دورية أكاديمية
Early Neonatal Shock: Case Report and Lessons Learned in Management
| العنوان: | Early Neonatal Shock: Case Report and Lessons Learned in Management |
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| المؤلفون: | Aso Faeq Salih MBBCh, DCH, FIBMS, Ali M. Jawad MBBS, MSc, MRCS, Majeed H. Jawad MBBS, DCH, FRCPCH |
| المصدر: | Global Pediatric Health, Vol 11 (2024) |
| بيانات النشر: | SAGE Publishing, 2024. |
| سنة النشر: | 2024 |
| المجموعة: | LCC:Pediatrics |
| مصطلحات موضوعية: | Pediatrics, RJ1-570 |
| الوصف: | We report a case of a neonate, delivered by C-section, that rapidly developed respiratory compromise and hemodynamic instability prompting admission to critical care. Urgent cardiology assessment with echocardiography revealed severe systolic dysfunction from localized myocardial ischemia and pulmonary hypertension. Their management progressively escalated, eventually requiring inotropic support. Despite intensive treatment and meticulous nursing with demonstrable improvement of cardiac function, they deteriorated suddenly and died on Day 2 post-partum. This case emphasizes the challenge in early recognition of neonatal shock due to often nonspecific presentations, with hemodynamic compromise arising later. We recommend close vigilance for deterioration, awareness of indolent etiology including viral myocarditis, titration of appropriate inotropes and synergistic adjunctive vasodilators, and consideration of immune modulators such as corticosteroids that addresses biochemical deficiencies and support cardiac function. Ultimately, aggressive, targeted, and multi-focal treatment, especially in resource-limited environments, maximizes the chances of survival in challenging clinical situations such as progressive neonatal shock. |
| نوع الوثيقة: | article |
| وصف الملف: | electronic resource |
| اللغة: | English |
| تدمد: | 2333-794X 2333794X |
| Relation: | https://doaj.org/toc/2333-794X |
| DOI: | 10.1177/2333794X241273204 |
| URL الوصول: | https://doaj.org/article/b414631363424e2ba91ab1aaa6bcb7f0 |
| رقم الأكسشن: | edsdoj.b414631363424e2ba91ab1aaa6bcb7f0 |
| قاعدة البيانات: | Directory of Open Access Journals |
Full Text Finder | تدمد: | 2333794X |
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| DOI: | 10.1177/2333794X241273204 |