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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 :
- Complementary Index
- Journal :
- American Journal of Perinatology
- Publication Type :
- Academic Journal
- Accession number :
- 172829137
- Full Text :
- https://doi.org/10.1055/a-1711-0778