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   The impact of integrated evaluation of hemodynamics using targeted neonatal echocardiography with indices of tissue oxygenation: a new approach  
   
نویسنده Elsayed Y N ,Amer R ,Seshia M M
منبع journal of perinatology - 2017 - دوره : 37 - شماره : 5 - صفحه:527 -535
چکیده    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
آدرس 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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