Blood Pressure Disorders in the Neonate: Hypotension and Hypertension
Blood pressure (BP) disorders are a common problem in neonates admitted to the neonatal intensive care unit (NICU). Additionally, there is an association between systemic hypotension and neonatal morbidities such as intraventricular hemorrhage . Hypertension, while less common, can also lead to significant short and long-term morbidities. There remains, however, no standard definition of hypotension or hypertension in the neonatal period. Indeed, there is convincing evidence that wide variations exist among NICUs in both practice styles and approaches to blood pressure disorders. Barrington notes “The treatment of shock and hypotension in the preterm infant may be the area of neonatology where there is the greatest “intervention/data imbalance”; more babies receive more treatments with less supportive evidence than in virtually any other domain” .
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