Hemodynamic monitoring on the background of intensive therapy in newborns

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Abstract

The article deals with the problem of early neonatal and infant mortality. It is pointed out that recent advances in emergency and intensive care therapy have provided decline in early neonatal and infant mortality. Hemodynamic disorders are reported to be associated with any severe pathology in patients of all age groups including newborns, significantly influence quality of life of patients having experienced a critical condition. Clinical manifestations of hemodynamic disorders in infants are not considered to be specific; they are critically delayed and are not timely recognized. The article describes peculiarities of the cardio-vascular system of newborns that are responsible for the necessity of thorough hemodynamic profile monitoring in order to provide detection of vital function alterations at the early stages, ensure timely onset of intensive therapy and its qualitative performance. Special attention is paid to current methods of determination of central hemodynamic parameters, which are stated to be divided into invasive and non-invasive. The paper also highlights some peculiarities of evaluation of hemodynamic findings using specific monitoring methods and factors influencing the outcome. The article specifies increased interest towards non-invasive monitoring tools of hemodynamic profile in recent years; their relevance is stated to be doubtless in both pediatric and neonatal practice. The main task of any monitoring procedure is reported to be hemodynamic findings analysis, “trend tracking” in the process of monitoring a patient and intensive therapy performance.

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About the authors

Irina V. Boronina

Voronezh State Medical University named after N.N. Burdenko

Author for correspondence.
Email: irinaboronina@bk.ru

MD, PhD, Head, Сhair of Аnesthesiology and Resuscitation

Russian Federation, Voronezh

Yury S. Aleksandrovich

St. Petersburg State Pediatric Medical University

Email: Jalex1963@mail.ru

MD, PhD, Dr Med Sci, Professor, Head, Сhair of Аnesthesiology, Resuscitation and Emergency in Pediatrics, Faculty of Postgraduate and Additional Professional Education

Russian Federation, St. Petersburg

Irina N. Popova

Voronezh Regional Children’s Teaching Hospital No 1

Email: irinapopova07@rambler.ru

MD, PhD, Head of the Center of Anesthesiology and Intensive Care

Russian Federation, Voronezh

Ludmila S. Oshanova

Voronezh State Medical University named after N.N. Burdenko

Email: kiwi_smile@mail.ru

Postgraduate Student, Chair of Anesthesiology and Resuscitation

Russian Federation, Voronezh

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