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SonoKids ECHO neonatal

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Venkatesh Harohalli Aswathanarayana Iyer, Deepa Mohan Sharma, Siddhu Charki, Pankaj Kumar Mohanty
Cardiac tamponade is a clinical emergency. Detection of a swinging heart rate is one of the earliest markers of large pericardial effusion, in which the four cardiac chambers are free to float in a phasic manner. We present a case of a preterm baby, one of the twins, who developed sudden onset of deterioration in the form of swinging heart rate, fluctuation in blood pressure and desaturation, requiring emergency intubation and inotropic support. Bedside functional echo was performed, which demonstrated cardiac tamponade; an immediate echocardiography-guided tap was initiated and fluid was aspirated from the pericardial space...
December 22, 2014: BMJ Case Reports
Emer Finan, Arvind Sehgal, Afif El Khuffash, Patrick J McNamara
OBJECTIVES: Targeted neonatal echocardiography refers to a focused assessment of myocardial performance and hemodynamics directed by a specific clinical question. It has become the standard of care in many parts of the world, but practice is variable, and there has been a lack of standardized training and evaluation to date. Targeted neonatal echocardiography was first introduced to Canada in 2006. The purpose of this study was to examine the characteristics of targeted neonatal echocardiography practice and training methods in Canadian neonatal intensive care units (NICUs)...
October 2014: Journal of Ultrasound in Medicine: Official Journal of the American Institute of Ultrasound in Medicine
H C Lee, N Silverman, S R Hintz
OBJECTIVES: To conduct a pilot study assessing a neonatologist's accuracy in diagnosing patent ductus arteriosus (PDA) using compact, portable ultrasound after limited training. STUDY DESIGN: Prospective study of premature infants scheduled for echocardiography for suspected PDA. A neonatologist with limited training performed study exams before scheduled exams. Sensitivity and specificity were calculated, compared to the scheduled echocardiogram interpreted by a cardiologist...
May 2007: Journal of Perinatology: Official Journal of the California Perinatal Association
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