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Blood Pressure Management in the Very Preterm Infant: More than Just Millimetres

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Emerging Topics and Controversies in Neonatology

Abstract

Despite significant advances in many areas of care, the management of low blood pressure and circulatory compromise in the preterm infant continues to be based on quite limited evidence. Deciding when to intervene, and with what to intervene, remains a conundrum at the bedside. In this chapter we explore the aetiology of low blood pressure, we review assessment strategies including new monitoring modalities that may provide a better understanding of the underlying problem and hence direct more appropriate treatments. The evidence for current therapies is reviewed, including the newer inodilators. The future will see a paradigm shift in our current approach to haemodynamic instability and management.

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Acknowledgements

Funding source: This article was supported by a Science Foundation Ireland Research Centre Award (INFANT-12/RC/2272).

Conflict of interest: The authors have no actual or potential conflicts of interest relevant to this article to disclose.

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Authors and Affiliations

  1. Department of Paediatrics and Child Health, Cork University Maternity Hospital, Cork, Ireland

    Eugene M. Dempsey & Elisabeth M. W. Kooi

  2. Irish Centre for Fetal and Neonatal Translational Research, University College Cork, Cork, Ireland

    Eugene M. Dempsey

  3. INFANT Research Centre, Cork University Maternity Hospital, University College Cork, Cork, Ireland

    Eugene M. Dempsey

  4. Division of Neonatology, University of Groningen, University Medical Center Groningen, Beatrix Children’s Hospital, Groningen, The Netherlands

    Elisabeth M. W. Kooi

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  1. Eugene M. Dempsey
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Correspondence to Eugene M. Dempsey .

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Editors and Affiliations

  1. Department of Health Sciences, George Davies Centre for Medicine, University of Leicester, Leicester, UK

    Elaine M. Boyle

  2. Department of Health Sciences, George Davies Centre for Medicine, University of Leicester, Leicester, UK

    Jonathan Cusack

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Dempsey, E.M., Kooi, E.M.W. (2020). Blood Pressure Management in the Very Preterm Infant: More than Just Millimetres. In: Boyle, E., Cusack, J. (eds) Emerging Topics and Controversies in Neonatology. Springer, Cham. https://doi.org/10.1007/978-3-030-28829-7_17

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