Impact of ultrasound-guided circulatory management protocol on intraventricular hemorrhage in extremely preterm infants - PubMed
5 hours ago
- #intraventricular hemorrhage
- #ultrasound-guided
- #preterm infants
- Study evaluated the impact of an ultrasound-guided circulatory management protocol on intraventricular hemorrhage (IVH) incidence in extremely preterm infants.
- Protocol included three daily ultrasound assessments, tailored sedation, and targeted nitroglycerin use guided by ultrasound findings.
- Incidence of overall IVH decreased from 37% to 9%, and severe IVH declined from 16% to 2% post-implementation.
- Blood pressure trends showed slower increases and reduced variability after protocol implementation.
- No increase in hypotension duration or adverse outcomes was observed.
- Findings support the feasibility of ultrasound by neonatologists in optimizing care for extremely preterm infants.