Advances in Diagnosis and Management of Hemodynamic Instability in Neonatal Shock
Shock in newborn infants has unique etiopathologic origins that require careful assessment to direct specific interventions. Early diagnosis is key to successful management. Unlike adults and pediatric patients, shock in newborn infants is often recognized in the uncompensated phase by the presence...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2018-01-01
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| Series: | Frontiers in Pediatrics |
| Subjects: | |
| Online Access: | http://journal.frontiersin.org/article/10.3389/fped.2018.00002/full |
| _version_ | 1818366924647563264 |
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| author | Yogen Singh Yogen Singh Anup C. Katheria Anup C. Katheria Farha Vora |
| author_facet | Yogen Singh Yogen Singh Anup C. Katheria Anup C. Katheria Farha Vora |
| author_sort | Yogen Singh |
| collection | DOAJ |
| description | Shock in newborn infants has unique etiopathologic origins that require careful assessment to direct specific interventions. Early diagnosis is key to successful management. Unlike adults and pediatric patients, shock in newborn infants is often recognized in the uncompensated phase by the presence of hypotension, which may be too late. The routine methods of evaluation used in the adult and pediatric population are often invasive and less feasible. We aim to discuss the pathophysiology in shock in newborn infants, including the transitional changes at birth and unique features that contribute to the challenges in early identification. Special emphasis has been placed on bedside focused echocardiography/focused cardiac ultrasound, which can be used as an additional tool for early, neonatologist driven, ongoing evaluation and management. An approach to goal oriented management of shock has been described and how bed side functional echocardiography can help in making a logical choice of intervention (fluid therapy, inotropic therapy or vasopressor therapy) in infants with shock. |
| first_indexed | 2024-12-13T22:43:53Z |
| format | Article |
| id | doaj.art-279d01eeec6b4c0da35ef21dda2d9d2b |
| institution | Directory Open Access Journal |
| issn | 2296-2360 |
| language | English |
| last_indexed | 2024-12-13T22:43:53Z |
| publishDate | 2018-01-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Pediatrics |
| spelling | doaj.art-279d01eeec6b4c0da35ef21dda2d9d2b2022-12-21T23:28:46ZengFrontiers Media S.A.Frontiers in Pediatrics2296-23602018-01-01610.3389/fped.2018.00002334266Advances in Diagnosis and Management of Hemodynamic Instability in Neonatal ShockYogen Singh0Yogen Singh1Anup C. Katheria2Anup C. Katheria3Farha Vora4Department of Pediatric Cardiology and Neonatal Medicine, Cambridge University Hospitals NHS Foundation Trust, Cambridge, United KingdomUniversity of Cambridge Clinical School of Medicine, Cambridge, United KingdomDepartment of Neonatology, Sharp Mary Birch Hospital for Women & Newborns, San Diego, CA, United StatesDepartment of Neonatology, Loma Linda University School of Medicine, Loma Linda, CA, United StatesDepartment of Neonatology, Loma Linda University School of Medicine, Loma Linda, CA, United StatesShock in newborn infants has unique etiopathologic origins that require careful assessment to direct specific interventions. Early diagnosis is key to successful management. Unlike adults and pediatric patients, shock in newborn infants is often recognized in the uncompensated phase by the presence of hypotension, which may be too late. The routine methods of evaluation used in the adult and pediatric population are often invasive and less feasible. We aim to discuss the pathophysiology in shock in newborn infants, including the transitional changes at birth and unique features that contribute to the challenges in early identification. Special emphasis has been placed on bedside focused echocardiography/focused cardiac ultrasound, which can be used as an additional tool for early, neonatologist driven, ongoing evaluation and management. An approach to goal oriented management of shock has been described and how bed side functional echocardiography can help in making a logical choice of intervention (fluid therapy, inotropic therapy or vasopressor therapy) in infants with shock.http://journal.frontiersin.org/article/10.3389/fped.2018.00002/fullneonatal shockfunctional echocardiographycardiac outputtissue perfusionhemodynamic |
| spellingShingle | Yogen Singh Yogen Singh Anup C. Katheria Anup C. Katheria Farha Vora Advances in Diagnosis and Management of Hemodynamic Instability in Neonatal Shock Frontiers in Pediatrics neonatal shock functional echocardiography cardiac output tissue perfusion hemodynamic |
| title | Advances in Diagnosis and Management of Hemodynamic Instability in Neonatal Shock |
| title_full | Advances in Diagnosis and Management of Hemodynamic Instability in Neonatal Shock |
| title_fullStr | Advances in Diagnosis and Management of Hemodynamic Instability in Neonatal Shock |
| title_full_unstemmed | Advances in Diagnosis and Management of Hemodynamic Instability in Neonatal Shock |
| title_short | Advances in Diagnosis and Management of Hemodynamic Instability in Neonatal Shock |
| title_sort | advances in diagnosis and management of hemodynamic instability in neonatal shock |
| topic | neonatal shock functional echocardiography cardiac output tissue perfusion hemodynamic |
| url | http://journal.frontiersin.org/article/10.3389/fped.2018.00002/full |
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