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Journal of Current Pediatric Research | Volume: 23
March 14-15, 2019 | London, UK
International Conference on
Pediatrics & Neonatal Healthcare
S
hock is defined as decrease in oxygen supply to tissues. In
neonates hypotension is normally taken as synonymous
with shock but it’s not true. One has to understand a difference
between pressure and flow. Flow is more important than
pressure for maintaining organ perfusion but not an easy job
to measure in each baby. Blood pressure on the other hand
is easy to measure and follow. In preterm neonates in first 48
hours of life when left to right shunt is happening through the
foramen ovale and ductus arteriosus, left ventricular output
does not truly determines the organ supply. Superior vena cava
flows have been validated in first 48 hours of life to determine
organ perfusion. Thus learning functional echocardiography
can help a neonatologist in managing sick baby with
shock. Another controversy exists pertaining to choosing
inotropes in management of neonatal shock. Understanding
pathophysiology is one of themost important steps inmanaging
neonate with shock. Recently few bed side tools like functional
echocardiography and Near infrared spectroscopy (NIRS) have
come up as promising tools in managing shock.
Speaker Biography
Naveen Parkash Gupta has done neonatal training in form of DNB Neonatology from
Sir Ganga Ram Hospital, Delhi. He has done fellowship in Neonatal Perinatal Medicine
from British Columbia Children Hospital, Vancouver, Canada. He was in charge of
Neonatal Unit at Max Supersepciality Hosptial, Patparganj fromMarch 2011 to October
2017 where he was running neonatal fellowship program. He is presently a Senior
Consultant in Department of Neonatology at Rainbow Children Hospital, Delhi. Their
unit is one of largest level III NICU in Delhi (30 bedded). He has written many review
articles and chapters in text books.
e:
drgupta.naveen@gmail.comNaveen Parkash Gupta
Rainbow Children Hospital, India
Chosing right inotropes in Neonatology - Where do we stand?
Notes:
Naveen Parkash Gupta
, Curr Pediatr Res, Volume 23
DOI: 10.4066/0971-9032-C1-010