The role of Neonatologist Performed Echocardiography in the assessment and management of neonatal shock.

The role of Neonatologist Performed Echocardiography in the assessment and management of neonatal shock.
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新生儿学家在新生儿休克的评估和管理中进行了超声心动图。

DOI:
10.1038/s41390-018-0081-1
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发表时间:
2018-07
期刊:
影响因子:
3.6
通讯作者:
European Special Interest Group ‘Neonatologist Performed Echocardiography’ (NPE)
European Special Interest Group ‘Neonatologist Performed Echocardiography’ (NPE)
中科院分区:
医学3区
文献类型:
--
作者:
de Boode WP;van der Lee R;Horsberg Eriksen B;Nestaas E;Dempsey E;Singh Y;Austin T;El-Khuffash A;European Special Interest Group ‘Neonatologist Performed Echocardiography’ (NPE)

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新生儿重症监护的主要挑战之一是循环衰竭的早期发现和管理。常规临床评估新生儿血流动力学状态是主观和不准确的,强调需要客观的监测工具。概述将提供关于使用新生儿超声心动图(NPE)来评估心血管损害和指导血流动力学管理。不同的中心血流测量技术,如左、右心室输出量、上腔静脉流量和降主动脉流量,重点回顾了方法、验证和可用的参考值。建议在NPE指导下进行个体化血流动力学管理。
One of the major challenges of neonatal intensive care is the early detection and management of circulatory failure. Routine clinical assessment of the hemodynamic status of newborn infants is subjective and inaccurate, emphasizing the need for objective monitoring tools. An overview will be provided about the use of neonatologist-performed echocardiography (NPE) to assess cardiovascular compromise and guide hemodynamic management. Different techniques of central blood flow measurement, such as left and right ventricular output, superior vena cava flow, and descending aortic flow are reviewed focusing on methodology, validation, and available reference values. Recommendations are provided for individualized hemodynamic management guided by NPE.
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