Transitional circulation and hemodynamic monitoring in newborn infants
<p dir="ltr">Transitional circulation is normally transient after birth but can vary markedly between infants. It is actually in a state of transition between fetal (in utero) and neonatal (postnatal) circulation. In the absence of definitive clinical trials, information from applied...
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| مؤلفون آخرون: | , , , , |
| منشور في: |
2023
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| _version_ | 1864513520240951296 |
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| author | Aravanan Anbu Chakkarapani (14158815) |
| author2 | Charles C. Roehr (8716017) Stuart B. Hooper (8116571) Arjan B. te Pas (13894253) Samir Gupta (584529) On behalf of the ESPR Neonatal Resuscitation section writing group (18180481) |
| author2_role | author author author author author |
| author_facet | Aravanan Anbu Chakkarapani (14158815) Charles C. Roehr (8716017) Stuart B. Hooper (8116571) Arjan B. te Pas (13894253) Samir Gupta (584529) On behalf of the ESPR Neonatal Resuscitation section writing group (18180481) |
| author_role | author |
| dc.creator.none.fl_str_mv | Aravanan Anbu Chakkarapani (14158815) Charles C. Roehr (8716017) Stuart B. Hooper (8116571) Arjan B. te Pas (13894253) Samir Gupta (584529) On behalf of the ESPR Neonatal Resuscitation section writing group (18180481) |
| dc.date.none.fl_str_mv | 2023-01-02T03:00:00Z |
| dc.identifier.none.fl_str_mv | 10.1038/s41390-022-02427-8 |
| dc.relation.none.fl_str_mv | https://figshare.com/articles/journal_contribution/Transitional_circulation_and_hemodynamic_monitoring_in_newborn_infants/25434808 |
| dc.rights.none.fl_str_mv | CC BY 4.0 info:eu-repo/semantics/openAccess |
| dc.subject.none.fl_str_mv | Biomedical and clinical sciences Paediatrics hemodynamic newborn infants fetal (in utero) neonatal (postnatal) |
| dc.title.none.fl_str_mv | Transitional circulation and hemodynamic monitoring in newborn infants |
| dc.type.none.fl_str_mv | Text Journal contribution info:eu-repo/semantics/publishedVersion text contribution to journal |
| description | <p dir="ltr">Transitional circulation is normally transient after birth but can vary markedly between infants. It is actually in a state of transition between fetal (in utero) and neonatal (postnatal) circulation. In the absence of definitive clinical trials, information from applied physiological studies can be used to facilitate clinical decision making in the presence of hemodynamic compromise. This review summarizes the peculiar physiological features of the circulation as it transitions from one phenotype into another in term and preterm infants. The common causes of hemodynamic compromise during transition, intact umbilical cord resuscitation, and advanced hemodynamic monitoring are discussed.</p><h2>Impact</h2><p dir="ltr">Transitional circulation can vary markedly between infants. There are alterations in preload, contractility, and afterload during the transition of circulation after birth in term and preterm infants. Hemodynamic monitoring tools and technology during neonatal transition and utilization of bedside echocardiography during the neonatal transition are increasingly recognized. Understanding the cardiovascular physiology of transition can help clinicians in making better decisions while managing infants with hemodynamic compromise. The objective assessment of cardio-respiratory transition and understanding of physiology in normal and disease states have the potential of improving short- and long-term health outcomes.</p><p dir="ltr">Transitional circulation can vary markedly between infants.</p><p dir="ltr">There are alterations in preload, contractility, and afterload during the transition of circulation after birth in term and preterm infants.</p><p dir="ltr">Hemodynamic monitoring tools and technology during neonatal transition and utilization of bedside echocardiography during the neonatal transition are increasingly recognized.</p><p dir="ltr">Understanding the cardiovascular physiology of transition can help clinicians in making better decisions while managing infants with hemodynamic compromise.</p><p dir="ltr">The objective assessment of cardio-respiratory transition and understanding of physiology in normal and disease states have the potential of improving short- and long-term health outcomes.</p><h2>Other Information</h2><p dir="ltr">Published in: Pediatric Research<br>License: <a href="https://creativecommons.org/licenses/by/4.0" target="_blank">https://creativecommons.org/licenses/by/4.0</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1038/s41390-022-02427-8" target="_blank">https://dx.doi.org/10.1038/s41390-022-02427-8</a></p> |
| eu_rights_str_mv | openAccess |
| id | Manara2_98d3cd9b847126f750aa43bac8402ef6 |
| identifier_str_mv | 10.1038/s41390-022-02427-8 |
| network_acronym_str | Manara2 |
| network_name_str | Manara2 |
| oai_identifier_str | oai:figshare.com:article/25434808 |
| publishDate | 2023 |
| repository.mail.fl_str_mv | |
| repository.name.fl_str_mv | |
| repository_id_str | |
| rights_invalid_str_mv | CC BY 4.0 |
| spelling | Transitional circulation and hemodynamic monitoring in newborn infantsAravanan Anbu Chakkarapani (14158815)Charles C. Roehr (8716017)Stuart B. Hooper (8116571)Arjan B. te Pas (13894253)Samir Gupta (584529)On behalf of the ESPR Neonatal Resuscitation section writing group (18180481)Biomedical and clinical sciencesPaediatricshemodynamicnewborn infantsfetal (in utero)neonatal (postnatal)<p dir="ltr">Transitional circulation is normally transient after birth but can vary markedly between infants. It is actually in a state of transition between fetal (in utero) and neonatal (postnatal) circulation. In the absence of definitive clinical trials, information from applied physiological studies can be used to facilitate clinical decision making in the presence of hemodynamic compromise. This review summarizes the peculiar physiological features of the circulation as it transitions from one phenotype into another in term and preterm infants. The common causes of hemodynamic compromise during transition, intact umbilical cord resuscitation, and advanced hemodynamic monitoring are discussed.</p><h2>Impact</h2><p dir="ltr">Transitional circulation can vary markedly between infants. There are alterations in preload, contractility, and afterload during the transition of circulation after birth in term and preterm infants. Hemodynamic monitoring tools and technology during neonatal transition and utilization of bedside echocardiography during the neonatal transition are increasingly recognized. Understanding the cardiovascular physiology of transition can help clinicians in making better decisions while managing infants with hemodynamic compromise. The objective assessment of cardio-respiratory transition and understanding of physiology in normal and disease states have the potential of improving short- and long-term health outcomes.</p><p dir="ltr">Transitional circulation can vary markedly between infants.</p><p dir="ltr">There are alterations in preload, contractility, and afterload during the transition of circulation after birth in term and preterm infants.</p><p dir="ltr">Hemodynamic monitoring tools and technology during neonatal transition and utilization of bedside echocardiography during the neonatal transition are increasingly recognized.</p><p dir="ltr">Understanding the cardiovascular physiology of transition can help clinicians in making better decisions while managing infants with hemodynamic compromise.</p><p dir="ltr">The objective assessment of cardio-respiratory transition and understanding of physiology in normal and disease states have the potential of improving short- and long-term health outcomes.</p><h2>Other Information</h2><p dir="ltr">Published in: Pediatric Research<br>License: <a href="https://creativecommons.org/licenses/by/4.0" target="_blank">https://creativecommons.org/licenses/by/4.0</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1038/s41390-022-02427-8" target="_blank">https://dx.doi.org/10.1038/s41390-022-02427-8</a></p>2023-01-02T03:00:00ZTextJournal contributioninfo:eu-repo/semantics/publishedVersiontextcontribution to journal10.1038/s41390-022-02427-8https://figshare.com/articles/journal_contribution/Transitional_circulation_and_hemodynamic_monitoring_in_newborn_infants/25434808CC BY 4.0info:eu-repo/semantics/openAccessoai:figshare.com:article/254348082023-01-02T03:00:00Z |
| spellingShingle | Transitional circulation and hemodynamic monitoring in newborn infants Aravanan Anbu Chakkarapani (14158815) Biomedical and clinical sciences Paediatrics hemodynamic newborn infants fetal (in utero) neonatal (postnatal) |
| status_str | publishedVersion |
| title | Transitional circulation and hemodynamic monitoring in newborn infants |
| title_full | Transitional circulation and hemodynamic monitoring in newborn infants |
| title_fullStr | Transitional circulation and hemodynamic monitoring in newborn infants |
| title_full_unstemmed | Transitional circulation and hemodynamic monitoring in newborn infants |
| title_short | Transitional circulation and hemodynamic monitoring in newborn infants |
| title_sort | Transitional circulation and hemodynamic monitoring in newborn infants |
| topic | Biomedical and clinical sciences Paediatrics hemodynamic newborn infants fetal (in utero) neonatal (postnatal) |