Targeted Neonatal Echocardiography in Patients With Hemodynamic Instability
Abstract
Targeted neonatal echocardiography (TNE) has been increasingly used at the bedside in neonatal care to provide an enhanced understanding of physiology, affecting management in hemodynamically unstable patients. Traditional methods of bedside assessment, including blood pressure, heart rate monitoring, and capillary refill are unable to provide a complete picture of tissue perfusion and oxygenation. TNE allows for precision medicine, providing a tool for identifying pathophysiology and to continually reassess rapid changes in hemodynamics. A relationship with cardiology is integral both in training as well as quality assurance. It is imperative that congenital heart disease is ruled out when utilizing TNE for hemodynamic management, as pathophysiology varies substantially in the assessment and management of patients with congenital heart disease. Utilizing TNE for longitudinal hemodynamic assessment requires extensive training. As the field continues to grow, guidelines and protocols for training and indications are essential for ensuring optimal use and providing a platform for quality assurance.
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Accurate image acquisition and interpretation require training of the neonatologist, as well as a close collaboration with pediatric cardiologists.
“However, accurate image acquisition and interpretation require training of the neonatologist, as well as a close collaboration with pediatric cardiologists [51].”
From Trends and Challenges in Noninvasive Hemodynamic Monitoring of Neonates Following Cardiac Surgery: A Narrative Review (2025) · cites this paper as [51]
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- Authors
- Rahde Bischoff, A., Bhombal, S., Altman, C. A., Fraga, M. V., Punn, R., Rohatgi, R. K., Lopez, L., & McNamara, P. J.
- Affiliations
- aDepartments of Pediatrics
- Lucile Packard Children's Hospital (US)
- Texas Children's Hospital (US)
- eDepartment of Pediatrics, Children’s Hospital of Philadelphia, University of Pennsylvania, Philadelphia, Pennsylvania
- Mayo Clinic (US)
- University of Iowa (US)
- Venue
- PEDIATRICS
- Publisher
- American Academy of Pediatrics (AAP)
- Published
- 2022-11-01
- Volume
- 150
- Issue
- Supplement 2
- ISSN
- 0031-4005 (ISSN-L)
- 1098-4275
- OpenAlex
- W4308058148
- Cited by
- 21
- References
- 59
- Citations by year
- 2026: 4 · 2025: 8 · 2024: 7 · 2023: 2
- FWCI
- 3.07
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- PEDIATRICS (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Epidemiology › Congenital Heart Disease Studies
- Health Sciences › Medicine › Surgery › Hemodynamic Monitoring and Therapy
- Health Sciences › Medicine › Critical Care and Intensive Care Medicine › Ultrasound in Clinical Applications
- Keywords
- targeted neonatal echocardiography, hemodynamic instability, neonates, bedside echocardiography, tissue perfusion, oxygenation, congenital heart disease, hemodynamic management, quality assurance
- MeSH terms
- Echocardiography, Heart Defects, Congenital, Hemodynamics, Humans, Infant, Newborn, Vascular Diseases
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