کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
6155731 1247514 2016 15 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Hemodynamic instability in the critically ill neonate: An approach to cardiovascular support based on disease pathophysiology
ترجمه فارسی عنوان
بی ثباتی همودینامیک در نوزادان مبتلا به بحران: یک روش برای حمایت از قلب و عروق بر اساس پاتوفیزیولوژی بیماری
کلمات کلیدی
نوزاد زودرس افت فشار خون، فشار خون، اکوکاردیوگرافی نوزادان هدفمند، بی نظیر، واسپرسور،
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی پزشکی و دندانپزشکی (عمومی)
چکیده انگلیسی

Hemodynamic disturbance in the sick neonate is common, highly diverse in underlying pathophysiology and dynamic. Dysregulated systemic and cerebral blood flow is hypothesized to have a negative impact on neurodevelopmental outcome and survival. An understanding of the physiology of the normal neonate, disease pathophysiology, and the properties of vasoactive medications may improve the quality of care and lead to an improvement in survival free from disability. In this review we present a modern approach to cardiovascular therapy in the sick neonate based on a more thoughtful approach to clinical assessment and actual pathophysiology. Targeted neonatal echocardiography offers a more detailed insight into disease processes and offers longitudinal assessment, particularly response to therapeutic intervention. The pathophysiology of common neonatal conditions and the properties of cardiovascular agents are described. In addition, we outline separate treatment algorithms for various hemodynamic disturbances that are tailored to clinical features, disease characteristics and echocardiographic findings.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Seminars in Perinatology - Volume 40, Issue 3, April 2016, Pages 174-188
نویسندگان
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