Targeted Neonatal Echocardiography In Neonatal Intensive Care Unit In Sohag University Hospital: A prospective hospital based study | ||||
| Sohag Medical Journal | ||||
| Article 13, Volume 23, Issue 3, July 2019, Page 34-38 PDF (304.35 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/smj.2019.14877.1012 | ||||
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| Authors | ||||
Hanan Fawzy  1; Montaser Mohammed Mohammed2; Mohammad Ahmad Hassan3; Safaa Husein Ali4
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| 1Department of Pediatric, Faculty of Medicine, Sohag University. | ||||
| 2Department of Pediatric, Faculty of Medicine, Sohag universit, Sohag, Egypt. | ||||
| 3Department of, Pediatrics, Faculty of Medicine, Sohag University. | ||||
| 4Department of Pediatric, Faculty of Medicine,Sohag University. | ||||
| Abstract | ||||
| Background: Targeted neonatal echocardiography (TNE) is proposed to describe the use of targeted neonatal echocardiography to assess systemic and pulmonary blood flow, myocardial function, intracardiac and extra cardiac shunts, organ blood flow and tissue perfusion. It gives non-invasive information on the underlying cardiovascular pathophysiology causing hemodynamic instability and the response to treatment in an individual patient over time. Objective: Our main objective in this study is to delineate the impact of echocardiography on the management of unstable neonates at neonatal ICU at Sohag University Hospital. Methods: A prospective hospital-based study included 191 neonates. TNE was done for all included infants as indicated by the clinical team. TNE used to assess PDA regarding diagnosis of patency and hemodynamic significance.. Right ventricular systolic pressure and Pulmonary artery pressure was assessed for diagnosis, management and follow up pf pulmonary hypertension. The main outcome was measured by the impact of TNE on the management plane of the included infants and their short term outcome. Results: there were 60 (31.41%) preterm newborns have PDA, 45 (75%) of them were hemodynamically significant, of them 28 were closed by medical treatment, 15 needed surgical ligation and 2 infants were died. There were 28 (14.65%) newborns had pulmonary hypertension, 27 cases were improved using medical treatment and one case died. | ||||
| Keywords | ||||
| targeted neonatal echocardiography; PDA; pulmonary hypertension | ||||
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