الفهرس 
Echocardiography directed management of haemodynamically unstable neonates in Tertiary Care Hospitals
CONTENTSOnly 14 pages are availabe for public view
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Abstract
Hemodynamic instability and inadequate cardiac performance are common in critically ill children. The clinical assessment of hemodynamic status is reliant upon physical examination supported by the clinical signs such as heart rate, blood pressure, capillary refill time, and measurement of the urine output and serum lactate. Unfortunately, all of these parameters are surrogate markers of cardiovascular well-being and they provide limited direct information regarding the adequacy of blood flow and tissue perfusion. A bedside point-of-care echocardiography can provide real-time hemodynamic information by assessing cardiac function, loading conditions (preload and afterload) and cardiac output. The echocardiography has the ability to provide longitudinal functional assessment in real time, which makes it an ideal tool for monitoring hemodynamic assessment in neonates and children. The aim of our study is to estimate the outcome (mortality and morbidity) among haemodynamically unstable neonates, and the time to return to haemodynamic stability after application of ECHO in management of haemodynamically unstable neonates