Target neonatal echocardiography as efficiency assessment method of shock therapy in newborns (a series of clinical observations)
https://doi.org/10.24884/2078-5658-2024-21-5-77-83
Abstract
The objective was to demonstrate clinical cases of shock therapy in newborns under the control of target neonatal echocardiography. This method of hemodynamic monitoring is performed at the bedside by intensive care physicians and is available around the clock.
Materials and methods. The article describes three clinical cases of shock in newborns whose hemodynamic status was assessed by target neonatal echocardiography.
Results. The use of target neonatal echocardiography made it possible to identify a disturbed component of hemodynamics (preload, contractility, postload). In some cases, the actual hemodynamic status differs from the hypothetical one. This made it possible to carry out targeted hemodynamic management and prevent pathogenetically unjustified therapy with potential iatrogenic complications.
Conclusion. Target neonatal echocardiography has demonstrated its clinical effectiveness in bedside assessment of hemodynamics in critically ill newborns.
About the Authors
A. A. Zadvornov
Kuzbass Regional Children’s Clinical Hospital named after Yu. A. Atamanov
Russian Federation
Russian Federation
Zadvornov Aleksej A. - Cand. of Sci. (Med.), Anesthesiologists and Intensive Care Physician, Neonatal Intensive Care Unit
21, Voroshilova str., Kemerovo, 650056
A. A. Chernykh
Kuzbass Regional Children’s Clinical Hospital named after Yu. A. Atamanov
Russian Federation
Russian Federation
Chernykh Artyom A. - Cand. of Sci. (Med.), Anesthesiologists and Intensive Care Physician, Head of Neonatal Intensive Care Unit
21, Voroshilova str., Kemerovo, 650056
E. V. Grigoriev
Kemerovo State Medical University
Russian Federation
Russian Federation
Grigoriev Evgenij V. - Dr. of Sci. (Med.), Professor, Head of the Department of Anesthesiology, Intensive Care, Traumatology and Orthopedics
22a, Voroshilova str., Kemerovo, 650056
А. А. Rudakova
National medical research center for obstetrics,gynecology and perinatology named after academician V. I. Kulakov
Russian Federation
Russian Federation
Rudakova Alesya A. - Research Fellow, Anesthesiologists and Intensive Care Physician of the Department of Neonatal Intensive Care named after A. G. Antonov
4, Akademika Oparina str., Moscow, 117997
References
1. Boytsov S. A., Akchurin R. S., Pevzner D. V. et al. Cardiogenic shock – the current state of the problem. Russian Journal of Cardiology, 2019, vol. 24, no. 10, pp. 126–136. (In Russ.) DOI: 10.15829/1560-4071-2019-10-126-136.
2. Boronina I. V., Kovalev S. A., Gribova N. G. et al. Noninvasive hemodynamic monitoring in the pediatric intensive care unit. Creative Cardiology, 2024, vol. 18, no. 1, pp. 83–91. (In Russ.) DOI: 10.24022/1997-3187-2024-18-1-83-9.1.
3. Boronina I. V., Lisitsyna Y. S., Shirokova T. S. Hemodynamics of newborns in critical condition according to the results of non-invasive monitoring. Youth Innovation Bulletin, 2019, vol. 8, no. 2, pp. 97–98. (In Russ.)
4. Ermolenko K. Yu., Pshenisnov K. V., Aleksandrovich Yu. S. et al. Role of ultrasound diagnostics in pediatric septic shock intensive care: review and clinical case. Pediatrician (St. Petersburg), 2022, vol. 13, no. 2, pp. 5–15. (In Russ.) DOI: 10.17816/PED1325-15.
5. Rudakova A. A., Ionov O. V., Filippova E. A. et al. Possibilities and limitations of the use of echocardiography by an intensive care physician in neonatal intensive care. Neonatology: News, Opinions, Training, 2022, vol. 10, no. 4, pp. 54–62. (In Russ.) DOI: 10.33029/2308-2402-2022-10-4-54-62.
6. Iribarren I., Hilario E., Álvarez A. et al. Neonatal multiple organ failure after perinatal asphyxia. AnPediatr (Engl Ed), 2022, vol. 97, no. 4, pp. 280. DOI: 10.1016/j.anpede.2022.08.010.
7. Montoya Claramunt I., Sánchez Ramírez C., Nachar Hidalgo R. et al. Functional echocardiography and its clinical applications in neonatology. Andes Pediatr, 2021, vol. 92, no. 1, pp. 122–130. DOI: 10.32641/andespediatr.v92i1.2493.
8. Schwarz C. E., Dempsey E. M. Management of neonatal hypotension and shock. Semin Fetal Neonatal Med, 2020, vol. 25, no. 5, pp. 101121. DOI: 10.1016/j.siny.2020.101121.
Review
For citations:
Zadvornov A.A., Chernykh A.A., Grigoriev E.V., Rudakova А.А. Target neonatal echocardiography as efficiency assessment method of shock therapy in newborns (a series of clinical observations). Messenger of ANESTHESIOLOGY AND RESUSCITATION. 2024;21(5):77-83. (In Russ.) https://doi.org/10.24884/2078-5658-2024-21-5-77-83
Email this article 