New cause for differential cyanosis : The North-South syndrome
Differential cyanosis classically occurs in PDA with reversal of shunt when raised PA pressures /PVR is able to supersede the systemic Aortic pressure and drive the blood from LPA to descending Aorta bringing down the lower limb saturation.
Of course, this can be undone by the presence of any other intra-cardiac shunts or aberrant left subclavian that arising from the desaturated descending aorta.
Other causes of reversed differential cyanosis
Where the upper body is cyanosed (desaturated) and the lower half is not. There is a conventional list of conditions.
Transposition of the great arteries (TGA) with patent ductu...
Source: Dr.S.Venkatesan MD - November 12, 2019 Category: Cardiology Authors: dr s venkatesan Tags: Uncategorized ecmo north south syndrome harlequin syndrome va ecmo side effects Source Type: blogs
Everything ECMO!
LITFL • Life in the Fast Lane Medical Blog LITFL • Life in the Fast Lane Medical Blog - Emergency medicine and critical care medical education blog
In specialist centres, extracorporeal membrane oxygenation (ECMO) is a now a mainstay of the management of cardio/respiratory failure refractory to other measures. However, much of the clinical information required to care for ECMO patients at the bedside remains inaccessible to learners. To address this, the creation of a free-to-access educational ECMO blog post is now a requirement for completion of the Alfred ICU ECMO Accreditation Certificate. These “Everything...
Source: Life in the Fast Lane - April 29, 2018 Category: Emergency Medicine Authors: Chris Nickson Tags: Education Everything ECMO extracorporeal life support Extracorporeal membrane oxygenation INTENSIVE Source Type: blogs
LITFL Review 274
LITFL: Life in the Fast Lane Medical Blog
LITFL: Life in the Fast Lane Medical Blog - Emergency medicine and critical care medical education blog
Welcome to the 274th LITFL Review! Your regular and reliable source for the highest highlights, sneakiest sneak peeks and loudest shout-outs from the webbed world of emergency medicine and critical care. Each week the LITFL team casts the spotlight on the blogosphere’s best and brightest and deliver a bite-sized chunk of FOAM.
The Most Fair Dinkum Ripper Beauts of the Week
Justin Morgenstern writes about performance under pressure: the problems, what it means for provid...
Source: Life in the Fast Lane - March 19, 2017 Category: Emergency Medicine Authors: Marjorie Lazoff, MD Tags: Education LITFL review Source Type: blogs
