Evaluation and Management of the Cyanotic Neonate

Robin H Steinhorn

Research output: Contribution to journalArticle

19 Scopus citations

Abstract

The infant presenting to the emergency department with cyanosis requires rapid assessment, diagnosis, and initiation of therapy. In this article, the potential challenges in recognizing cyanosis are discussed, including the presence of higher concentrations of fetal hemoglobin and its oxygen binding characteristics. A systematic approach to the diagnosis of cyanosis is presented, based on an understanding of the normal transitional physiology, and how diseases of the airway, lung, and circulatory system may disrupt these processes. Strategies for initial emergency department management of lung and cardiac disease are presented.

Original languageEnglish (US)
Pages (from-to)169-175
Number of pages7
JournalClinical Pediatric Emergency Medicine
Volume9
Issue number3
DOIs
StatePublished - Sep 2008
Externally publishedYes

Keywords

  • congenital heart disease
  • cyanosis
  • fetal hemoglobin
  • oxygen therapy
  • oxygen transport
  • prostaglandin therapy
  • pulmonary circulation

ASJC Scopus subject areas

  • Emergency Medicine
  • Pediatrics, Perinatology, and Child Health

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