Journal of Pediatric Health Care
Volume 22, Issue 3 , Pages 190-195 , May 2008

The Blue Baby Blues: A Rare Case of Cyanosis in the Newborn

  • Britt Frisk Pados, MSN, RN, CNNP

      Affiliations

    • Britt Frisk Pados is a T32 Pre-Doctoral Fellow, University of North Carolina at Chapel Hill School of Nursing, Chapel Hill, NC.
    • Corresponding Author InformationCorrespondence: Britt Frisk Pados, MSN, RN, CNNP, University of North Carolina at Chapel Hill School of Nursing, Carrington Hall, Campus Box 7460, Chapel Hill, NC 27599-7460
    • ,
  • Ann Philip, MSN, CRNP, NNP

      Affiliations

    • Ann Philip is a Neonatal Nurse Practitioner, Morgan Stanley Children's Hospital of New York—Presbyterian, Columbia University Medical Center, 7T Neonatal Intensive Care Unit, New York, NY.

References 

  1. Alkalay AL, Ferry DA, Pepkowitz SH, Chou PJ, Oakes GK, Pomerance JJ. Critical tricuspid insufficiency due to papillary muscle rupture (A result of prenatal hypoxic insult). American Journal of Diseases of Children. 1988;142:753–755
  2. American Academy of Pediatrics. Revised indications for the use of palivizumab and respiratory syncytial virus immune globulin intravenous for the prevention of respiratory syncytial virus infections. Pediatrics. 2003;112:1442–1446
  3. American Academy of Pediatrics. Car safety seats: A guide for families. http://www.aap.org/family/carseatguide.htm2007;Retrieved August 31, 2007, from
  4. American Academy of Pediatrics. A parents' guide to safe sleep. http://www.healthychildcare.org/pdf/SIDSparentsafesleep.pdf2007;Retrieved August 31, 2007, from
  5. American Academy of Pediatrics. When your child needs emergency medical services family readiness kit. http://www.aap.org/family/frk/EMSFRK.pdf2007;Retrieved December 11, 2007, from
  6. American Heart Association. 2005 American Heart Association guidelines for cardiopulmonary resuscitation of pediatric and neonatal patients: Pediatric Basic Life Support. Pediatrics. 2006;117:e989–e1004
  7. American Heart Association. Bacterial endocarditis. http://www.americanheart.org/presenter.jhtml?identifier=44362007;Retrieved August 31, 2007, from
  8. Arrington CB, Kouretas PC, Mart CR. Extracorporeal membrane oxygenation as a bridge to surgical treatment of flail tricuspid valve in a neonate. Cardiology in the Young. 2005;15:660–662
  9. Benvenuti LA, Aiello VD, Cury AJ, Ebaid M. Post-ischemic rupture of the anterior papillary muscle of the right ventricle associated with persistent pulmonary hypertension of the newborn: A case report. American Journal of Cardiovascular Pathology. 1992;4:79–84
  10. Boon R, Hruda J, Schoof PH. Repair of ruptured tendinous chords in the newborn with flail tricuspid valve and functional pulmonary atresia. International Journal of Cardiology. 2007;116:e78–e79
  11. Childhood and Adolescent Immunization Schedule. Retrieved December 11, 2007, from. http://www.cispimmunize.org/IZSchedule_Childhood.pdf2007;
  12. Gomella TL, Cunningham MD, Eyal FG, Zenk KE. Neonatology: Management, procedures, on-call problems, diseases, and drugs. New York: McGraw-Hill; 2004;
  13. Gunn VL, Nechyba C. The Harriet Lane handbook. 16th ed.. Philadelphia: Mosby; 2002;
  14. Kattwinkel J. Textbook of neonatal resuscitation. 5th ed.. Elk Grove Village, IL: American Academy of Pediatrics; 2006;
  15. Lim KA, Huh J, Jun T. Successful repair of critical tricuspid regurgitation secondary to ruptured papillary muscle in a newborn. Cardiology in the Young. 2004;14:450–452
  16. Pinto CA, Herdy GV, Ferrari AH, Carrinho MR, Luchetti ML, Berger RA, et al. Severe tricuspid valve insufficiency due to papillary anterior muscle infarction of the right ventricle secondary to neonatal hypoxia. Arq Bras Cardiol. 1992;58:475–478
  17. Polin RA, Yoder MC, Burg FD. Workbook in practical neonatology. 2nd ed.. Philadelphia: W. B. Saunders Company; 1993;
  18. Pye S, Green A. Parent education after newborn congenital heart surgery. Advances in Neonatal Care. 2003;3:147–156
  19. Pye S, Green A. Caring for your baby after heart surgery. Advances in Neonatal Care. 2003;3:157–158
  20. Rioja-Mazza D, Lieber E, Kamath V, Kalpatthi R. Asymmetric crying facies: A possible marker for congenital malformations. The Journal of Maternal-Fetal and Neonatal Medicine. 2005;18:275–277
  21. Smith P. Primary care in children with congenital heart disease. Journal of Pediatric Nursing. 2001;16:308–319
  22. Varahan SL, Farah GM, Caldiera CC, Hoit BD, Askari AT. The double jeopardy of blunt chest trauma: A case report and review. Echocardiography. 2006;23:235–240

 Supported by National Institutes of health NINR Grant No. NR070901 awarded to Britt Frisk Pados.

PII: S0891-5245(08)00029-1

doi: 10.1016/j.pedhc.2008.01.003

Journal of Pediatric Health Care
Volume 22, Issue 3 , Pages 190-195 , May 2008

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