Neonatal Persistent Pulmonary Hypertension Treatment.
Keywords:
HYPERTENSION, PULMONARY, ANOXIA, HIGH- FREQUENCY VENTILATION, EXTRACORPOREAL MEMBRANE OXYGENATION, INFANT, NEWBORN, HUMANAbstract
The Neonatal Persistent Pulmonary Hypertension is characterized by maintaining the arterial pressure abnormally high in pulmonary circulation after birth; its more important consequence is the right-to-left shortcut by the oval hole and the arterial conduct, provoking instability and paO 2 progressive and intense diminishing, with a severe hypoxia that can be associated to a normal or elevated pCO 2 . We made a bibliographic review on some aspects of the treatment used in these cases, the advantages of some procedures over others and the specialists´ experience in the management of this serious neonatal disorder. Among the most advantageous techniques are reported the High Frequency Oscillatory ventilation, the Nitric Oxide usage, the Extracorporeal Membrane oxygenation and the liquid ventilation with perfluorocarbonatesDownloads
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