Cardiovascular management following hypoxic-ischemic encephalopathy in North America: need for physiologic consideration.

ABSTRACT:

Background

Hypotension and hypoxemic respiratory failure are common among neonates with hypoxic-ischemic encephalopathy (HIE) undergoing therapeutic hypothermia (TH). Right ventricular (RV) dysfunction is associated with adverse neurodevelopment. Individualized management utilizing targeted neonatal echocardiography (TnECHO) may enhance care.

Methods

We evaluated the influence of TnECHO programs on cardiovascular practices in HIE/TH patients utilizing a 77-item REDCap survey. Nominated representatives of TnECHO (n = 19) or non-TnECHO (n = 96) sites were approached.

Results

Seventy-one (62%) sites responded. Baseline neonatal intensive care unit characteristics and HIE volume were comparable between groups. Most centers monitor invasive blood pressure; however, we iden

SUBMITTER: Giesinger RE 

PROVIDER: S-EPMC8249436 | biostudies-literature | 2021 Sep

REPOSITORIES: biostudies-literature