Is it serious or insignificant?

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  • เผยแพร่เมื่อ 6 ก.พ. 2025

ความคิดเห็น • 25

  • @dr.tageldinaly
    @dr.tageldinaly  23 วันที่ผ่านมา +1

    How do you treat a blue baby?
    1.Mild cases of methemoglobinemia may not require treatment.
    2.The main treatment for severe cases of acquired methemoglobinemia is the drug methylene blue, which can provide oxygen to the blood.
    3. Other treatments include ascorbic acid, blood transfusion, exchange transfusion, and oxygen therapy

  • @MarisaTatti-nl9gv
    @MarisaTatti-nl9gv 18 วันที่ผ่านมา

    Ti ringrazio delle tue ricche informazioni sulla cianosi.
    Sono molto utili non solo per gli addetti ai lavori ma anche per le giovani mamme. Buon lavoro dottore.

  • @dr.tageldinaly
    @dr.tageldinaly  23 วันที่ผ่านมา +2

    What is the difference between hypoxia and cyanosis?
    Rationale.
    1.Cyanosis is the bluish discolouration of the tissues that results from increased concentration of reduced hemoglobin.
    2. Hypoxia is defined as insufficient levels of oxygen in tissues to maintain cell function.
    These findings could indicate a serious underlying condition and may require urgent management.

  • @dr.tageldinaly
    @dr.tageldinaly  23 วันที่ผ่านมา

    What is the most common cause of early cyanosis in baby?
    1. In children, life-threatening cyanosis most often results from respiratory disorders.
    2. Two mechanisms result in cyanosis:
    a. systemic arterial oxygen desaturation
    b.and increased oxygen extraction by the tissues

  • @dr.tageldinaly
    @dr.tageldinaly  23 วันที่ผ่านมา +1

    What is the minimum Hb for cyanosis?
    1.Central cyanosis - Central cyanosis is evident when systemic arterial concentration of deoxygenated hemoglobin (Hb) in the blood exceeds 5 g/dL (3.1 mmol/L) (oxygen saturation ≤85 percent) .
    2. Of note, cyanosis may not be readily detectable in patients with severe anemia (eg, Hb

  • @dr.tageldinaly
    @dr.tageldinaly  23 วันที่ผ่านมา +1

    What PaO2 level is cyanosis?
    1.Cyanosis can be clinically appreciated when the O2 saturation is < 85%.
    2.At a normal Hb level of 15 g/dL, the presence of 3 g/dL of reduced Hb results in 20% desaturation.
    3. Therefore, cyanosis is visible when O2 saturation is approximately ~80%

  • @dr.tageldinaly
    @dr.tageldinaly  23 วันที่ผ่านมา

    What is the limit for cyanosis?
    1.Definition
    Cyanosis is a bluish discoloration of the skin, mucous membranes, tongue, lips, or nail beds .
    2.Causes
    due to an increased concentration of reduced hemoglobin (Hb) in the circulation.
    3. Clinically evident cyanosis typically occurs at an oxygen saturation of 85% or less.
    اقل من ٨٥ %

  • @dr.tageldinaly
    @dr.tageldinaly  23 วันที่ผ่านมา

    What is the oxygen level for cyanosis?
    Arterial blood gases:
    oxygen saturation for patients with central cyanosis is usually below 85%.

  • @dr.tageldinaly
    @dr.tageldinaly  23 วันที่ผ่านมา +1

    How long does cyanosis last in newborns?
    How is it treated?
    Circumoral cyanosis in children usually goes away on its own.
    For infants, this happens a few days after birth

  • @dr.tageldinaly
    @dr.tageldinaly  23 วันที่ผ่านมา

    How to fix cyanosis?
    Peripheral cyanosis brought about by exposure to cold or Raynaud's phenomenon and acrocyanosis may be treated symptomatically using gentle warming of the fingers and toes

  • @dr.tageldinaly
    @dr.tageldinaly  23 วันที่ผ่านมา +1

    How do you inspect for cyanosis?
    Cheeks, nose, ears, and oral mucosa are the best areas to assess cyanosis as the skin in these areas is thin, and the blood supply is good.
    This can help determine if the cyanosis is generalized, limited to extremities, or if there is a difference in the bluish discoloration in different extremities

  • @dr.tageldinaly
    @dr.tageldinaly  23 วันที่ผ่านมา +1

    This condition is benign and usually resolves within a few minutes of warming your baby

    • @dr.tageldinaly
      @dr.tageldinaly  23 วันที่ผ่านมา +1

      Peripheral cyanosis ☝️

  • @hanynada6866
    @hanynada6866 23 วันที่ผ่านมา +1

    Any cyanosis should be taken seriously. If after CPAP as you mentioned, we should exclude causes auch as Pneumothorax. Other causes should be execluded also.
    By the way, the title is wrong I think. You mean I think, Serious or Insignificant not Significant.
    Thanks a lot ❤

    • @dr.tageldinaly
      @dr.tageldinaly  23 วันที่ผ่านมา +1

      @hanynada6866
      Thank you so much for your comment appreciated
      1. Central cyanosis indicates the presence of potentially serious and life-threatening disease, and requires immediate evaluation.
      2. The clinician will need to rapidly consider respiratory, central nervous system, hematologic, cardiac, and metabolic causes

    • @dr.tageldinaly
      @dr.tageldinaly  23 วันที่ผ่านมา

      @@hanynada6866
      1. Cyanosis is a common clinical finding in newborn infants.
      2. Neonatal cyanosis, particularly central cyanosis, can be associated with significant and potentially life-threatening diseases, including
      pulmonary,
      cardiac,
      metabolic,
      neurologic,
      infectious,
      and hematologic disorders

    • @dr.tageldinaly
      @dr.tageldinaly  23 วันที่ผ่านมา

      When is cyanosis serious?
      1. There are central and peripheral cyanosis
      3. Another type is differential cyanosis.
      This also presents as blue discoloration in the extremities.
      It is a serious condition that usually indicates a life threatening problem with the heart or lungs

    • @dr.tageldinaly
      @dr.tageldinaly  23 วันที่ผ่านมา

      What is the evaluation of the cyanotic newborn?
      In summary, the evaluation of the cyanotic newborn includes
      assessment for
      respiratory,
      cardiac,
      neurologic,
      and hematologic disease,
      with respiratory disease being the most common.
      History and physical examination will guide the initial diagnosis

    • @dr.tageldinaly
      @dr.tageldinaly  23 วันที่ผ่านมา

      Does newborn cyanosis improve with crying?
      1. Cyanosis that disappears with crying may mean choanal atresia.
      2. Cyanosis only with crying can occur in infants with tetralogy of Fallot.
      3. Cyanotic spells with no or minimal coughing can occur with pertussis.
      4. Crying may improve cyanosis in respiratory disease and worsen it in cardiac disease

  • @Ahmed-v1z2r
    @Ahmed-v1z2r 23 วันที่ผ่านมา +1

    If due to cord around tne neck significant
    If due to engaged head during vaginal delivery not significant
    RR?
    Mild subcostal recession

    • @dr.tageldinaly
      @dr.tageldinaly  23 วันที่ผ่านมา

      @Ahmed-v1z2r
      RR 65b/ m
      Baby admitted due to respiratory distress post CPAP on supplental oxygen by free flow
      Septic work up unremarkable
      ABX Discontinued
      Excellent explanation 👌
      God bless you and your family
      👌🌹🌹🙏🙏👍👍👍

  • @dr.tageldinaly
    @dr.tageldinaly  23 วันที่ผ่านมา

    Does newborn cyanosis improve with crying?
    1. Cyanosis that disappears with crying may mean choanal atresia.
    2. Cyanosis only with crying can occur in infants with tetralogy of Fallot.
    3. Cyanotic spells with no or minimal coughing can occur with pertussis.
    4. Crying may improve cyanosis in respiratory disease and worsen it in cardiac disease