Noninvasivemonitoringofhemodynamicsinneonates in critical condition

The aim of this research was to study hemodynamic parameters in 26 neonates using an ultrasound cardiac output monitor - USCOM - after their admission to the NICU of the III level. Hyperdynamic type of circulation was registered in 6 neonates in the group of mature children, normodynamic type was registered in 4 patients of this group, hypodynamic type of circulation was registered in 4 patients of this group. Hyperdynamic type of circulation was detected in 6 neonates in the group of pre-mature infants, hypodynamic type of circulation was detected in 1 patient of this group. Empirically designed hemodynamic therapy appeared to be adequate only in one-third of neonates. Pharmacoeconomic analysis estimated that the amount of medications for hemodynamic support used in 2014 was 47.8% more than in 2016 (411 vials of medication vs 216.5 vials, respectively). Expenditures on cardiotonic and vasoactive preparations decreased by 52% and constituted 146 817 roubles in 2014 compared to 70472 in 2016. Therefore, investigation of hemodynamic profile using USCOM unit allows optimizing cardiotonic support in neonates in critical condition. Economic effect of application of cardiotonic and vasoactive preparations may be achieved due to optimization of hemodynamic monitoring.