CAUSES
- Cyanotic congenital heart disease
- Respiratory
- Persistent pulmonary hypertension of new-born
- Sepsis
- Seizures (Tonic)
- Polycythaemia
MANAGEMENT
- Oxygen saturation
- Blood for PCV, FBC, culture, glucose, U&E’s, calcium.
- Blood gas
- Chest x-ray/ ECG
- Lumbar puncture / antibiotics
- Hyperoxia test in FiO2 90-100% (head box or ventilated)
- Echocardiogram
- Cranial ultrasound.
Management of new-born infant with suspected cyanotic congenital heart disease
- General measures
- If ill consider Prostaglandin and ventilation.
- Consider bicarbonate with acidosis, diuretics for heart failure, antibiotics for risk of infection.
PROSTAGLANDIN
Prostaglandin E1 and E2
Dose
- Start 5 ng/kg/min and increase to 20ng/kg/min infusion( max 100 ng/kg/min)