She said the two-year-old was extremely cyanosed
- meaning her skin was turning blue - a sign she did not have enough oxygen in her body.
She was tacypneic, mildly cyanosed
with peripheral oxygen saturation around 80 percent and heart rate of 144 breaths/min.
The child was brought in gasping condition at Civil Hospital Mithi on 20.02.2019 at 11:35 am with complaint of Severe Respiratory Distress, Hypothermia, and Cyanosed
Gupta et al8 found babies who arrived by self-transport were 65.5% hypothermic, 32% hypoglycaemic, 16% cyanosed
, 30.9% with CRT > 3 sec and 27.6% with acidosis at the time of arrival to NICU.
The baby was noted to be cyanosed
with a post-ductal saturation of 70-75% at 30 minutes of life.
Results: Median age was 16 days, Majority of them (n=23, 58%) were severely cyanosed
with SpO of 41.4+-3.4% and underwent emergency BAS and remaining underwent elective procedure.
The third, fourth and fifth digits of the right hand were cyanosed
and swollen, with painful movements up to the proximal interphalangeal joints including the nail beds (Fig.
However, for the first time, he was noted to be cyanosed
, both peripherally and centrally, with oxygen saturation of 70% in room air, improving to 85% with supplemental oxygen by nasal prongs.
She was not cyanosed
. Her blood pressure was 110/85 mmHg with heart rate of 80/minute and regular rhythm.
Immediately after the endotracheal tube (ETT) was removed, patient became agitated, diaphoretic, and progressively centrally cyanosed
. Haemodynamic instability was noted with severe hypertension with systolic blood pressure reaching 200 mmHg.
After 45 minutes, the snare was released gently thereby allowing reperfusion to commence which was evident from an area of hyperaemia in the previously cyanosed
The infant had a contused face from delivery and had not been identified as being mildly cyanosed
. Saturation screening indicated a pre-and post-ductal differential and the infant was transferred to NICU for further investigations.