Murphy Elizabeth, Healy David B, Chioma Roberto, Dempsey Eugene M
Department of Paediatrics & Child Health, University College Cork, T12 YT20 Cork, Ireland.
INFANT Research Centre, University College Cork, T12 DC4A Cork, Ireland.
Children (Basel). 2023 Mar 6;10(3):519. doi: 10.3390/children10030519.
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.
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。