Cyanosis natural history, complications and prognosis: Difference between revisions
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Revision as of 02:06, 28 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 determine and treat 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 causes by slowing flow through the peripheral capillary bed and large difference between arteriovenous oxygen content.
- The symptoms of central cyanosis is present 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 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.