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Updated: Jan 18, 2026

A Modified Sonographic Algorithm for Image Acquisition in Life-Threatening Emergencies in the Critically Ill Newborn
Published on: April 7, 2023
Circulatory emergencies in the delivery room
Anup C Katheria1, Wade D Rich1, Satyan Lakshminrusimha2
1Neonatal Research Institute, Sharp Mary Birch Hospital for Women & Newborns, 3003 Health Center Dr., San Diego, CA 92123, USA.
Neonatal transition involves significant physiologic changes at birth. This review covers circulatory emergencies in newborns, focusing on assessment and new technologies for monitoring hemodynamic status.
Area of Science:
- Neonatal physiology
- Perinatal medicine
- Cardiovascular adaptation
Background:
- The transition from fetal to neonatal life is a critical period with extensive physiological changes.
- Healthcare providers must monitor newborns for complications during this transition.
- While most transitions are uncomplicated, circulatory emergencies can have severe consequences.
Purpose of the Study:
- To review pathologies presenting as circulatory emergencies in the delivery room.
- To discuss methods for assessing these critical conditions.
- To explore emerging technologies for monitoring neonatal hemodynamic status.
Main Methods:
- Literature review of circulatory emergencies in neonates.
- Discussion of clinical assessment techniques.
- Overview of new technologies for hemodynamic monitoring (heart rate, cardiac output, cerebral oxygenation, echocardiography).
Main Results:
- Identification of key circulatory emergencies requiring prompt recognition.
- Emphasis on the importance of timely and accurate assessment.
- Introduction to advanced technologies aiding in the understanding of neonatal circulatory status.
Conclusions:
- Rapid identification and management of neonatal circulatory emergencies are vital.
- New technologies offer improved insights into hemodynamic changes in newborns.
- Preparedness and advanced monitoring are crucial for improving outcomes in the delivery room.
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