Podcasts about Cyanosis

This week we delve into the world of the single ventricle when we speak with Dr. David Hoganson, Assistant Professor of Surgery at Harvard Medical School about a recent work he co-published with investigators from Boston Children's Hospital on computational fluid dynamic modeling in the planning of the Fontan operation. Single ventricle heterotaxy patients with interrupted IVC are at enhanced risk for the development of pulmonary AVM's due to flow maldistribution to the pulmonary arteries from the hepatic veins in a Fontan. Can a computational fluid dynamic model predict which operative approach would result in the most balanced hepatic venous flow distribution? Can this reduce the incidence of pulmonary AVM's? How well did the models predict the actual pulmonary flow measured after surgery on CMR? Who beyond the heterotaxy patient might benefit from this approach? Dr. Hoganson offers us a peek into the world of personalized surgery in this week's exciting episode.         DOI: 10.1016/j.jacadv.2024.101057

Here is another Heart Dad Sunday episode for Heart Month, February 2023. Like the other two episodes, this episode also features Heart Dad Frank Jaworski as the Guest Host. Today's Guest is Carl Wolford.Carl Wolford was born with total anomalous pulmonary venous return or TAPVR and had surgery by Dr. Denton Cooley at 4 months of age in January 1958 at Texas Children's Hospital in Houston, Texas. Carl was Dr. Cooley's second successful case of this heart defect and the first one is now Carl's friend.Carl participated in a lifetime of sports: baseball, tennis, golf, anything with a ball and Carl was there. He even tried snow skiing–during which time he became aware of a problem with high altitudes and thin air when a person has a congenital heart condition.Carl's biggest passion is pool. He tours mostly the southern United States in tournaments. One of his goals was to win a national championship, which happened 3 years ago in Las Vegas. His new goal is to add a state title or two to his resume.Carl has 3 children and 5 grandchildren. None have any signs of heart issues of any kind. Carl has done great ever since he had his surgery with Dr. Cooley until he entered his 50s. He is now 65 years young and his motto is “Life is short, play hard.”Carl's first appearance on Heart to Heart with Anna:https://www.buzzsprout.com/62761/398943Support the showAnna's Buzzsprout Affiliate LinkBaby Blue Sound CollectiveSocial Media Pages:Apple PodcastsFacebookInstagramMeWeTwitterYouTubeWebsite

This is the 3rd episode in our CHD Spotlight mini-series and we'll be talking about Tetralogy of Fallot.Our expert Guest is Roslyn Rivera and she is a pediatric cardiology nurse who was also born with a congenital heart defect. In this episode, Roslyn shares with Anna what tetralogy of Fallot is, who coined the term for this complex congenital heart condition, what methods are used to palliate the condition, what some possible causes of the condition are, and survival rates for babies born with ToF.In the second segment, Roslyn even shares the name of a famous athlete born with ToF, proving that ToF doesn't have to mean that a person will have an inferior life and that there is great hope for babies born with this heart condition today.Other Heart to Heart with Anna episodes featuring Rosyln Rivera, RN:Congenital Heart Defects Around the Globe: The Novak Cardiac Alliancehttps://www.buzzsprout.com/62761/398936A View From the Other Side of the Bedhttps://www.buzzsprout.com/62761/499730Nurse Burnout in the CHD Community Part 1https://www.buzzsprout.com/62761/2773843Nurse Burnout in the CHD Community Part 2https://www.buzzsprout.com/62761/2839018Support the showAnna's Buzzsprout Affiliate LinkBaby Blue Sound CollectiveSocial Media Pages:Apple PodcastsFacebookInstagramMeWeTwitterYouTubeWebsite

This week we review a recent report on the differences between pulse oximeter Sp02 and arterial Sa02. Are there patient specific factors that may result in inaccuracies of measurement? What single ventricular factors may also result in more significant inaccuracies and how should these data be used at the bedside when assessing a child who is cyanosed? We speak with Dr. Cara Pritchett, critical care fellow at Lurie Children's Hospital - Northwestern University about a recent work she co-authored on this important and practical topic. DOI: https://doi.org/10.1016/j.jscai.2022.100394

In this episode Dr. Carole Keim MD covers baby illnesses and red flags. A red flag is a sign something could be wrong with your baby. Dr. Keim explains abnormal temperatures, choking, diarrhea, head injuries, seizures, and more to guide you in identifying red flags and what they might mean.Not all red flags are emergencies that require immediate attention. Some are, but some are identified as urgent, which means your baby should be seen by your doctor within the next week or two. Dr. Keim shares this list of major red flags to watch for in the hopes it helps you, and ideally saves you and your baby a trip to the ER.This episode will cover: What is a red flag?Urgent v. EmergentAbnormal Temperature - emergencyApnea/Cyanosis - emergencyAspiration/Choking - emergencyBlood in the Diaper - urgentBulging Fontanel - emergencyCough - emergencyCOVID/flu/RSV exposure - urgentDiarrhea/Vomiting - urgentHead injury - emergent if signs of concussion/fx, otherwise urgentJaundice - urgentSeizure - emergencyUmbilical Cord Infection - urgentUmbilical Granuloma - urgentWhat is a red flag? - 00:24A red flag is a sign that something MIGHT be wrong and you should run it by a doctor.  Urgent vs. Emergent - 00:37Urgent = should be seen by their doctor at the next available appointment, ideally within a week or two.Emergent = they need to be seen that day (sometimes immediately) - go to the ER or call emergency services.  If you are traveling, look up the phone number for emergency services before you go.  It's 911 in the US but different in other countries.It is ALWAYS ok to call your doctor or emergency services if you are concerned!Abnormal Temperature - emergency - 1:15You should have a rectal or temporal artery (TA) thermometer at home.  Go buy one if you don't have one yet.  The rectal temperature is the most accurate in babies, since their skin doesn't hold heat very well.  If your baby is acting strange, or feels especially warm or cool to the touch, you can check a rectal temperature.  Underarm temps and infrared forehead temps are inaccurate after the first few days/weeks of life - they can read either too high or too low by as much as 2 degrees.  They are ok as a screening, but they are measuring surface temperature and not core temperature, so if you are concerned and want an accurate read you need to do a core temperature - either rectal or TA.A core temperature higher than 100.4 degrees Fahrenheit (38 degrees Celsius) is considered a fever.  A rectal temperature less than 96 degrees Fahrenheit (35.5 degrees Celsius) is considered to be hypothermia.   Babies who are less than 6 months old have immature immune systems, and an abnormal temperature (either high or low) can be a sign that they have an infection.   Apnea/Cyanosis - emergency - 3:29 If your baby appears to stop breathing for several seconds (apnea), or starts turning blue (cyanosis), it's time to call a doctor.  Cyanosis is most apparent on and around the lips, fingertips, and toes.  Aspiration/Choking - emergency - 4:10Signs of aspiration/choking include gagging, coughing, arching the back, vomiting, and turning blue.  Call your doctor if your baby is experiencing these symptoms, or 911 if it's severe.Blood in the Diaper - urgent - 4:46If you see blood in your baby's diaper, and you think it is coming from the urine or stool (and not from pseudomenses), call the doctor.  This is urgent but not emergent.Bulging Fontanel - emergency - 5:30If the anterior fontanel (soft spot) seems to be higher than the rest of the skull, this is a sign that the pressure around your baby's brain is too high.  The fontanel will often raise during crying, straining to poo, and other normal maneuvers.  That is nothing to worry about.  But when the fontanel is bulging when your baby is calm, you need to see a doctor.Cough - emergency - 6:33Hiccups are normal, sneezing is normal, but cough is not.  Clearing their throat after eating doesn't count as a cough.  Any baby less than 6mo with cough needs to go to the ER - they are at risk of apnea and may need to be admitted depending on how they are doing.OTC cough medicines are NOT to be used in children less than 6 years of age - they can cause them to stop breathing, and the safe ones (like antihistamines) just don't work.COVID/flu/RSV exposure - urgent - 8:47Call your doctor or check the CDC website for current guidelines. Everyone in the house should wash hands often.  Anyone with cough or runny nose should wear a mask and try to stay away from baby.  If you're breastfeeding and you have COVID/flu/RSV, keep breastfeeding!  You're giving passive immunity to your baby that way.  Just wear a mask so you don't cough onto the baby.   Breastfeeding babies: mom can take Vitamin C, Vitamin D, echinacea, and zinc to pass through breastmilk to baby.If baby develops cough or fever, go to the ER if under 6 mos, or call your doctor if over 6 mos.  Diarrhea/Vomiting - urgent - 12:09Babies can get dehydrated very quickly from diarrhea and/or vomiting.  Call your doctor if baby has vomiting or diarrhea 2-4x in the same day; go to the ER if it is more than 4x in a row or if baby is showing any signs of dehydration: dry lips/tongue, sunken fontanelle, irritable, lethargic.It's ok to rehydrate babies over 6 mos by giving water or an electrolyte solution (pedialyte, ORS) to replace losses, but only in small volumes - check with your doctor about how much is ok to give.  Remember they are on a primarily liquid diet, and giving electrolyte solution can cause them to be protein/fat/calorie depleted.  Head injury - emergent if signs of concussion/fx, otherwise urgent - 14:22Any time your baby falls off a surface (couch, changing table, bed, etc.) you need to call a doctor to make sure your baby did not sustain a concussion.Signs of concussion include:Losing consciousness / faintingVomitingChange in personality - persistent crying, acting strange, trouble sleeping/eating, etc.Pupils unequal sizeSeizure Weakness of the entire body or parts of the bodyIf you feel skull crepitus (a crunchy sensation under the skin) or if baby's fontanel is raised, that is an emergency.  Crepitus = skull fracture, bulging fontanel = bleeding around the brain. Jaundice - urgent - 18:07If your baby's skin and eyes appear yellow, you should call a doctor.  Most babies will have jaundice at some point, and your doctor can do a test to determine the level of bilirubin in the blood to see whether the jaundice needs treatment or not.  If the level of bilirubin is too high and is not treated, it can cause brain damage.Seizure - emergency - 20:02Infantile seizures may be the whole body (generalized shaking and tremors), or may only involve part of the body.  Some signs of seizures are:The whole body or part of the body makes repetitive jerking movementsSucking when there is nothing in the mouthFast blinkingEyes deviated to the sideIf you think your baby might be having a seizure, remove anything that might be in baby's mouth, make sure your baby is not left unattended on a surface, and call an ambulance.If you are able to take a video of the seizure, it can be very helpful for the doctors to see that!Umbilical Cord Infection - urgent - 22:35If the skin around the umbilical cord is red, swollen, warm to touch, and tender, these are signs of infection.  Umbilical Granuloma - urgent - 23:42When the umbilical cord falls off, it's normal to have a little bit of bleeding and what looks like yellowish goo.  After the cord has fallen off, clean the area gently with a wet washcloth or a cotton ball with rubbing alcohol.  The bleeding should stop immediately, and much of the yellow goo will come off.  If the umbilicus is still bleeding, or there is too much yellowness, there may be an umbilical granuloma in there.  This can be treated easily at the doctor's office with a chemical called silver nitrate.  The chemical cauterizes the granuloma, and the process is completely painless for your baby.All of this information is also in The Baby Manual book, which is available for purchase. Remember it is always okay to call your doctor or emergency services if you have concerns about your baby's health.  Resources discussed in this episode:The Baby Manual - Available on Amazon--Dr. Carole Keim MD: linktree | tiktok | instagram

This episode covers congenital cardiac conditions.Written notes can be found at https://zerotofinals.com/surgery/cardiothoracic/congenitalcardiacconditions/ or in the cardiothoracic surgery section of the Zero to Finals surgery book.The audio in the episode was expertly edited by Harry Watchman.

Welcome to a new episode! Did you miss us?? - Andrew and Lisa dive into candid conversations about: ⇨ New show obsessions ⇨ Anime ⇨ AND more blah, blah, blah, that I can't remember right now Sit back, relax, and enjoy the soundwave. → NKP (No Kidding Podcast) is a candid, lighthearted discussion between brother and sister, about random curiosities and nonsense..no kidding. → Just following our curiosity towards truth, more confusion, and possibly hysteria. Feel like joining in? Any stories you want to share? Visit us on Instagram and let us know! We always have episode questions too... come give your input. Find more information, share your opinion, and get involved in polls, prompts, and questions @nokiddingpodcast on Instagram! ❤ https://www.instagram.com/nokiddingpodcast/ LINKS & MENTIONS: Anchor *Sponsored Daily Harvest: $25 OFF CODE: RE-3HSG6HR GetUpside: Use this code: SEKRU & you'll get an extra 15 cents/gallon cash back on gas purchases! The function of Beauty 20% off link: https://5f25e217439f8.functionofbeauty.com Try Function of Beauty's completely customizable haircare, skincare, and body care products. Huel Fuel and Food Replacement : https://huel.mention-me.com/m/ol/cz3wx-lisa-millward (enter "Lisa Millward" at checkout) --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app --- Send in a voice message: https://anchor.fm/nokiddingpodcast/message

Podcast summary of articles from the August 2021 edition of the Journal of Emergency Medicine from the American Academy of Emergency Medicine.  Topics include ultrasound vs chest X-ray, cyanosis, EM procedures, mechanical CPR, pediatric sedation, and geriatric emergency departments.  Guest speaker is Dr. Stephen Meldon.

What lessons can we learn from our adult Heart Warriors?Why might a Heart Mom write a book about her life experiences dealing with CHD? How does a Heart Mom take her personal experiences to fight for others in the hospital?Jenny Muscatell is a licensed social worker, blogger, author, photographer, and podcaster. She earned her Bachelor’s in Mental Health and Human Services through the University of Maine. She has over two decades of experience in the social services field, specializing in crisis intervention, health systems, and end-of-life care. Deeply passionate about her work, Jenny is regarded as a fierce advocate, earning her the Child Welfare Rising to the Challenge Award. Jenny lives with her husband Dan, and two daughters. Her first daughter Faith was born with Hypoplastic Left Heart Syndrome. Jenny shared her life experiences, authoring the Amazon Best Selling book, “The Journey of Faith and an Open Heart” and as a public speaker on multiple platforms. Through faith-filled presentations, heartfelt written words, and photography, Jenny’s mission is to give voice to the vulnerable, hope to the hurting, and to make way for the unspoken to be told.Link mentioned in this podcast:Jenny's websiteAnna's Buzzsprout Affiliate Link (if you'd like to try Buzzsprout for your podcast and get a bonus gift card -- and Anna will, too!)Links to 'Heart to Heart with Anna' Social Media and Podcast Pages:Apple PodcastsFacebookInstagramMeWeTwitterYouTubeWebsiteSupport the show (https://www.patreon.com/HearttoHeart)

What is plastic bronchitis? What are the red flags that lead to a diagnosis of plastic bronchitis and how is it diagnosed? More importantly, what can be done about it? Today’s guest will answer those questions for us and more!Molly Fee is a mom of two boys and lives SE of Pittsburg. Her 9-year-old younger son, Marshall, was born with hypoplastic left heart syndrome or HLHS. Marshall had his Fontan Procedure at age 4, and also has a repaired tricuspid valve. About 18 months ago, Marshall was diagnosed with a rare complication associated with complex congenital heart defects, called “plastic bronchitis.” In today’s program, we’re going to learn what plastic bronchitis is, how one American family has dealt with this condition, and what advice they have for others living with plastic bronchitis.Link mentioned in this podcast:CHOP Lymphatic System page: https://www.chop.edu/centers-programs/jill-and-mark-fishman-center-lymphatic-disordersAnna Buzzsprout Affiliate Link: https://www.buzzsprout.com/?referrer_id=16817Links to 'Heart to Heart with Anna' Social Media and Podcast Pages:Apple Podcasts: https://itunes.apple.com/us/podcast/heart-to-heart-with-anna/id1132261435?mt=2MeWe: https://mewe.com/i/annajaworskiFacebook: https://www.facebook.com/HearttoHeartwithAnna/Instagram: https://www.instagram.com/hearttoheartwithanna/Twitter: https://twitter.com/AnnaJaworskiYouTube: https://www.youtube.com/channel/UCGPKwIU5M_YOxvtWepFR5ZwInstagram: https://www.instagram.com/hearttoheartwithanna/ Website: https://www.hug-podcastnetwork.com/Support the show (https://www.patreon.com/HearttoHeart)

Definition,Types, causes

This podcast presents an approach to cyanosis in neonates. In this episode, listeners will learn how to assess and recognize a cyanotic infant, as well as develop a differential diagnosis and identify immediate investigations and management for the cyanotic infant. This podcast was developed by Michelle Fric, a medical student at the University of Alberta, in collaboration with Dr. Georgeta Apostol, a general pediatrician at the Royal Alexandra Hospital in Edmonton. 

This episode covers the Eisenmenger syndrome.Written can be found at https://zerotofinals.com/paediatrics/cardiology/eisenmengersyndrome/ or in the cardiology section in the Zero to Finals paediatrics.The audio in the episode was expertly edited by Harry Watchman.

This week the boys had a special guest drop by Known from bands like Reflection of Flesh, Cyanosis, Sludgehead and many more. Phil Proite swung by Studio DMC this past week.  He filled us in on how he got started in music and why it drives him day to day. We also had the pleasure of hearing the llama story which was awesome. I apologize in advance folks, the episode gets a little distorted again around the 7 minute mark but please don't let it deter you. Definitely a great episode. I'm in the process of finally fixing the distortion issue, thought I already had but I'm often wrong lol Be sure to like, share, rate, review, and subscribe As always send any and all content, concerns, comments, etc. to dippingmilkincookies@gmail.com See ya next week Enjoy

    Your eyes may fool you...   Keep your differential diagnosis open.       Selected References   Aravindhan N, Chisholm DG. Sulfhemoglobinemia presenting as pulse oximetry desaturations. Anesthesiology. 2000;93:883–884.   Gharahbaghian L et al. Methemoglobinemia and Sulfhemoglobinemia in Two Pediatric Patients after Ingestion of Hydroxylamine Sulfate. West J Emerg Med. 2009 Aug; 10(3): 197–201    Ginimuge PR et al. Methylene Blue: Revisited. J Anaesthesiol Clin Pharmacol. 2010 Oct-Dec; 26(4): 517–520.    Mack E. Focus on diagnosis: co-oximetry. Pediatr Rev. 2007;28:73–4. So T-Y et al. Topical Benzocaine-induced Methemoglobinemia in the Pediatric Population. J Pediatr Health Care. 22(6):335–339.  

There are four types of Hypoxia: Hypoxia means “reduced oxygen” or “not enough oxygen.”
Although any tissue will die if deprived of oxygen long
enough, the greatest concern regarding hypoxia during
flight is lack of oxygen to the brain, since it is particularly
vulnerable to oxygen deprivation. Any reduction in mental
function while flying can result in life-threatening errors.
Hypoxia can be caused by several factors, including an
insufficient supply of oxygen, inadequate transportation of
oxygen, or the inability of the body tissues to use oxygen.
The forms of hypoxia are based on their causes:
• Hypoxic hypoxia
• Hypemic hypoxia
• Stagnant hypoxia
• Histotoxic hypoxia
Hypoxic Hypoxia
Hypoxic hypoxia is a result of insufficient oxygen available
to the body as a whole. A blocked airway and drowning
are obvious examples of how the lungs can be deprived of
oxygen, but the reduction in partial pressure of oxygen at high
altitude is an appropriate example for pilots. Although the
percentage of oxygen in the atmosphere is constant, its partial
pressure decreases proportionately as atmospheric pressure
decreases. As an aircraft ascends during flight, the percentage
of each gas in the atmosphere remains the same, but there are
fewer molecules available at the pressure required for them
to pass between the membranes in the respiratory system.
This decrease in number of oxygen molecules at sufficient
pressure can lead to hypoxic hypoxia.

Hypemic Hypoxia
Hypemic hypoxia occurs when the blood is not able to take
up and transport a sufficient amount of oxygen to the cells
in the body. Hypemic means “not enough blood.” This type
of hypoxia is a result of oxygen deficiency in the blood,
rather than a lack of inhaled oxygen, and can be caused by
a variety of factors. It may be due to reduced blood volume
(from severe bleeding), or it may result from certain blood
diseases, such as anemia. More often, hypemic hypoxia
occurs because hemoglobin, the actual blood molecule that
transports oxygen, is chemically unable to bind oxygen
molecules. The most common form of hypemic hypoxia is
CO poisoning. This is explained in greater detail later in this
chapter. Hypemic hypoxia can also be caused by the loss
of blood due to blood donation. Blood volume can require
several weeks to return to normal following a donation.
Although the effects of the blood loss are slight at ground
level, there are risks when flying during this time. 
Stagnant Hypoxia
Stagnant means “not flowing,” and stagnant hypoxia or
ischemia results when the oxygen-rich blood in the lungs
is not moving, for one reason or another, to the tissues that need it. An arm or leg “going to sleep” because the blood
flow has accidentally been shut off is one form of stagnant
hypoxia. This kind of hypoxia can also result from shock,
the heart failing to pump blood effectively, or a constricted
artery. During flight, stagnant hypoxia can occur with
excessive acceleration of gravity (Gs). Cold temperatures
can also reduce circulation and decrease the blood supplied
to extremities. 
Histotoxic Hypoxia
The inability of the cells to effectively use oxygen is defined
as histotoxic hypoxia. “Histo” refers to tissues or cells, and
“toxic” means poisonous. In this case, enough oxygen is being
transported to the cells that need it, but they are unable to make
use of it. This impairment of cellular respiration can be caused
by alcohol and other drugs, such as narcotics and poisons.
Research has shown that drinking one ounce of alcohol can
equate to an additional 2,000 feet of physiological altitude. 
Symptoms of Hypoxia
High-altitude flying can place a pilot in danger of becoming
hypoxic. Oxygen starvation causes the brain and other vital
organs to become impaired. The first symptoms of hypoxia
can include euphoria and a carefree feeling. With increased
oxygen starvation, the extremities become less responsive and
flying becomes less coordinated. The symptoms of hypoxia
vary with the individual, but common symptoms include:
• Cyanosis (blue fingernails and lips)
• Headache
• Decreased response to stimuli and increased reaction
time
• Impaired judgment
• Euphoria
• Visual impairment
• Drowsiness
• Lightheaded or dizzy sensation
• Tingling in fingers and toes
• Numbness
As hypoxia worsens, the field of vision begins to narrow and
instrument interpretation can become difficult. Even with all
these symptoms, the effects of hypoxia can cause a pilot to
have a false sense of security and be deceived into believing
everything is normal. 
Treatment of Hypoxia
Treatment for hypoxia includes flying at lower altitudes and/
or using supplemental oxygen. All pilots are susceptible
to the effects of oxygen starvation, regardless of physical
endurance or acclimatization. When flying at high altitudes,
it is paramount that oxygen be used to avoid the effects of
hypoxia. The term “time of useful consciousness” describes
the maximum time the pilot has to make rational, life-saving
decisions and carry them out at a given altitude without
supplemental oxygen. As altitude increases above 10,000
feet, the symptoms of hypoxia increase in severity, and the
time of useful consciousness rapidly decreases. [Figure 17-1]
Since symptoms of hypoxia can be different for each
individual, the ability to recognize hypoxia can be greatly
improved by experiencing and witnessing the effects of it
during an altitude chamber “flight.” The Federal Aviation
Administration (FAA) provides this opportunity through
aviation physiology training, which is conducted at the FAA
CAMI in Oklahoma City, Oklahoma, and at many military
facilities across the United States. For information about the
FAA’s one-day physiological training course with altitude
chamber and vertigo demonstrations, visit the FAA website
at www.faa.gov.

Core Questions:   Define cyanosis and explain what causes it? What is central cyanosis and what typically causes it? What is peripheral cyanosis and what typically causes it? At what concentration of deoxyhemoglobin does cyanosis present? List 10 differential diagnoses for cyanosis - Box 11.2? Describe your initial workup for the patient with cyanosis.- Figure 11.3/11.4 What is the oxyhemoglobin dissociation curve and what information can be taken from it? - Figure 11.1 Name four factors that shift the oxyhemoglobin dissociation curve to the left and three factors that shift it to the right. Differentiate between ferrous and ferric hemoglobin and describe how these forms of hemoglobin affect oxygen binding. What is methemoglobinemia and how does it present? What are the two biochemical pathways that are used to reduce methemoglobin? List 10 causes of methemoglobinemia - See Box 11.1 What is sulfhemoglobinemia and when should you suspect it? Differentiate between primary, secondary, and relative polycythemia and how does it cause cyanosis?   Wisecracks:   What is the colour of the blood in a patient with methemoglobinemia? What is clubbing and what causes it? What SpO2 is present on the monitor in the patient with a methemoglobinemia? What is the hyperoxia test and how does it help you in your workup of the cyanotic patient? What is the dose of methylene blue when prescribed to treat patients with methemoglobinemia?

Core Questions:   Define cyanosis and explain what causes it? What is central cyanosis and what typically causes it? What is peripheral cyanosis and what typically causes it? At what concentration of deoxyhemoglobin does cyanosis present? List 10 differential diagnoses for cyanosis - Box 11.2? Describe your initial workup for the patient with cyanosis.- Figure 11.3/11.4 What is the oxyhemoglobin dissociation curve and what information can be taken from it? - Figure 11.1 Name four factors that shift the oxyhemoglobin dissociation curve to the left and three factors that shift it to the right. Differentiate between ferrous and ferric hemoglobin and describe how these forms of hemoglobin affect oxygen binding. What is methemoglobinemia and how does it present? What are the two biochemical pathways that are used to reduce methemoglobin? List 10 causes of methemoglobinemia - See Box 11.1 What is sulfhemoglobinemia and when should you suspect it? Differentiate between primary, secondary, and relative polycythemia and how does it cause cyanosis?   Wisecracks:   What is the colour of the blood in a patient with methemoglobinemia? What is clubbing and what causes it? What SpO2 is present on the monitor in the patient with a methemoglobinemia? What is the hyperoxia test and how does it help you in your workup of the cyanotic patient? What is the dose of methylene blue when prescribed to treat patients with methemoglobinemia?

A look at one of the most common and potentially concerning upper respiratory infections in children. Host: Brian Gilberti, MD https://media.blubrry.com/coreem/content.blubrry.com/coreem/Croup.mp3 Download One Comment Tags: Airway, Infectious Diseases, Pediatrics Show Notes Background Croup is a viral infection starts in the nasal and pharyngeal mucosa but spreads to the larynx and trachea Subglottic narrowing from inflammation Dynamic obstruction Barking cough Inspiratory stridor Causes: Parainfluenza virus (most common) Rhinovirus Enterovirus RSV Rarely: Influenza, Measles Age range: 6 months to 36 months Seasonal component with high prevalence in fall and early winter Differential Bacterial tracheitis Acute epiglottitis Inhaled FB Retropharyngeal abscess Anaphylaxis Presentation & Diagnosis Classically a prodrome of nonspecific symptoms for 1-3 days with low grade fevers, congestion, runny nose. Symptoms reach peak severity on the 4th day “Steeple sign” on Xray (subglottic narrowing) present in only 50% of patients with croup Assess air entry, skin color, level of consciousness, for tachypnea, if there are retractions / nasal flaring (if present at rest or with agitation) & coughing “Westley Croup Score” (https://www.mdcalc.com/westley-croup-score) Chest wall retractions Stridor Cyanosis Level of consciousness Air entry Management

A look at one of the most common and potentially concerning upper respiratory infections in children. Host: Brian Gilberti, MD https://media.blubrry.com/coreem/content.blubrry.com/coreem/Croup.mp3 Download Leave a Comment Tags: Airway, Infectious Diseases, Pediatrics Show Notes Background Croup is a viral infection starts in the nasal and pharyngeal mucosa but spreads to the larynx and trachea Subglottic narrowing from inflammation Dynamic obstruction Barking cough Inspiratory stridor Causes: Parainfluenza virus (most common) Rhinovirus Enterovirus RSV Rarely: Influenza, Measles Age range: 6 months to 36 months Seasonal component with high prevalence in fall and early winter Differential Bacterial tracheitis Acute epiglottitis Inhaled FB Retropharyngeal abscess Anaphylaxis Presentation & Diagnosis Classically a prodrome of nonspecific symptoms for 1-3 days with low grade fevers, congestion, runny nose. Symptoms reach peak severity on the 4th day “Steeple sign” on Xray (subglottic narrowing) present in only 50% of patients with croup Assess air entry, skin color, level of consciousness, for tachypnea, if there are retractions / nasal flaring (if present at rest or with agitation) & coughing “Westley Croup Score” (https://www.mdcalc.com/westley-croup-score) Chest wall retractions Stridor Cyanosis Level of consciousness Air entry Management Mild Croup

Persistent cyanosis and no significant increase in saturation after 100% O2.

A full-term two week old male newborn has cyanosis

A basic rundown of cyanosis in the neonate, what may or may not be normal, and what definitely warrants further investigation.

Have no fear, a brand new installment of DOCTIONARY is here! Big H defines the word “Cyanosis..." and we think it'll take your breath away ;) Enjoy! **This episode was edited and mixed by our very own DJ Nuvo Reesh and features original production courtesy of our homie P@ Split. We love you Medicine ReMixed Fam! Leave us a Voice Message on Anchor, Hit us up on Social Media or Leave us a review in Podcastville to let us know what you think about The Show :) Facebook: facebook.com/MedicineRemixed/ Instagram: instagram.com/medicine_remixed/ Twitter: twitter.com/medicineremixed Anchor: anchor.fm/medicineremixed --- Send in a voice message: https://anchor.fm/medicineremixed/message

Cyanosis, difficulty feeding, failure to thrive, and shock can all be the presenting symptom of a cardiac abnormality. We will briefly overview cyanotic heart lesions, ductal dependent lesions, and CHF today.

You have heard me brag about the critical care refresher that Lifestar puts on every two years. This is a clip by Dr. Lorin Browne. He is the Assistant Professor of Pediatrics and Emergency Medicine at Children's Hospital of Milwaukee. He is also one of the coolest dudes I have had the opportunity to hang out with. In this small clip he discusses why cyanosis will not always be an outward sign of adequate oxygenation. Towards the end of this podcast he refers to a website he uses routinely for staying fresh on congenital heart defects. Here is that link https://www.cincinnatichildrens.org/patients/child/encyclopedia/defects . http://blog.cincinnatichildrens.org/rare-and-complex-conditions/heart-conditions/animated-videos-illustrate-congenital-heart-defects/

Metal Chick Podcast Episode 024 - Brute Al of Cyanosis.   This week we're talking to Brute Al of Cyanosis. He's sharing how difficult it has been to keep a death metal band going in the Milwaukee area for the last 24 years. He shares the differences between getting gigs as a death metal band compared to a cover band, and the nature of trying to play out. Having been in the music scene for so long, Al shares the biggest changes he's seen and how the competition has increased. We talk about the Cyanosis timeline, band members, style and future. Then he shares a funny story about pissing of Morbid Angel in 1999 and his all time favorite gig. Cyanosis Facebook Cyanosis Music

The one about the miracle navigation. This weeks links. Cyanosis Adventure Racing Team https://www.facebook.com/team.cyanosis/ Team Cyanosis https://www.firstascent.co.za/performance-testers/team-cyanosis-adventure-racing

Listen to Dr. Thomas Kulik review the physiology, evaluation, and management of cyanotic congenital cardiac defects. Initial publication: September 16, 2013. Last reviewed: May 16, 2019 Please visit: www.openpediatrics.org OPENPediatrics™ is an interactive digital learning platform for healthcare clinicians sponsored by Boston Children's Hospital and in collaboration with the World Federation of Pediatric Intensive and Critical Care Societies. It is designed to promote the exchange of knowledge between healthcare providers around the world caring for critically ill children in all resource settings. The content includes internationally recognized experts teaching the full range of topics on the care of critically ill children. All content is peer-reviewed and open access-and thus at no expense to the user. For further information on how to enroll, please email: openpediatrics@childrens.harvard.edu Please note: OPENPediatrics does not support nor control any related videos in the sidebar, these are placed by Youtube. We apologize for any inconvenience this may cause.

Dr. Michael Freed gives an overview on how cyanotic congenital heart disease presents in the first week of life. Initial publication: August 22, 2016. Last reviewed: October 30, 2019. Please visit: www.openpediatrics.org OPENPediatrics™ is an interactive digital learning platform for healthcare clinicians sponsored by Boston Children's Hospital and in collaboration with the World Federation of Pediatric Intensive and Critical Care Societies. It is designed to promote the exchange of knowledge between healthcare providers around the world caring for critically ill children in all resource settings. The content includes internationally recognized experts teaching the full range of topics on the care of critically ill children. All content is peer-reviewed and open access-and thus at no expense to the user. For further information on how to enroll, please email: openpediatrics@childrens.harvard.edu Please note: OPENPediatrics does not support nor control any related videos in the sidebar, these are placed by Youtube. We apologize for any inconvenience this may cause.

This episode coveers Chapter 14 of Rosen's Emergency Medicine. Episode Overview: What is the differential diagnosis for cyanosis? List the common causes for methemoglobinemia 10 medications 6 toxins Describe the mechanism for methemoglobin formation, treatment, and indications for methylene blue Wisecracks Explain the oxygen-hemoglobin dissociation curve What is the hyperoxia test?

This episode coveers Chapter 14 of Rosen's Emergency Medicine. Episode Overview: What is the differential diagnosis for cyanosis? List the common causes for methemoglobinemia 10 medications 6 toxins Describe the mechanism for methemoglobin formation, treatment, and indications for methylene blue Wisecracks Explain the oxygen-hemoglobin dissociation curve What is the hyperoxia test?