Scopus
🔓 Açık Erişim
Turkish neonatal society guideline on the neonatal hemodynamics and management of hypotension in newborns
Turk Pediatri Arsivi · Ocak 2018
Makale Bilgileri
DergiTurk Pediatri Arsivi
Yayın TarihiOcak 2018
Cilt / Sayfa53 · 65-75
Scopus ID2-s2.0-85065786975
Erişim🔓 Açık Erişim
Özet
Hemodynamic instability is frequent in high-risk infants admitted to neonatal intensive care units. However, monitoring and treatment strategies of those conditions might show variations among the units. Different factors can compromise hemodynamic status in preterm/ term infants. Treatment options mostly include volume replacement, inotropes and/or vasopressors (dopamine, dobutamine, epinephrine and milrinone) and hydrocortisone. In general, these treatments are driven by predetermined protocols, which are not patient-based. According to the current knowledge, a physiology-driven approach that takes the individual characteristics of the newborn into consideration is accepted to be more suitable. In neonatal hemodynamics, important determinants are cardiac output, systemic vascular resistance, blood pressure, regional tissue perfusion and oxygenation. The novel technological methods, “targeted neonatal echocardiography�? and “near-infrared spectroscopy�? can help to delineate the underlying pathophysiology better, when added to the clinical assessment. In this review, strategies for the assessment of neonatal hemodynamics, as well as etiology, monitoring, and treatment of hemodynamic instability in preterm and term infants are presented.
Yazarlar (3)
1
Dilek Dilli
2
Hanifi Soylu
3
Neslihan Tekin
Anahtar Kelimeler
Hemodynamics
Management
Monitoring
Newborn
Kurumlar
Eskişehir Osmangazi Üniversitesi Tip Fakültesi
Eskisehir Turkey
Selçuk Üniversitesi
Selçuklu Turkey
University of Health Sciences
Istanbul Turkey
Metrikler
21
Atıf
3
Yazar
4
Anahtar Kelime