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Updated: Mar 9, 2026
Hemodynamic Precision in the Neonatal Intensive Care Unit using Targeted Neonatal Echocardiography
Published on: January 27, 2023
[ULTRASOUND MONITORING OF CENTRAL AND CEREBRAL HEMODYNAMICS DURING THE TREATMENT OF ARTERIAL HYPOTENSION IN PRETERM
A Zakrevskyy1, O Karapetyan1, V Agashkov1
1Kharkiv Medical Academy of Postgraduate Education, Department of neonatology, Ukraine.
Abstract:
The purpose of the study was to evaluate and identify patterns of changes in central and cerebral hemodynamics in neonates with low and extremely low birth weight and birth asphyxia, in order to achieve the early diagnosis of disorders of the central hemodynamics and autoregulation of cerebral blood flow, for timely fluid correction and inotropic therapy. Observation data on 44 preterm infants who were treated at the Kharkiv City Perinatal Centre and Regional Children's Clinical Hospital №1 of Kharkiv has been analyzed. Ultrasound control of the central and cerebral hemodynamics needs to be carried out within the first 30 minutes in premature neonates with low and extremely low birth weight who were born with severe asphyxia. This method of the hypotension correction allows to select the volume of fluids and inotropic therapy individually, preventing development of undesirable side effects.
Related Concept Videos
01:19Assessing Blood pressure using a doppler ultrasound
Pre-Procedural Guidelines for Doppler Ultrasound Blood Pressure Assessment:
Preparation of Equipment:
01:28Special considerations while measuring blood pressure
Monitoring Both Arms:
Monitoring BP in both arms during the initial assessment is advisable, as the systolic value may differ by five to ten mm Hg between arms. For subsequent BP assessments, use the arm with the higher reading.