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The impact of integrated evaluation of hemodynamics using targeted neonatal echocardiography with indices of tissue oxygenation: a new approach
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نویسنده
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Elsayed Y N ,Amer R ,Seshia M M
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منبع
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journal of perinatology - 2017 - دوره : 37 - شماره : 5 - صفحه:527 -535
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چکیده
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Objective:to study the impact of integrated evaluation of hemodynamics (ieh) using targeted neonatal echocardiography, together with regional tissue oxygenation, fractional oxygen extraction using near-infrared spectroscopy on the management of infants with compromised hemodynamics.study design:retrospective cohort comparison of two groups of infants with compromised hemodynamics. epoch 1: did not undergo ieh (january 2012 to march 2014); epoch 2: underwent ieh (april 2014 to december 2015). the primary outcome was the time to recovery.results:in all, 340 infants were included; 158 underwent ieh with a median (iqr) of 2 (1 to 3) evaluations per infant. reasons for assessment included pda (60%), compromised systemic circulation (14%) and clinically suspected pulmonary hypertension (22%). the time to recovery was shorter in ieh group in patients with compromised systemic circulation median (iqr), 32 h (24 to 63) compared with none ieh group 71 h (36 to 96), pulmonary hypertension 63 h (14.2 to 102) in ieh group compared with 68 h (24 to 240) in none ieh group, there were fewer pda-related complications in preterm infants with pda in ieh group.conclusion:ieh was associated with shorter time to clinical recovery in infants with compromised hemodynamics
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آدرس
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University of Manitoba, Department of Paediatrics, Section of Neonatology, Canada, University of Manitoba, Department of Paediatrics, Section of Neonatology, Canada, University of Manitoba, Department of Paediatrics, Section of Neonatology, Canada
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Authors
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