Format

Send to

Choose Destination
Semin Fetal Neonatal Med. 2018 Aug;23(4):292-297. doi: 10.1016/j.siny.2018.03.007. Epub 2018 Mar 7.

Role of neonatologist-performed echocardiography in the assessment and management of patent ductus arteriosus physiology in the newborn.

Author information

1
Department of Neonatology, Radboud University Medical Center, Radboud Institute for Health Sciences, Amalia Children's Hospital, Nijmegen, The Netherlands. Electronic address: willem.deboode@radboudumc.nl.
2
Department of Neonatology, Royal North Shore Hospital, University of Sydney, Sydney, Australia.
3
Department of Paediatrics and Physiology, University of Toronto, Toronto, Canada.
4
Department of Neonatology, University Hospital of North Tees, Durham University, Stockton-on-Tees, UK.

Abstract

Neonatologist-performed echocardiography (NPE) is an indispensable tool in the haemodynamic management of critically ill newborn infants. NPE is used to facilitate timely diagnosis of a patent ductus arteriosus (PDA) in preterm infants and to assess its haemodynamic significance. Before treatment is considered, it is obligatory to confirm structural cardiac normality. Importantly, NPE offers the ability to guide therapeutic interventions, allowing an individualised haemodynamic management approach to the PDA. After discussing PDA pathophysiology, an overview is provided on the role of NPE in the assessment and management of PDA in preterm infants.

KEYWORDS:

Haemodynamic significance; Neonatologist-performed echocardiography; Patent ductus arteriosus; Preterm infants

PMID:
29551482
DOI:
10.1016/j.siny.2018.03.007
[Indexed for MEDLINE]

Supplemental Content

Full text links

Icon for Elsevier Science
Loading ...
Support Center