scholarly journals Addition of Epinephrine (Epi) to Dopamine (DA) Increases Blood Pressure (BP) and Urine Output (Uv) in Critically Ill Extremely Low Birthweight Neonates(ELBW) with Uncompensated Shock † 1131

1998 ◽  
Vol 43 ◽  
pp. 194-194 ◽  
Author(s):  
Istvan Seri ◽  
Jacquelyn Evans
Keyword(s):  
Blood Pressure ◽  
Critically Ill ◽  
Urine Output ◽  
Low Birthweight ◽  
Extremely Low Birthweight

Blood pressure rhythms during the perinatal period in very immature, extremely low birthweight neonates

1999 ◽  
Vol 56 (1) ◽  
pp. 49-56 ◽  
Author(s):  
Gabriel Dimitriou ◽  
Anne Greenough ◽  
Vasiliki Kavvadia ◽  
Stephanos Mantagos
Keyword(s):  
Blood Pressure ◽  
Low Birthweight ◽  
Perinatal Period ◽  
Extremely Low Birthweight

Endpoints of Resuscitation

2006 ◽  
Vol 17 (3) ◽  
pp. 306-316 ◽  
Author(s):  
Cindy Goodrich
Keyword(s):  
Blood Pressure ◽  
Heart Rate ◽  
Critically Ill ◽  
Mental Status ◽  
Urine Output ◽  
Tissue Perfusion ◽  
Tissue Level ◽  
Oxygen Balance ◽  
Initial Identification ◽  
Adequate Tissue

Major resuscitation goals in the management of shock include restoration of adequate tissue perfusion and oxygen balance and normalization of cellular metabolism. Identification of the most appropriate endpoints of resuscitation is difficult and often debated in the literature. Traditional endpoints, such as heart rate, blood pressure, mental status, and urine output are useful in the initial identification of inadequate perfusion, but are limited in their ability to identify ongoing, compensated shock. Many clinicians continue to use these parameters as indicators that systemic oxygenation imbalances have resolved, even though they have been found to be poor indicators of ongoing tissue hypoxia. Additional resuscitation endpoints that more closely evaluate the adequacy of perfusion and oxygenation at the tissue level should also be used when managing the critically ill. Selected endpoints should include a variety of global and regional indicators to guide and evaluate the effectiveness of treatment.

scholarly journals High Blood Pressure in Young Adult Survivors Born Extremely Preterm or Extremely Low Birthweight in the Post Surfactant Era

Hypertension ◽  
2020 ◽  
Vol 75 (1) ◽  
pp. 211-217 ◽  
Author(s):  
Anjali Haikerwal ◽  
Lex W. Doyle ◽  
Michael M. Cheung ◽  
John D. Wark ◽  
Gillian Opie ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Young Adult ◽  
High Blood Pressure ◽  
Low Birthweight ◽  
Adult Survivors ◽  
Extremely Preterm ◽  
Young Adult Survivors ◽  
Extremely Low Birthweight

scholarly journals Cardiovascular Health Profile at Age 25 Years in Adults Born Extremely Preterm or Extremely Low Birthweight

Hypertension ◽  
2020 ◽  
Vol 76 (6) ◽  
pp. 1838-1846
Author(s):  
Jeanie L.Y. Cheong ◽  
Anjali Haikerwal ◽  
John D. Wark ◽  
Louis Irving ◽  
Suzanne M. Garland ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Exercise Capacity ◽  
Visceral Fat ◽  
Odds Ratio ◽  
Low Birthweight ◽  
Cardiovascular Health ◽  
Extremely Preterm ◽  
Abdominal Visceral Fat ◽  
Extremely Low Birthweight ◽  
Health Profiles

Being born extremely preterm (EP; <28 weeks’ gestation) or extremely low birthweight (ELBW; <1000 g birthweight) may predict increased cardiometabolic risk in adulthood, but other early life predictors are less well described. We aimed to (1) compare cardiovascular health profiles between 165 adults born EP/ELBW and 127 controls at age 25 years, drawn from a prospective longitudinal cohort study, recruited at birth in 1991 to 1992; and (2) in the EP/ELBW group, determine early life associations of cardiovascular health. Cardiovascular health profiles were calculated individually for measures of anthropometry, abdominal visceral fat, blood pressure, fasting plasma glucose, insulin, lipids, C-reactive protein, vascular indices, exercise tolerance and smoking status, and summed for an overall score. Cardiovascular health profiles were compared between groups; using logistic regression (individual scores) and the Mann-Whitney U test (cumulative score). Compared with controls, adults born EP/ELBW had less favorable cardiovascular health profiles; individually for abdominal visceral fat (odds ratio, 0.56 [95% CI, 0.33–0.96], P =0.03), blood pressure (odds ratio 0.38 [95% CI, 0.23–0.63], P <0.001), exercise capacity (odds ratio 0.37 [95% CI, 0.22–0.63], P <0.001), and fasting glucose (odds ratio 0.51 [95% CI, 0.31–0.84], P =0.01) and overall (median [interquartile range] 10 [7–11] versus 11 [9–12], P =0.007). Male sex predicted unfavorable abdominal visceral fat, blood pressure and fasting glucose, and favorable exercise capacity. Greater increases in weight Z scores between 2 and 8, and 8 and 18 years predicted less favorable profiles of exercise capacity and visceral fat. Longer-term follow-up is critical to determine the cardiovascular sequelae of adults born EP/ELBW.

scholarly journals Report of the first AKI Round Table meeting: an initiative of the ESICM AKI Section

2019 ◽  
Vol 7 (1) ◽  
Author(s):  
M. Ostermann ◽  
A. Schneider ◽  
T. Rimmele ◽  
I. Bobek ◽  
M. van Dam ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Critical Care ◽  
Intensive Care ◽  
Renal Replacement Therapy ◽  
Replacement Therapy ◽  
Critically Ill ◽  
Critically Ill Patients ◽  
Future Research ◽  
Knowledge Gaps ◽  
Blood Pressure Targets

Abstract Purpose Critical Care Nephrology is an emerging sub-specialty of Critical Care. Despite increasing awareness about the serious impact of acute kidney injury (AKI) and renal replacement therapy (RRT), important knowledge gaps persist. This report represents a summary of a 1-day meeting of the AKI section of the European Society of Intensive Care Medicine (ESICM) identifying priorities for future AKI research. Methods International Members of the AKI section of the ESICM were selected and allocated to one of three subgroups: “AKI diagnosis and evaluation”, “Medical management of AKI” and “Renal Replacement Therapy for AKI.” Using a modified Delphi methodology, each group identified knowledge gaps and developed potential proposals for future collaborative research. Results The following key research projects were developed: Systematic reviews: (a) epidemiology of AKI with stratification by patient cohorts and diagnostic criteria; (b) role of higher blood pressure targets in patients with hypertension admitted to the Intensive Care Unit, and (c) specific clearance characteristics of different modalities of continuous renal replacement therapy (CRRT). Observational studies: (a) epidemiology of critically ill patients according to AKI duration, and (b) current clinical practice of CRRT. Intervention studies:( a) Comparison of different blood pressure targets in critically ill patients with hypertension, and (b) comparison of clearance of solutes with various molecular weights between different CRRT modalities. Conclusion Consensus was reached on a future research agenda for the AKI section of the ESICM.

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