Hemodynamic problems are common in neonatal intensive care. They occur in the context of incomplete myocardial and vascular development and in cardiovascular responses to interventions which are, as a result, limited and often uncertain and unpredictable. In this review, I outline the hemodynamic features of 4 neonatal conditions which often require intervention: (1) persistent pulmonary hypertension of the newborn, (2) cardiogenic shock (most commonly in the context of hypoxic ischemic injury), (3) sepsis and (4) low blood pressure in the transitional period of the extremely preterm infant. I also look at the evidence which exists for effective interventions and the most important research questions for the future.
Keith J. Barrington, MB, ChB
Département de Pédiatrie, CHU Sainte-Justine, Université de Montréal
3175, Chemin de la Côte Sainte-Catherine
Montréal, QC H3T 1C5 (Canada)
Published online: May 31, 2013
Number of Print Pages : 6
Number of Figures : 0, Number of Tables : 0, Number of References : 32
Neonatology (Fetal and Neonatal Research)
Vol. 103, No. 4, Year 2013 (Cover Date: May 2013)
Journal Editor: Halliday H.L. (Belfast), Speer C.P. (Würzburg)
ISSN: 1661-7800 (Print), eISSN: 1661-7819 (Online)
For additional information: http://www.karger.com/NEO
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