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Clin Perinatol. 2017 Jun;44(2):377-393. doi: 10.1016/j.clp.2017.02.001. Epub 2017 Mar 9.

Hemodynamic Assessment and Monitoring of Premature Infants.

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Department of Neonatology, The Rotunda Hospital, Parnell Square, Dublin 1, DO1 P5W9, Ireland; Department of Paediatrics, School of Medicine, Royal College of Surgeons in Ireland, 123 St Stephen's Green, Dublin 2, Ireland.
Division of Neonatology, The Hospital for Sick Children, University of Toronto, 555 University Avenue, Toronto, Ontario MG5 1X8, Canada. Electronic address:


The management of the hemodynamic status of critically ill preterm infants, particularly around the periviable period, remains a significant challenge in the neonatal intensive care unit for a multitude of reasons. The causes of hemodynamic compromise in this population are heterogeneous and usually superimposed on the complex physiologic processes that occur during transition from fetal to neonatal life. This review outlines the unique nature of low blood flow states in this population and present an overview of the current methods for identification and assessment of hemodynamic compromise.


Echocardiography; Hemodynamic assessment; Hypotension; NICOM; NIRS; Periviable; Preterm infant

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