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Integrated evaluation of hemodynamics: a novel approach for the assessment and management of preterm infants with compromised systemic circulation.

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اقرأ أكثر حفظ في قائمتي
  • معلومة اضافية
    • المصدر:
      Publisher: Nature Publishing Group Country of Publication: United States NLM ID: 8501884 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1476-5543 (Electronic) Linking ISSN: 07438346 NLM ISO Abbreviation: J Perinatol Subsets: MEDLINE
    • بيانات النشر:
      Publication: 2001- : New York, NY : Nature Publishing Group
      Original Publication: [Philadelphia, Pa. : W.B. Saunders, c1984-
    • الموضوع:
      Hemodynamics* ; Infant, Premature*; Cardiovascular Diseases/*physiopathology ; Cardiovascular System/*physiopathology ; Oxygen/*blood; Canada ; Cardiovascular Diseases/therapy ; Echocardiography ; Female ; Gestational Age ; Humans ; Infant ; Infant, Newborn ; Male ; Oximetry ; Recovery of Function ; Retrospective Studies ; Spectroscopy, Near-Infrared ; Time Factors
    • نبذة مختصرة :
      Objective: To establish normal reference values for tissue oxygen delivery and consumption in preterm infants and demonstrate the usefulness of the integrated evaluation of hemodynamics (IEH) in preterm infants with compromised systemic circulation (CSC).
      Methods: This study included 32 stable preterm infants and 6 infants (selected cases) who underwent IEH. IEH is a multimodal approach which integrates clinical parameters: data obtained from near-infrared spectroscopy (NIRS) and targeted neonatal echocardiography (TNE).
      Results: Thirty-two hemodynamically stable preterm infants underwent 57 IEH studies. The mean (10th and 90th percentiles) were 0.23 (0.14 and 0.29) for cerebral fractional oxygen extraction (crFOE), 0.2 (0.13 and 0.24) for renal fractional oxygen extraction (rnFOE), and 0.22 (0.19 and 0.27) for mesenteric fractional oxygen extraction (msFOE). The time to full clinical recovery in all sick infants after the change of management was between 4 and 48 h.
      Conclusion: IEH was useful in targeting the management of preterm infants with CSC.
    • الرقم المعرف:
      S88TT14065 (Oxygen)
    • الموضوع:
      Date Created: 20180804 Date Completed: 20191114 Latest Revision: 20191114
    • الموضوع:
      20221213
    • الرقم المعرف:
      10.1038/s41372-018-0188-6
    • الرقم المعرف:
      30072708