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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Autores principales: Atef Alshafei, Anwar Khan
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Lenguaje:EN
TR
Publicado: Galenos Yayinevi 2021
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Acceso en línea:https://doaj.org/article/17dc003dfcdf4bb49973b3488cae94b7
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spelling 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)
institution DOAJ
collection DOAJ
language EN
TR
topic preterm
shock
hypovolemia
Medicine
R
Pediatrics
RJ1-570
spellingShingle 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
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AT atefalshafei preterminfantwithhypovolemicshockshouldinfantsbeexaminedtwiceorisonceenough
AT anwarkhan preterminfantwithhypovolemicshockshouldinfantsbeexaminedtwiceorisonceenough
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