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Cited by 84Cardiovascular Conditions and TreatmentsHemodynamic Monitoring and TherapyBlood Pressure and Hypertension Studies

The DOI matches its Crossref record; 26 of the 26 references it cites were found in a registry or an index.

Blood pressure disorders in the neonate: Hypotension and hypertension

Fanaroff, Jonathan M., Fanaroff, Avroy A.·2006·Seminars in Fetal and Neonatal Medicine
DOI 10.1016/j.siny.2006.01.002
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Abstract

Although many sick newborns are treated for hypotension and hypertension, the normal physiologic blood pressure range ensuring appropriate organ perfusion is uncertain. Treatment decisions are based on statistically defined gestational and postnatal age-dependent normative blood-pressure values, combined with clinical intuition, because of difficulties evaluating organ perfusion and adequacy of cerebral oxygen delivery. Early-onset hypotension usually results from the combined effects of abnormal peripheral vasoregulation, myocardial dysfunction, and hypovolemia. Volume administration is the primary initial therapy but its use can be associated with significant untoward effects, especially in preterm infants, and should be limited to 10-20 mL/kg of isotonic saline. If the blood pressure cannot be normalized, dopamine should be added, and sometimes followed by adrenaline (epinephrine) and corticosteroids. Hypertension, most often caused by congenital or acquired renovascular disease or volume overload, needs a thorough search for the etiology and cautious treatment, so that blood pressure does not fall too quickly or too low.

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Crossref · 10.1016/j.siny.2006.01.002

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Metadata

Authors
Fanaroff, J. M., & Fanaroff, A. A.
Affiliations
Case Western Reserve University (US)
Corresponding author
Fanaroff, Jonathan M.
ORCID
Fanaroff, Jonathan M.
Venue
Seminars in Fetal and Neonatal Medicine
Publisher
Elsevier BV
Published
2006-06
Volume
11
Issue
3
Pages
174-181
ISSN
1744-165X (ISSN-L)
DOI
10.1016/j.siny.2006.01.002
OpenAlex
W2154680842
Cited by
84
References
26
Citations by year
2026: 2 · 2024: 5 · 2023: 6 · 2022: 4 · 2021: 3 · 2020: 6 · 2019: 7 · 2018: 5 · 2017: 4 · 2016: 8 · 2015: 1 · 2014: 7 · 2013: 2 · 2012: 8
FWCI
1.88
Type
journal article
Language
en
Open access
closed
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
  • Seminars in Fetal and Neonatal Medicine (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Cardiovascular Conditions and Treatments
  • Health Sciences › Medicine › Surgery › Hemodynamic Monitoring and Therapy
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Blood Pressure and Hypertension Studies
Keywords
neonatal hypotension, neonatal hypertension, organ perfusion, cerebral oxygen delivery, cardiac dysfunction, hypovolemia, fluid resuscitation, dopamine, epinephrine, corticosteroids, renovascular disease, fluid overload, preterm infants
MeSH terms
Blood Pressure Determination, Dopamine, Female, Humans, Hypertension, Hypotension, Infant, Newborn, Infant, Newborn, Diseases, Infant, Premature, Diseases, Male, Pregnancy, Reference Values, Infant, Very Low Birth Weight

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