Neonatologist-performed functional echocardiography in the neonatal intensive care unit
Neonatologist-performed functional echocardiography in the neonatal intensive care unit
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DOI：
10.1016/j.siny.2010.05.001
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发表时间：
2011-02-01
影响因子：
3
通讯作者：
McNamara, Patrick J.
中科院分区：
文献类型：
--
作者：
El-Khuffash, Afif F.;McNamara, Patrick J.
在新生儿重症监护病房（NICU）中，使用床旁功能超声评估心血管功能越来越受到关注。该模式已在成人重症监护病房使用了一段时间，并经常指导管理。临床体征，如心率，血压和毛细血管再充盈时间，医生传统上依赖，提供有限的洞察全身血流和器官灌注的充分性。增强的心血管成像和血流动力学评价提供了关于动脉导管、心肌性能和肺血流动力学对持续临床不稳定的贡献的新见解。此外，它允许更准确地描述潜在疾病过程的性质，并有助于评价对治疗干预的反应。本文综述了超声方法在新生儿重症监护室的潜在临床作用，特别是其在不同疾病状态下的应用，以及该技术如何安全地引入新生儿重症监护室。皇冠版权所有（C）2010由爱思唯尔有限公司出版。保留所有权利。
The use of point-of-care functional ultrasound to assess cardiovascular function is gaining interest in the neonatal intensive care unit (NICU). The modality has been in use in adult intensive care units for some time and has often guided management. Clinical signs such as heart rate, blood pressure, and capillary refill time, which physicians traditionally have relied upon, provide limited insight into the adequacy of systemic blood flow and organ perfusion. Enhanced cardiovascular imaging and hemodynamic evaluation offers novel insights regarding the contribution of the ductus arteriosus, myocardial performance and pulmonary hemodynamics to ongoing clinical instability. In addition, it allows more accurate delineation of the nature of the underlying disease process and facilitates the evaluation of response to therapeutic intervention. This review examines the potential clinical role of ultrasound methods in the NICU; specifically, its applications in different disease states, and how the technology may be introduced safely in the NICU. Crown Copyright (C) 2010 Published by Elsevier Ltd. All rights reserved.