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Practical management of the shocked neonate
Author(s) -
Barker Claire L
Publication year - 2013
Publication title -
emergency medicine australasia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.602
H-Index - 52
eISSN - 1742-6723
pISSN - 1742-6731
DOI - 10.1111/1742-6723.12009
Subject(s) - medicine , resuscitation , inotrope , intensive care medicine , sepsis , accidental , ventilation (architecture) , disease , anesthesia , surgery , mechanical engineering , physics , acoustics , engineering
The shocked neonate often causes anxiety in the ED. This article aims to provide a systematic, practical approach to recognition and initial management of these patients. Their resuscitation should follow a pattern of provision of oxygen, fluid resuscitation, blood glucose correction, inotropic support and ventilation. Practical tips for intravenous access and the rationale behind choice of inotrope and anaesthetic induction agent are discussed. The major underlying causes – sepsis, cardiac disease, metabolic disease and non‐accidental injury – along with their investigation and management are considered.