Echocardiographic evaluation and clinical management of ductal shunting in hemodynamically unstable preterm neonates without congenital heart disease in the pediatric intensive care unit

M. Di Nardo, G. M. De Matteis, C. Cecchetti, E. Pasotti, C. Tomasello, M. Marano, D. Perrotta, F. Stoppa, N. Pirozzi

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

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.

Original languageEnglish
Pages (from-to)209-214
Number of pages6
JournalMinerva Anestesiologica
Volume76
Issue number3
Publication statusPublished - Mar 2010

Fingerprint

Pediatric Intensive Care Units
Heart Diseases
Hemodynamics
Impedance Cardiography
Central Venous Pressure
Central Venous Catheters
Neonatal Intensive Care Units
Diuresis
Echocardiography
Pulse
Lower Extremity
Heart Rate
Pediatrics
Oxygen
Blood Pressure
Technology

Keywords

  • Cardiovascular diseases
  • Echocardiography
  • Infant, newborn

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

Cite this

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abstract = "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.",
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AU - De Matteis, G. M.

AU - Cecchetti, C.

AU - Pasotti, E.

AU - Tomasello, C.

AU - Marano, M.

AU - Perrotta, D.

AU - Stoppa, F.

AU - Pirozzi, N.

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