Monitoring of hemodynamics in the choice of intensive therapy in the operated infants
Noninvasive monitoring in obtaining important and reliable information relevant to pediatric practices, not only in respect of dangers and complications of most invasive techniques, but also because a number of them difficult or even impossible in infants. The aim of this study was to estimate the significance of hemodynamic parameters and capabilities of ECHO and dophlercardiography for analyzing violations hemodynamics in primary diagnosis and conduct drug therapy in infants. The study included the results of a survey of 65 infants agedfrom 29 to 39 weeks with various surgical pathology, who received the various options the hemodynamic support. In the initial assessment and selecting tactics of therapy for hemodynamic analysis carried out routine monitoring and for evaluation of cardiac contractility used echo-andDoppler exams. All children have pointed out a number of significant changes of haemodynamics, that has required inotropic therapy with dopamine (64% of children with diaphragmatic hernia received additional dobutamine). Validation of expressed pulmonary hypertension children appointed sildenafil, and in the absence of the effect used nitrous oxide. Hemodynamic monitoring allows to monitor the status of circulation on the background of the treatment and to make timely changes to the script therapy.
About the authorsStepanenko S.M.
Afukov Ivan Igorevich
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