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Evidence-Based Guidelines for Acute Stabilization and Management of Neonates with Persistent Pulmonary Hypertension of the Newborn.
- Source :
-
American Journal of Perinatology . Oct2023, Vol. 40 Issue 14, p1495-1508. 14p. - Publication Year :
- 2023
-
Abstract
- Persistent pulmonary hypertension of the newborn, or PPHN, represents a challenging condition associated with high morbidity and mortality. Management is complicated by complex pathophysiology and limited neonatal specific evidence-based literature, leading to a lack of universal contemporary clinical guidelines for the care of these patients. To address this need and to provide consistent high-quality clinical care for this challenging population in our neonatal intensive care unit, we sought to develop a comprehensive clinical guideline for the acute stabilization and management of neonates with PPHN. Utilizing cross-disciplinary expertise and incorporating an extensive literature search to guide best practice, we present an approachable, pragmatic, and clinically relevant guide for the bedside management of acute PPHN. Key Points PPHN is associated with several unique diagnoses; the associated pathophysiology is different for each unique diagnosis. PPHN is a challenging, dynamic, and labile process for which optimal care requires frequent reassessment. Key management goals are adequate tissue oxygen delivery, avoiding harm. [ABSTRACT FROM AUTHOR]
- Subjects :
- *PULMONARY hypertension treatment
*MEDICAL quality control
*ECHOCARDIOGRAPHY
*NEONATAL intensive care
*INFANT care
*CHEST X rays
*BLOOD vessels
*PULMONARY surfactant
*NEONATAL intensive care units
*MEDICAL protocols
*PATIENT monitoring
*VASODILATORS
*PERSISTENT fetal circulation syndrome
*ELECTROLYTES
*MEDICAL equipment
Subjects
Details
- Language :
- English
- ISSN :
- 07351631
- Volume :
- 40
- Issue :
- 14
- Database :
- Academic Search Index
- Journal :
- American Journal of Perinatology
- Publication Type :
- Academic Journal
- Accession number :
- 172829137
- Full Text :
- https://doi.org/10.1055/a-1711-0778