Blue Baby
You need a reason NOT to give prostaglandins in a sick neonate < 30 days old - Amber Cibrario DO
HWN Suggests
A Blue Baby Comes into Your ED
PGE1 should be started as soon as possible in neonates with suspected CHD in the first month of life. In infants > 1 mo, they can cause apnea and hypotension. For neonates whose CHD improves with PGE1 administration, an effect should be seen within about 10 minutes in the blue baby and may take several hours in the gray baby. NEVER walk away after giving prostaglandin. Have a ventilator present and be ready for intubation.
Featured
Blue Clues: Common Causes of Neonatal Cyanosis
Everyone knows that newborn babies are just different. Heck, there’s an entire field of medicine dedicated to taking care of neonates. They make a lot of folks nervous in the ED and justifiably so – the list of weird things young babies can do in those early days of life can give you gray hairs. One time-honored complaint, “my baby is blue”, is guaranteed to get your attention. Here are some blue baby stories to help illustrate some of the common causes of neonatal cyanosis.
EM@3AM: Blue Baby
You need a reason NOT to give prostaglandins in a sick neonate (< 30 days old),
Articles of Interest
Blue Baby Syndrome (Cyanosis in newborn) and Hyperoxia Test
The hyperoxia test is an important clinical tool for differentiating pulmonary conditions from cardiac diseases in cyanotic babies.
Evaluation and management of the cyanotic neonate
The infant presenting to the emergency department with cyanosis requires urgent assessment, diagnosis, and initiation of therapy. A systematic, rational approach to the diagnosis of neonatal cyanosis is essential. An understanding of the normal transitional physiology, and how diseases of the airway, lung, and circulatory system may disrupt these processes, will enable the ED practitioner to determine whether the underlying cause is related to airway obstruction, parenchymal disease, hypoventilation due to CNS disease or apnea, or due to cardiac disease
The Blue Baby Blues: A Rare Case of Cyanosis in the Newborn
The differential diagnosis of CHD is supported in this case by several indicators of cardiac failure, the lack of response to either 100% oxygen or iNO, and equally low pre and postductal Sa02. Diagnosis of CHD must first distinguish between acyanotic, meaning normal Sa02, or cyanotic, as in this case with a low Sa02.
