Journal
NEONATAL NETWORK
Volume 35, Issue 4, Pages 192-203Publisher
SPRINGER PUBLISHING CO
DOI: 10.1891/0730-0832.35.4.192
Keywords
neonatal hemodynamics; blood pressure; targeted neonatal echocardiography; near-infrared spectroscopy (NIRS)
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Intact hemodynamics results when there is adequate oxygen uptake by the respiratory system, normal cardiac output, sufficient oxygen-carrying capacity of blood, and intact autoregulatory mechanisms to maintain enough oxygenation for normal end-organ function. The current routine monitoring of cardiovascular dynamics in sick preterm and term infants has been based on incomplete evaluation and relies on nonspecific and sometimes misleading clinical markers such as blood pressure. A thorough understanding of perinatal and neonatal cardiovascular, respiratory, oxygen, and other specific end-organ physiology is also mandatory for proper targeted interpretation.
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