History of Congenital Heart Disease: Central cyanosis can be caused by a number of cyanotic congenital cardiac conditions and may result in shock. | * '''History of Congenital Heart Disease:''' Central cyanosis can be caused by a number of cyanotic congenital cardiac conditions and may result in shock.<br> | ||
* '''History of Neurological Disease:'''Respiratory depression due to drug or toxin ingestion, CNS lesions, a history of seizures, breath-holding spells in infants, and neuromuscular disease should be asked and rule out while pursuing causes of cyanosis. <br> | * '''History of Neurological Disease:'''Respiratory depression due to drug or toxin ingestion, CNS lesions, a history of seizures, breath-holding spells in infants, and neuromuscular disease should be asked and rule out while pursuing causes of cyanosis. <br> | ||
}} | }} |
Revision as of 05:58, 12 October 2020
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Usman Ali Akbar, M.B.B.S.[2]
Cyanosis resident survival guide (pediatrics) Microchapters |
---|
Overview |
Causes |
FIRE |
Diagnosis |
Treatment |
Do's |
Don'ts |
Overview
This section provides a short and straight to the point overview of the disease or symptom. The first sentence of the overview must contain the name of the disease.
Causes
Life-Threatening Causes | Pulmonary Causes | Congenital Cardiac Conditions | Hematological Causes | Peripheral Cyanosis |
---|---|---|---|---|
Decreased inspired FiO2
|
| |||
Upper airway obstruction |
Pulmonary vascular disorders |
|||
Other Causes |
FIRE: Focused Initial Rapid Evaluation
Patients presenting to the emergency department with cyanosis and respiratory distress require emergency supplementation of O2, use of pulse-oximetry and airway, breathing, and circulation support.
- A Focused Initial Rapid Evaluation (FIRE) should be performed to identify the patients in need of immediate intervention].
Patient present with cyanosis | |||||||||||||||||||||||||||||||||||||||||||||||
No Respiratory Distress | Respiratory Distress | ||||||||||||||||||||||||||||||||||||||||||||||
Peripheral Cyanosis | Central | Differential Cyanosis | No Obstruction | Obstruction | |||||||||||||||||||||||||||||||||||||||||||
Reassurance & Warming | Hypoxia Test | Cardiac Evaulation | Hyperoxia Test | Give O2 and Positive Pressure Ventilation | |||||||||||||||||||||||||||||||||||||||||||
PaO2<100 | PaO2 100-150 | PaO2 <100 | PaO2 100-150 | PaO2 >150 | ENT Evaluation | ||||||||||||||||||||||||||||||||||||||||||
Cardiac Evaluation | Persistent Pulmonary hypertension of newborn ,Cardiac Evaluation | Cardiac Cause | Persistent Pulmonary hypertension of newborn | Respiratory management, Give O2 and positive pressure Ventilation | |||||||||||||||||||||||||||||||||||||||||||
Complete Diagnostic Approach
Shown below is an algorithm summarizing the diagnosis of [[disease name]] according the the [...] guidelines.
Patient presents with cyanosis | |||||||||||||||||
History
| |||||||||||||||||
Pysical Examination
| |||||||||||||||||
Diagnostic Studies
| |||||||||||||||||
Treatment
Shown below is an algorithm summarizing the treatment of [[disease name]] according the the [...] guidelines.
Treatment Depends upon the etiology of cyanosis. | |||||||||||||||||||||||||||||||||
Respiratory Compromise | No Respiratory Compromise | ||||||||||||||||||||||||||||||||
*An adequate airway should be established and supplemental oxygen is given.
| |||||||||||||||||||||||||||||||||
Do's
- The content in this section is in bullet points.
Don'ts
- The content in this section is in bullet points.