Functional Neonatal Echocardiography: Indian Experience
Introduction: Functional echocardiography, as opposed to echocardiography as performed by the cardiologist, is the bedside utilization of cardiac ultrasound to take after functional and haemodynamic changes longitudinally. Information reflecting cardiovascular capacity and systemic and pulmonary...
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JCDR Research and Publications Private Limited
2015-12-01
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| Series: | Journal of Clinical and Diagnostic Research |
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| Online Access: | https://jcdr.net/articles/PDF/6971/14440_CE[Ra]_F(Sh)_PF1(EKAK)_PFA(AK)_PF2(PAG).pdf |
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| author | Anilkumar Mohan Khamkar Pradeep B. Suryawanshi Rajesh Maheshwari Suprabha Patnaik Nandini Malshe Vijay Kalrao Sanjay Lalwani Jitendra Surwade |
| author_facet | Anilkumar Mohan Khamkar Pradeep B. Suryawanshi Rajesh Maheshwari Suprabha Patnaik Nandini Malshe Vijay Kalrao Sanjay Lalwani Jitendra Surwade |
| author_sort | Anilkumar Mohan Khamkar |
| collection | DOAJ |
| description | Introduction: Functional echocardiography, as opposed to
echocardiography as performed by the cardiologist, is the
bedside utilization of cardiac ultrasound to take after functional
and haemodynamic changes longitudinally. Information
reflecting cardiovascular capacity and systemic and pulmonary
blood flow in sick preterm and term neonates can be observed
utilizing this strategy. Information is lacking on its use in neonatal
units in India.
Aim: To characterize the impact of Functional neonatal
echocardiography (FnECHO) programme on decision making in
a tertiary care centre in India by evaluating its frequency of use,
patient characteristics, and indications.
Materials and Methods: Prospective observational study of
neonates in a tertiary Neonatal Intensive Care Unit (NICU) in Pune
(India) from February 2014 to January 2015. All the neonates
undergoing FnECHO during this 12 month period based on
clinical findings were included in the study. Data extracted from
the review of the clinical notes included gestational age, birthweight, mode of delivery, Apgar scores, details of respiratory
and cardiovascular support, timing of FnECHO and any other
clinical diagnosis. The findings of echocardiography were
recorded and correlated with the clinical and other laboratory
or X-ray findings. If these findings indicated a change in
management, it was instituted.
Results: A total of 348 echocardiographic studies were
performed in 187 neonates (mean 1.86; SD 2.02). The most
frequent indication was Patent Ductus Arteriosus (PDA)
assessment (n= 174, 50%), followed by haemodynamic instability
(n=43, 12.36%). The results of FnECHO modified treatment in
148 cases (42.50%) in the form of addition and/or change in the
treatment or avoidance of unnecessary intervention.
Conclusion: FnECHO is frequently used in the NICU setting
and may be a useful tool to guide treatment. PDA assessment
and haemodynamic instability are the most frequent indications.
To validate its usefulness, well co-ordinated large prospective
studies are needed. |
| first_indexed | 2024-12-12T23:36:26Z |
| format | Article |
| id | doaj.art-a4886afe0833487ea516331eca5d80a2 |
| institution | Directory Open Access Journal |
| issn | 2249-782X 0973-709X |
| language | English |
| last_indexed | 2024-12-12T23:36:26Z |
| publishDate | 2015-12-01 |
| publisher | JCDR Research and Publications Private Limited |
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| series | Journal of Clinical and Diagnostic Research |
| spelling | doaj.art-a4886afe0833487ea516331eca5d80a22022-12-22T00:07:27ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2015-12-01912SC11SC1410.7860/JCDR/2015/14440.6971Functional Neonatal Echocardiography: Indian ExperienceAnilkumar Mohan Khamkar0Pradeep B. Suryawanshi1Rajesh Maheshwari2Suprabha Patnaik3Nandini Malshe4Vijay Kalrao5Sanjay Lalwani6Jitendra Surwade7Assistant Professor, Department of Neonatology, BVU Medical College, Pune, Maharashtra, India.Professor and Head, Department of Neonatology, BVU Medical College, Pune, Maharashtra, India.Consultant Neonatologist, Westmead Hospital, Westmead, NSW, Australia.Assistant Professor, Department of Neonatology, BVU Medical College, Pune, Maharashtra, India.Associate Professor, Department of Neonatology, BVU Medical College, Pune, Maharashtra, India.Professor, Department of Paediatrics, BVU Medical College, Pune, Maharashtra, India.Professor and Head, Department of Pediatrics, BVU Medical College, Pune, Maharashtra, India.Assistant Professor, Department of PSM, MNR Medical college and Hospital, Sangareddy, Andhra Pradesh, India.Introduction: Functional echocardiography, as opposed to echocardiography as performed by the cardiologist, is the bedside utilization of cardiac ultrasound to take after functional and haemodynamic changes longitudinally. Information reflecting cardiovascular capacity and systemic and pulmonary blood flow in sick preterm and term neonates can be observed utilizing this strategy. Information is lacking on its use in neonatal units in India. Aim: To characterize the impact of Functional neonatal echocardiography (FnECHO) programme on decision making in a tertiary care centre in India by evaluating its frequency of use, patient characteristics, and indications. Materials and Methods: Prospective observational study of neonates in a tertiary Neonatal Intensive Care Unit (NICU) in Pune (India) from February 2014 to January 2015. All the neonates undergoing FnECHO during this 12 month period based on clinical findings were included in the study. Data extracted from the review of the clinical notes included gestational age, birthweight, mode of delivery, Apgar scores, details of respiratory and cardiovascular support, timing of FnECHO and any other clinical diagnosis. The findings of echocardiography were recorded and correlated with the clinical and other laboratory or X-ray findings. If these findings indicated a change in management, it was instituted. Results: A total of 348 echocardiographic studies were performed in 187 neonates (mean 1.86; SD 2.02). The most frequent indication was Patent Ductus Arteriosus (PDA) assessment (n= 174, 50%), followed by haemodynamic instability (n=43, 12.36%). The results of FnECHO modified treatment in 148 cases (42.50%) in the form of addition and/or change in the treatment or avoidance of unnecessary intervention. Conclusion: FnECHO is frequently used in the NICU setting and may be a useful tool to guide treatment. PDA assessment and haemodynamic instability are the most frequent indications. To validate its usefulness, well co-ordinated large prospective studies are needed.https://jcdr.net/articles/PDF/6971/14440_CE[Ra]_F(Sh)_PF1(EKAK)_PFA(AK)_PF2(PAG).pdfneonateneonatal intensive care unitpatent ductus arteriosuspoint of care |
| spellingShingle | Anilkumar Mohan Khamkar Pradeep B. Suryawanshi Rajesh Maheshwari Suprabha Patnaik Nandini Malshe Vijay Kalrao Sanjay Lalwani Jitendra Surwade Functional Neonatal Echocardiography: Indian Experience Journal of Clinical and Diagnostic Research neonate neonatal intensive care unit patent ductus arteriosus point of care |
| title | Functional Neonatal Echocardiography: Indian Experience |
| title_full | Functional Neonatal Echocardiography: Indian Experience |
| title_fullStr | Functional Neonatal Echocardiography: Indian Experience |
| title_full_unstemmed | Functional Neonatal Echocardiography: Indian Experience |
| title_short | Functional Neonatal Echocardiography: Indian Experience |
| title_sort | functional neonatal echocardiography indian experience |
| topic | neonate neonatal intensive care unit patent ductus arteriosus point of care |
| url | https://jcdr.net/articles/PDF/6971/14440_CE[Ra]_F(Sh)_PF1(EKAK)_PFA(AK)_PF2(PAG).pdf |
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