A Preterm Infant with Hypovolemic Shock: Should Infants be Examined Twice or is Once Enough?
Shock in newborns and preterm infants carries significant morbidity and mortality risks unless there is early recognition and adequate treatment. Signs may only be identified in the late decompensated phase with lactic acidosis, cellular disruption, and irreversible multiorgan damage. In neonates, t...
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Galenos Yayinevi
2021
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oai:doaj.org-article:17dc003dfcdf4bb49973b3488cae94b72021-11-11T11:27:24ZA Preterm Infant with Hypovolemic Shock: Should Infants be Examined Twice or is Once Enough?2147-94452587-247810.4274/jpr.galenos.2021.52297https://doaj.org/article/17dc003dfcdf4bb49973b3488cae94b72021-12-01T00:00:00Z http://jpedres.org/archives/archive-detail/article-preview/a-preterm-nfant-with-hypovolemic-shock-should-nfan/49622 https://doaj.org/toc/2147-9445https://doaj.org/toc/2587-2478Shock in newborns and preterm infants carries significant morbidity and mortality risks unless there is early recognition and adequate treatment. Signs may only be identified in the late decompensated phase with lactic acidosis, cellular disruption, and irreversible multiorgan damage. In neonates, the etiopathological origin is unique, particularly in extremely preterm infants with a complicated postnatal transition phase, an immature myocardium, and high peripheral systemic resistance. Hypovolemic shock shortly after birth is uncommon and may complicate fetomaternal or fetoplacental transfusion, abruptio placenta, intracranial hemorrhage, or capillary leak syndrome. Without a blood loss history, secondary clinical assessment may reveal the underlying etiology and facilitate targeted interventions.Atef AlshafeiAnwar KhanGalenos YayineviarticlepretermshockhypovolemiaMedicineRPediatricsRJ1-570ENTRJournal of Pediatric Research, Vol 8, Iss 4, Pp 514-516 (2021) |
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preterm shock hypovolemia Medicine R Pediatrics RJ1-570 |
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preterm shock hypovolemia Medicine R Pediatrics RJ1-570 Atef Alshafei Anwar Khan A Preterm Infant with Hypovolemic Shock: Should Infants be Examined Twice or is Once Enough? |
description |
Shock in newborns and preterm infants carries significant morbidity and mortality risks unless there is early recognition and adequate treatment. Signs may only be identified in the late decompensated phase with lactic acidosis, cellular disruption, and irreversible multiorgan damage. In neonates, the etiopathological origin is unique, particularly in extremely preterm infants with a complicated postnatal transition phase, an immature myocardium, and high peripheral systemic resistance. Hypovolemic shock shortly after birth is uncommon and may complicate fetomaternal or fetoplacental transfusion, abruptio placenta, intracranial hemorrhage, or capillary leak syndrome. Without a blood loss history, secondary clinical assessment may reveal the underlying etiology and facilitate targeted interventions. |
format |
article |
author |
Atef Alshafei Anwar Khan |
author_facet |
Atef Alshafei Anwar Khan |
author_sort |
Atef Alshafei |
title |
A Preterm Infant with Hypovolemic Shock: Should Infants be Examined Twice or is Once Enough? |
title_short |
A Preterm Infant with Hypovolemic Shock: Should Infants be Examined Twice or is Once Enough? |
title_full |
A Preterm Infant with Hypovolemic Shock: Should Infants be Examined Twice or is Once Enough? |
title_fullStr |
A Preterm Infant with Hypovolemic Shock: Should Infants be Examined Twice or is Once Enough? |
title_full_unstemmed |
A Preterm Infant with Hypovolemic Shock: Should Infants be Examined Twice or is Once Enough? |
title_sort |
preterm infant with hypovolemic shock: should infants be examined twice or is once enough? |
publisher |
Galenos Yayinevi |
publishDate |
2021 |
url |
https://doaj.org/article/17dc003dfcdf4bb49973b3488cae94b7 |
work_keys_str_mv |
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_version_ |
1718439105426096128 |