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评估低血压早产儿:床边的循证实践?

Evaluation of the Hypotensive Preterm Infant: Evidence-Based Practice at the Bedside?

作者信息

Murphy Elizabeth, Healy David B, Chioma Roberto, Dempsey Eugene M

机构信息

Department of Paediatrics & Child Health, University College Cork, T12 YT20 Cork, Ireland.

INFANT Research Centre, University College Cork, T12 DC4A Cork, Ireland.

出版信息

Children (Basel). 2023 Mar 6;10(3):519. doi: 10.3390/children10030519.

DOI:10.3390/children10030519
PMID:36980077
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10047557/
Abstract

Choosing the appropriate management approach for the preterm infant with low blood pressure during the transition period generally involved intervening when the blood pressure drifted below a certain threshold. It is now clear that this approach is too simplistic and does not address the underlying physiology. In this chapter, we explore the many monitoring tools available for evaluation of the hypotensive preterm and assess the evidence base supporting or refuting their use. The key challenge relates to incorporating these outputs with the clinical status of the patient and choosing the appropriate management strategy.

摘要

为过渡期低血压的早产儿选择合适的管理方法通常是在血压降至某个阈值以下时进行干预。现在很清楚,这种方法过于简单,没有解决潜在的生理学问题。在本章中,我们探讨了许多可用于评估低血压早产儿的监测工具,并评估了支持或反驳其使用的证据基础。关键挑战在于将这些结果与患者的临床状况相结合,并选择合适的管理策略。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/03b3/10047557/2b1a35ac6b19/children-10-00519-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/03b3/10047557/8c755857d652/children-10-00519-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/03b3/10047557/2b1a35ac6b19/children-10-00519-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/03b3/10047557/8c755857d652/children-10-00519-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/03b3/10047557/2b1a35ac6b19/children-10-00519-g002.jpg

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本文引用的文献

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Epilepsia. 2023 Feb;64(2):456-468. doi: 10.1111/epi.17468. Epub 2022 Dec 20.
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Hospital variation in neonatal echocardiography among very preterm infants at US children's hospitals.美国儿童医院极低出生体重早产儿新生儿超声心动图的医院间差异。
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Healthcare (Basel). 2023 Dec 6;11(24):3107. doi: 10.3390/healthcare11243107.
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Neonatology. 2022;119(5):594-601. doi: 10.1159/000525755. Epub 2022 Jul 27.
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Accuracy and Trending Ability of Electrical Biosensing Technology for Non-invasive Cardiac Output Monitoring in Neonates: A Systematic Qualitative Review.用于新生儿无创心输出量监测的电化学生物传感技术的准确性和趋势分析能力:一项系统的定性综述
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