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Hemodynamic consequences of respiratory interventions in preterm infants

Arvind Sehgal1,2, J Lauren Ruoss3, Amy H Stanford4

  • 1Monash Newborn, Monash Children's Hospital, Melbourne, VIC, Australia. Arvind.Sehgal@monash.edu.

Journal of Perinatology : Official Journal of the California Perinatal Association
|June 11, 2022
PubMed

Insights

Premature infants are vulnerable to hemodynamic changes from respiratory support. This review details the impact of neonatal respiratory care on preterm infant hemodynamics and suggests assessment tools.

Area of Science:

  • Neonatology
  • Pediatric Cardiology
  • Perinatal Medicine

Background:

  • Perinatal management advances improve preterm infant survival.
  • Preterm infants experience rapid circulatory changes post-birth.
  • Immature cardiovascular systems in preterm infants are vulnerable to hemodynamic effects.

Purpose of the Study:

  • To outline the vulnerability of preterm infants to hemodynamic disturbances.
  • To describe the hemodynamic effects of common respiratory practices in neonates.
  • To identify tools for assessing cardiopulmonary interactions and guiding management.

Main Methods:

  • Narrative review of existing literature.
  • Focus on hemodynamic impacts of respiratory interventions.
  • Discussion of diagnostic and therapeutic strategies.

Main Results:

  • Routine respiratory interventions can negatively affect preterm infant heart function and hemodynamics.
  • The hemodynamic impact of standard neonatal respiratory care is not fully understood.
  • Preterm infants, especially those at the limits of viability, are susceptible.

Conclusions:

  • Enhanced diagnostic precision and judicious therapeutic approaches are needed.
  • Understanding cardiopulmonary interactions is crucial for managing preterm infants.
  • Respiratory care requires careful consideration of hemodynamic consequences in neonates.

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