Document Detail


Echocardiographic evaluation and clinical management of ductal shunting in hemodynamically unstable preterm neonates without congenital heart disease in the pediatric intensive care unit.
MedLine Citation:
PMID:  20203549     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Although significant steps have been taken to monitor complex hemodynamics in neonatal and pediatric intensive care units, cardiovascular function in neonates is still evaluated by measuring blood pressure, heart rate, diuresis, central venous pressure (if a central venous catheter was placed), capillary refill time and oxygen saturation measurement in the upper and lower extremities. The use of other non-invasive or invasive technologies (for example, continuous impedance cardiography, transesophageal Doppler and continuous pulse contour methods) is, in fact, quite problematic in neonates in whom relevant hemodynamic changes are common during the transition to postnatal life. For these reasons, use of transthoracic echocardiography, performed by skilled pediatric intensivists, is increasing in several dedicated centers to guide treatment choices in hemodynamically unstable neonates.
Authors:
M Di Nardo; G M De Matteis; C Cecchetti; E Pasotti; C Tomasello; M Marano; D Perrotta; F Stoppa; N Pirozzi
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Minerva anestesiologica     Volume:  76     ISSN:  1827-1596     ISO Abbreviation:  Minerva Anestesiol     Publication Date:  2010 Mar 
Date Detail:
Created Date:  2010-03-05     Completed Date:  2010-05-25     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0375272     Medline TA:  Minerva Anestesiol     Country:  Italy    
Other Details:
Languages:  eng     Pagination:  209-14     Citation Subset:  IM    
Affiliation:
DEA-Area Rossa-ICU, Bambino Ges? Pediatric Hospital, Rome, Italy. matteo.dinardo@tin.it
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MeSH Terms
Descriptor/Qualifier:
Ductus Arteriosus, Patent / pathology,  surgery,  ultrasonography*
Hemodynamics / physiology*
Humans
Infant, Newborn
Infant, Premature
Intensive Care Units, Pediatric
Point-of-Care Systems
Respiratory Insufficiency / complications

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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