Cardiac Output Monitoring in Preterm Infants.

Cardiac Output Monitoring in Preterm Infants.
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DOI:
10.3389/fped.2018.00084
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发表时间:
2018
影响因子:
2.6
通讯作者:
Miletin J
Miletin J
中科院分区:
医学3区
文献类型:
--
作者:
McGovern M;Miletin J

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维持最佳循环状态是早产儿护理的关键组成部分。早产儿心输出量 (CO) 低会导致重要器官灌注不足,并与各种不良后果相关,包括急性发病率和死亡率升高以及神经发育不良后果。拥有可用于监测 CO 的技术使我们能够检测低输出状态并可能进行干预以减轻器官灌注减少的不良影响。有许多技术可用于监测早产新生儿群体的 CO,虽然许多技术可以作为辅助临床决策的有用辅助手段,但没有任何技术是完美的。在这篇综述中,我们讨论了可用于监测早产新生儿群体 CO 的各种常用方法的相对优点和局限性。我们将讨论早产儿二氧化碳监测中持续存在的挑战以及我们目前的知识差距。最后,我们讨论了值得进一步研究的新兴技术和领域。
Maintaining optimal circulatory status is a key component of preterm neonatal care. Low-cardiac output (CO) in the preterm neonate leads to inadequate perfusion of vital organs and has been linked to a variety of adverse outcomes with heightened acute morbidity and mortality and adverse neurodevelopmental outcomes. Having technology available to monitor CO allows us to detect low-output states and potentially intervene to mitigate the unwanted effects of reduced organ perfusion. There are many technologies available for the monitoring of CO in the preterm neonatal population and while many act as useful adjuncts to aid clinical decision-making no technique is perfect. In this review, we discuss the relative merits and limitations of various common methodologies available for monitoring CO in the preterm neonatal population. We will discuss the ongoing challenges in monitoring CO in the preterm neonate along with current gaps in our knowledge. We conclude by discussing emerging technologies and areas that warrant further study.
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