Hemodynamic management of the micropreemie: When inotropes are not enough

<p>Managing perfusion in the micropreemie is challenging and should be guided by the patho-physiology, gestational and postnatal age of the baby, perinatal history, and the persistence of fetal shunts. The assessment should incorporate bedside tools such as blood pressure, clinical perfusion m...

وصف كامل

محفوظ في:
التفاصيل البيبلوغرافية
المؤلف الرئيسي: Samir Gupta (584529) (author)
مؤلفون آخرون: Steven M. Donn (17052417) (author)
منشور في: 2022
الموضوعات:
الوسوم: إضافة وسم
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author Samir Gupta (584529)
author2 Steven M. Donn (17052417)
author2_role author
author_facet Samir Gupta (584529)
Steven M. Donn (17052417)
author_role author
dc.creator.none.fl_str_mv Samir Gupta (584529)
Steven M. Donn (17052417)
dc.date.none.fl_str_mv 2022-06-01T00:00:00Z
dc.identifier.none.fl_str_mv 10.1016/j.siny.2022.101329
dc.relation.none.fl_str_mv https://figshare.com/articles/journal_contribution/Hemodynamic_management_of_the_micropreemie_When_inotropes_are_not_enough/24745725
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
Preterm
Micropreemie
Hypotension
Inotrope
Perfusion
dc.title.none.fl_str_mv Hemodynamic management of the micropreemie: When inotropes are not enough
dc.type.none.fl_str_mv Text
Journal contribution
info:eu-repo/semantics/publishedVersion
text
contribution to journal
description <p>Managing perfusion in the micropreemie is challenging and should be guided by the patho-physiology, gestational and postnatal age of the baby, perinatal history, and the persistence of fetal shunts. The assessment should incorporate bedside tools such as blood pressure, clinical perfusion markers, and functional echocardiography. The multimodal approach to diagnose and identify the cause of hemodynamic compromise paves the way to a targeted approach to treatment. Characterizing the predominant pathophysiologic cause of low cardiac output and impaired cellular metabolism enables a more accurate use of inotropes, vasopressors, and volume support to suit a particular pathophysiologic situation.</p><h2>Other Information</h2> <p> Published in: Seminars in Fetal and Neonatal Medicine<br> License: <a href="http://creativecommons.org/licenses/by/4.0/" target="_blank">http://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1016/j.siny.2022.101329" target="_blank">https://dx.doi.org/10.1016/j.siny.2022.101329</a></p>
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identifier_str_mv 10.1016/j.siny.2022.101329
network_acronym_str Manara2
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oai_identifier_str oai:figshare.com:article/24745725
publishDate 2022
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spelling Hemodynamic management of the micropreemie: When inotropes are not enoughSamir Gupta (584529)Steven M. Donn (17052417)Biomedical and clinical sciencesPaediatricsPretermMicropreemieHypotensionInotropePerfusion<p>Managing perfusion in the micropreemie is challenging and should be guided by the patho-physiology, gestational and postnatal age of the baby, perinatal history, and the persistence of fetal shunts. The assessment should incorporate bedside tools such as blood pressure, clinical perfusion markers, and functional echocardiography. The multimodal approach to diagnose and identify the cause of hemodynamic compromise paves the way to a targeted approach to treatment. Characterizing the predominant pathophysiologic cause of low cardiac output and impaired cellular metabolism enables a more accurate use of inotropes, vasopressors, and volume support to suit a particular pathophysiologic situation.</p><h2>Other Information</h2> <p> Published in: Seminars in Fetal and Neonatal Medicine<br> License: <a href="http://creativecommons.org/licenses/by/4.0/" target="_blank">http://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1016/j.siny.2022.101329" target="_blank">https://dx.doi.org/10.1016/j.siny.2022.101329</a></p>2022-06-01T00:00:00ZTextJournal contributioninfo:eu-repo/semantics/publishedVersiontextcontribution to journal10.1016/j.siny.2022.101329https://figshare.com/articles/journal_contribution/Hemodynamic_management_of_the_micropreemie_When_inotropes_are_not_enough/24745725CC BY 4.0info:eu-repo/semantics/openAccessoai:figshare.com:article/247457252022-06-01T00:00:00Z
spellingShingle Hemodynamic management of the micropreemie: When inotropes are not enough
Samir Gupta (584529)
Biomedical and clinical sciences
Paediatrics
Preterm
Micropreemie
Hypotension
Inotrope
Perfusion
status_str publishedVersion
title Hemodynamic management of the micropreemie: When inotropes are not enough
title_full Hemodynamic management of the micropreemie: When inotropes are not enough
title_fullStr Hemodynamic management of the micropreemie: When inotropes are not enough
title_full_unstemmed Hemodynamic management of the micropreemie: When inotropes are not enough
title_short Hemodynamic management of the micropreemie: When inotropes are not enough
title_sort Hemodynamic management of the micropreemie: When inotropes are not enough
topic Biomedical and clinical sciences
Paediatrics
Preterm
Micropreemie
Hypotension
Inotrope
Perfusion