الفهرس | Only 14 pages are availabe for public view |
Abstract Introduction: cardiac output and hemodynamic stability monitoring in critically ill neonates is an important task during neonatal intensive care stay. Heart rate, blood pressure, and pulse oximeter monitoring not usually give full picture about the hemodynamic instability, so non-invasive techniques like bedside echocardiography and electrical cardiometry can be helpful. Aim of work: This study aimed to compare both echocardiography and electrical cardiometry in assessment of hemodynamic instability among normotensive critically ill neonates. Patients and methods: This was a Cross sectional analytic study which was conducted on 50 neonates (32 weeks gestational age) and more who are admitted to Neonatal intensive care unit. All the included neonates were subjected to full history taking, investigations, and cardiac assessment using echocardiography and electrical cardiometry.Results: There was statistically significant decrease of CO, SV, FS%, EF%, IVC diameter, TAPSE, IVC dispensability, and LA/AO with p-value <0.001 in hemodynamic unstable neonates than hemodynamic stable neonates and SVR with p-value <0.001 being increased in hemodynamically unstable neonates.Statistically significant decrease of CO, SV, TFC, ICON, SVR and FTC with p-value <0.05 in hemodynamic unstable neonates than hemodynamic stable neonates. And statistically significant increase of SVV and SVRI with p-value <0.001 in hemodynamic unstable neonates measured by ICON |