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[FUNCTIONAL ECHO IN PRETERM INFANTS - PAST, PRESENT AND FUTURE].

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Functional echocardiography (echo) use by neonatologists in the NICU offers real-time cardiovascular assessment, guiding treatment for neonates. This approach enhances care and outcomes, complementing pediatric cardiology expertise.

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Area of Science:

  • Neonatal Medicine
  • Cardiovascular Physiology
  • Point-of-Care Ultrasound

Background:

  • Point-of-care ultrasound (POCUS) for cardiovascular assessment by neonatologists is increasingly utilized in neonatal intensive care units (NICUs).
  • Traditional clinical signs offer limited insight into systemic blood flow and organ perfusion adequacy.
  • Functional echocardiography (echo) provides real-time cardiac performance evaluation, aiding in diagnosis and treatment guidance.

Purpose of the Study:

  • To explore the growing interest and implementation of functional echocardiography by neonatologists in Israel.
  • To establish protocols and collaborative frameworks for functional echo use in the NICU.
  • To develop a specialized group of neonatologists skilled in functional echo and cardiovascular/respiratory physiology.

Main Methods:

  • Review of clinical practice trends and educational initiatives in Israel regarding functional echocardiography.
  • Development of standardized protocols for functional echo examinations in neonates.
  • Collaboration between neonatologists and pediatric cardiologists to define implementation strategies.

Main Results:

  • Increased awareness and adoption of functional echo by neonatologists in Israel over the past two years.
  • Successful organization of conferences and workshops with international experts.
  • Establishment of agreed-upon protocols and collaborative approaches with pediatric cardiology.

Conclusions:

  • Functional echocardiography is a valuable tool for neonatologists in the NICU, improving the assessment and management of cardiovascular compromise.
  • This approach can alter neonatal treatment strategies and potentially improve patient outcomes.
  • Close collaboration with pediatric cardiology is crucial for the effective integration of functional echo into neonatal care.