الفهرس 
IntroductionOnly 14 pages are availabe for public view
 |  | from | 169 |  |  |
| | | from | 169 | | |
Abstract
Introduction: The risk of organ damage can be decreased by maintaining the intravascular volume with fluids and medications that support normal systemic perfusion. Normal end-organ blood flow is not justified by normal blood pressure.Children and newborns can have their hemodynamics measured safely, accurately, and repeatedly with EC, which also allows for continuous monitoring. The evaluation of the inferior vena cava (IVC) and aorta (Ao) using ultrasonography, which is a quick, noninvasive, portable, simple, and safe method, provides another way to evaluate cardiovascular health.Children’s intravascular volume was discovered to be connected with the metric IVC collapsibility index and IVC/Ao. The purpose of this observational prospective study was to assess the hemodynamic condition of newborns who had had shock. Methods: A total of 110 newborns were used in the study, and 55 healthy controls and 55 hemodynamically unstable neonates were separated into 2 groups. Within 48 hours of the diagnosis of shock, the inferior vena cava and abdominal aorta diameters were measured using ultrasonography, and cardiac functions were assessed using electric cardiometry. Results: There was a statistically significant difference between the two groups in the IVC-CI (inferior vena cava collapsibility index), IVC(insp)/Ao, and EC (Electric Cardiometry) measures. Following each medical procedure, the IVC-CI declines while the IVC (insp)/Ao rises. With a sensitivity of 100%, the EC ICON (index of contractility) parameter appears to be the most accurate indication of fluid responsiveness. Conclusions: Both non-invasive methods can be used in NICU to evaluate hemodynamic instability. However, more studies and practice are needed when it comes to the neonatal age group.