[MONITORING OF HEMODYNAMICS IN THE CHOICE OF INTENSIVE THERAPY IN THE OPERATED INFANTS]

Area of Science:

• Pediatric cardiology
• Neonatal intensive care
• Hemodynamics

Context:

• Noninvasive monitoring is vital in pediatric practices, especially for infants where invasive methods are challenging.
• Assessing hemodynamic parameters is essential for diagnosing and managing surgical pathology in neonates.
• Echocardiography (ECHO) and Doppler are key noninvasive tools for evaluating cardiac function.

Purpose:

• To evaluate the significance of hemodynamic parameters and the capabilities of ECHO and Doppler in analyzing hemodynamic disturbances in infants.
• To assess the role of these noninvasive techniques in primary diagnosis and guiding drug therapy for hemodynamic support.
• To determine the effectiveness of hemodynamic monitoring in adjusting therapeutic strategies.

Summary:

• The study involved 65 infants (29-39 weeks gestation) with surgical pathology requiring hemodynamic support.
• Routine monitoring, ECHO, and Doppler exams were used for initial assessment and cardiac contractility evaluation.
• Significant hemodynamic changes necessitated inotropic therapy (dopamine, dobutamine), with sildenafil and nitrous oxide used for pulmonary hypertension.

Impact:

• Hemodynamic monitoring enables continuous assessment of circulatory status during treatment.
• Timely adjustments to therapy scripts can be made based on real-time monitoring data.
• This noninvasive approach improves the management of complex hemodynamic conditions in critically ill infants.