Neonatal hemodynamics and management of hypotension in newborns

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dc.contributor.authorDilli, Dilek
dc.contributor.authorSoylu, Hanifi
dc.contributor.authorTekin, Neslihan
dc.date.accessioned2020-03-26T19:54:46Z
dc.date.available2020-03-26T19:54:46Z
dc.date.issued2018
dc.departmentSelçuk Üniversitesien_US
dc.description.abstractHemodynamic instability is frequent in high-risk infants admitted to neonatal intensive care units. However, monitoring and treatment strategies of those conditions might show variations among the units. Different factors can compromise hemodynamic status in preterm/term infants. Treatment options mostly include volume replacement, inotropes and/or vasopressors (dopamine, dobutamine, epinephrine and milrinone) and hydrocortisone. In general, these treatments are driven by predetermined protocols, which are not patient-based. According to the current knowledge, a physiology-driven approach that takes the individual characteristics of the newborn into consideration is accepted to be more suitable. In neonatal hemodynamics, important determinants are cardiac output, systemic vascular resistance, blood pressure, regional tissue perfusion and oxygenation. The novel technological methods, "targeted neonatal echocardiography" and "near-infrared spectroscopy" can help to delineate the underlying pathophysiology better, when added to the clinical assessment. In this review, strategies for the assessment of neonatal hemodynamics, as well as etiology, monitoring, and treatment of hemodynamic instability in preterm and term infants are presented.en_US
dc.identifier.doi10.5152/TurkPediatriArs.2018.01801en_US
dc.identifier.endpageS75en_US
dc.identifier.issn1306-0015en_US
dc.identifier.issn1308-6278en_US
dc.identifier.pmid31236020en_US
dc.identifier.scopusqualityN/Aen_US
dc.identifier.startpageS65en_US
dc.identifier.urihttps://dx.doi.org/10.5152/TurkPediatriArs.2018.01801
dc.identifier.urihttps://hdl.handle.net/20.500.12395/36793
dc.identifier.volume53en_US
dc.identifier.wosWOS:000484450300007en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherTURKISH PEDIATRICS ASSOCen_US
dc.relation.ispartofTURK PEDIATRI ARSIVI-TURKISH ARCHIVES OF PEDIATRICSen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.selcuk20240510_oaigen_US
dc.subjectHemodynamicsen_US
dc.subjectmanagementen_US
dc.subjectmonitoringen_US
dc.subjectnewbornen_US
dc.titleNeonatal hemodynamics and management of hypotension in newbornsen_US
dc.typeArticleen_US

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