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Neonatal Hypotension, AE

MedGen UID:
1665705
•Concept ID:
C4722007
•
Finding
Synonym: Neonatal Hypotension, Adverse Event

Definition

An adverse event in a newborn characterized by abnormally low blood pressure, which is usually symptomatic. [from NCI]

Professional guidelines

PubMed

Paediatric pulmonary arterial hypertension: updates on definition, classification, diagnostics and management.
Rosenzweig EB, Abman SH, Adatia I, Beghetti M, Bonnet D, Haworth S, Ivy DD, Berger RMF
Eur Respir J 2019 Jan;53(1) Epub 2019 Jan 24 doi: 10.1183/13993003.01916-2018. PMID: 30545978Free PMC Article
Epidural versus non-epidural or no analgesia for pain management in labour.
Anim-Somuah M, Smyth RM, Cyna AM, Cuthbert A
Cochrane Database Syst Rev 2018 May 21;5(5):CD000331. doi: 10.1002/14651858.CD000331.pub4. PMID: 29781504Free PMC Article
Diuretics in the treatment of hypertension.
Blowey DL
Pediatr Nephrol 2016 Dec;31(12):2223-2233. Epub 2016 Mar 16 doi: 10.1007/s00467-016-3334-4. PMID: 26983630

Recent clinical studies

Etiology

Hypertension in Pregnancy: A Diagnostic and Therapeutic Overview.
Cífková R
High Blood Press Cardiovasc Prev 2023 Jul;30(4):289-303. Epub 2023 Jun 13 doi: 10.1007/s40292-023-00582-5. PMID: 37308715Free PMC Article
Management of type 1 diabetes in pregnancy: update on lifestyle, pharmacological treatment, and novel technologies for achieving glycaemic targets.
Benhalima K, Beunen K, Siegelaar SE, Painter R, Murphy HR, Feig DS, Donovan LE, Polsky S, Buschur E, Levy CJ, Kudva YC, Battelino T, Ringholm L, Mathiesen ER, Mathieu C
Lancet Diabetes Endocrinol 2023 Jul;11(7):490-508. Epub 2023 Jun 5 doi: 10.1016/S2213-8587(23)00116-X. PMID: 37290466
Neonatal hypertension: cases, causes, and clinical approach.
Starr MC, Flynn JT
Pediatr Nephrol 2019 May;34(5):787-799. Epub 2018 May 28 doi: 10.1007/s00467-018-3977-4. PMID: 29808264Free PMC Article
Diuretics in the treatment of hypertension.
Blowey DL
Pediatr Nephrol 2016 Dec;31(12):2223-2233. Epub 2016 Mar 16 doi: 10.1007/s00467-016-3334-4. PMID: 26983630
The global impact of pre-eclampsia and eclampsia.
Duley L
Semin Perinatol 2009 Jun;33(3):130-7. doi: 10.1053/j.semperi.2009.02.010. PMID: 19464502

Diagnosis

Hypertension in Pregnancy: A Diagnostic and Therapeutic Overview.
Cífková R
High Blood Press Cardiovasc Prev 2023 Jul;30(4):289-303. Epub 2023 Jun 13 doi: 10.1007/s40292-023-00582-5. PMID: 37308715Free PMC Article
Preeclampsia and the anaesthesiologist: current management.
Russell R
Curr Opin Anaesthesiol 2020 Jun;33(3):305-310. doi: 10.1097/ACO.0000000000000835. PMID: 32049882
Anticipatory perioperative management for patent ductus arteriosus surgery: Understanding postligation cardiac syndrome.
Giesinger RE, Bischoff AR, McNamara PJ
Congenit Heart Dis 2019 Mar;14(2):311-316. doi: 10.1111/chd.12738. PMID: 30945807
Paediatric pulmonary arterial hypertension: updates on definition, classification, diagnostics and management.
Rosenzweig EB, Abman SH, Adatia I, Beghetti M, Bonnet D, Haworth S, Ivy DD, Berger RMF
Eur Respir J 2019 Jan;53(1) Epub 2019 Jan 24 doi: 10.1183/13993003.01916-2018. PMID: 30545978Free PMC Article
Neonatal hypertension: cases, causes, and clinical approach.
Starr MC, Flynn JT
Pediatr Nephrol 2019 May;34(5):787-799. Epub 2018 May 28 doi: 10.1007/s00467-018-3977-4. PMID: 29808264Free PMC Article

Therapy

Hypertension in Pregnancy: A Diagnostic and Therapeutic Overview.
Cífková R
High Blood Press Cardiovasc Prev 2023 Jul;30(4):289-303. Epub 2023 Jun 13 doi: 10.1007/s40292-023-00582-5. PMID: 37308715Free PMC Article
Management of systemic hypotension in term infants with persistent pulmonary hypertension of the newborn: an illustrated review.
Siefkes HM, Lakshminrusimha S
Arch Dis Child Fetal Neonatal Ed 2021 Jul;106(4):446-455. Epub 2021 Jan 21 doi: 10.1136/archdischild-2020-319705. PMID: 33478959Free PMC Article
Paediatric pulmonary arterial hypertension: updates on definition, classification, diagnostics and management.
Rosenzweig EB, Abman SH, Adatia I, Beghetti M, Bonnet D, Haworth S, Ivy DD, Berger RMF
Eur Respir J 2019 Jan;53(1) Epub 2019 Jan 24 doi: 10.1183/13993003.01916-2018. PMID: 30545978Free PMC Article
Neonatal hypertension: cases, causes, and clinical approach.
Starr MC, Flynn JT
Pediatr Nephrol 2019 May;34(5):787-799. Epub 2018 May 28 doi: 10.1007/s00467-018-3977-4. PMID: 29808264Free PMC Article
Diuretics in the treatment of hypertension.
Blowey DL
Pediatr Nephrol 2016 Dec;31(12):2223-2233. Epub 2016 Mar 16 doi: 10.1007/s00467-016-3334-4. PMID: 26983630

Prognosis

Nephrotoxicity in Neonates.
Soares H, Moita R, Maneira P, Gonçalves A, Gomes A, Flor-de-Lima F, Costa S, Soares P, Pissarra S, Rocha G, Silva J, Clemente F, Pinto H, Guimarães H
Neoreviews 2021 Aug;22(8):e506-e520. doi: 10.1542/neo.22-8-e506. PMID: 34341158
Preeclampsia and the anaesthesiologist: current management.
Russell R
Curr Opin Anaesthesiol 2020 Jun;33(3):305-310. doi: 10.1097/ACO.0000000000000835. PMID: 32049882
Anticipatory perioperative management for patent ductus arteriosus surgery: Understanding postligation cardiac syndrome.
Giesinger RE, Bischoff AR, McNamara PJ
Congenit Heart Dis 2019 Mar;14(2):311-316. doi: 10.1111/chd.12738. PMID: 30945807
Neonatal hypertension: cases, causes, and clinical approach.
Starr MC, Flynn JT
Pediatr Nephrol 2019 May;34(5):787-799. Epub 2018 May 28 doi: 10.1007/s00467-018-3977-4. PMID: 29808264Free PMC Article
Clinical features and severity grading of anaphylaxis.
Brown SG
J Allergy Clin Immunol 2004 Aug;114(2):371-6. doi: 10.1016/j.jaci.2004.04.029. PMID: 15316518

Clinical prediction guides

Modern labor epidural analgesia: implications for labor outcomes and maternal-fetal health.
Callahan EC, Lee W, Aleshi P, George RB
Am J Obstet Gynecol 2023 May;228(5S):S1260-S1269. Epub 2023 Mar 20 doi: 10.1016/j.ajog.2022.06.017. PMID: 37164496
Sedation and analgesia from prolonged pain and stress during mechanical ventilation in preterm infants: is dexmedetomidine an alternative to current practice?
Ojha S, Abramson J, Dorling J
BMJ Paediatr Open 2022 May;6(1) doi: 10.1136/bmjpo-2022-001460. PMID: 36053596Free PMC Article
Anticipatory perioperative management for patent ductus arteriosus surgery: Understanding postligation cardiac syndrome.
Giesinger RE, Bischoff AR, McNamara PJ
Congenit Heart Dis 2019 Mar;14(2):311-316. doi: 10.1111/chd.12738. PMID: 30945807
Epidural versus non-epidural or no analgesia for pain management in labour.
Anim-Somuah M, Smyth RM, Cyna AM, Cuthbert A
Cochrane Database Syst Rev 2018 May 21;5(5):CD000331. doi: 10.1002/14651858.CD000331.pub4. PMID: 29781504Free PMC Article
Clinical features and severity grading of anaphylaxis.
Brown SG
J Allergy Clin Immunol 2004 Aug;114(2):371-6. doi: 10.1016/j.jaci.2004.04.029. PMID: 15316518

Recent systematic reviews

Nifedipine or amlodipine? The choice for hypertension during pregnancy: a systematic review and meta-analysis.
Yin J, Mei Z, Shi S, Du P, Qin S
Arch Gynecol Obstet 2022 Dec;306(6):1891-1900. Epub 2022 Mar 19 doi: 10.1007/s00404-022-06504-5. PMID: 35305140
Therapeutic approaches for neonatal abstinence syndrome: a systematic review of randomized clinical trials.
Ghazanfarpour M, Najafi MN, Roozbeh N, Mashhadi ME, Keramat-Roudi A, Mégarbane B, Tsatsakis A, Moghaddam MMM, Rezaee R
Daru 2019 Jun;27(1):423-431. Epub 2019 May 15 doi: 10.1007/s40199-019-00266-3. PMID: 31093953Free PMC Article
Epidural versus non-epidural or no analgesia for pain management in labour.
Anim-Somuah M, Smyth RM, Cyna AM, Cuthbert A
Cochrane Database Syst Rev 2018 May 21;5(5):CD000331. doi: 10.1002/14651858.CD000331.pub4. PMID: 29781504Free PMC Article
Combined spinal-epidural versus epidural analgesia in labour.
Simmons SW, Taghizadeh N, Dennis AT, Hughes D, Cyna AM
Cochrane Database Syst Rev 2012 Oct 17;10(10):CD003401. doi: 10.1002/14651858.CD003401.pub3. PMID: 23076897Free PMC Article
Pain management for women in labour: an overview of systematic reviews.
Jones L, Othman M, Dowswell T, Alfirevic Z, Gates S, Newburn M, Jordan S, Lavender T, Neilson JP
Cochrane Database Syst Rev 2012 Mar 14;2012(3):CD009234. doi: 10.1002/14651858.CD009234.pub2. PMID: 22419342Free PMC Article

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