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Haemodynamic impact of chest compressions in the delivery room

Part of: Echocardiography

Published online by Cambridge University Press:  16 February 2022

Girija Natarajan Open the ORCID record for Girija Natarajan [Opens in a new window] ,
Monika Bajaj  and
Sanjeev Aggarwal
Girija Natarajan*
Affiliation:
Discipline of Pediatrics, Central Michigan University, Mount Pleasant, MI, USA Children’s Hospital of Michigan, Detroit, MI, USA
Monika Bajaj
Affiliation:
Discipline of Pediatrics, Central Michigan University, Mount Pleasant, MI, USA Children’s Hospital of Michigan, Detroit, MI, USA
Sanjeev Aggarwal
Affiliation:
Discipline of Pediatrics, Central Michigan University, Mount Pleasant, MI, USA Children’s Hospital of Michigan, Detroit, MI, USA
*
Author for correspondence: G. Natarajan, MD, Division of Neonatology, Children’s Hospital of Michigan, 3901 Beaubien Blvd, Detroit, MI, USA. Tel: 313 231 0083; Fax: 313 7455867. E-mail: gnataraj@dmc.org
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Abstract

Among 65 neonates with encephalopathy undergoing cooling, 30 (46.1%) received chest compressions during delivery room resuscitation. Despite differences in encephalopathy severity, early (<24 hours) biventricular function on echocardiogram (fractional area change, myocardial performance indices, systolic to diastolic duration ratios, tricuspid annular plane systolic excursion) was comparable between groups with and without chest compressions. Epinephrine receipt was associated with abnormal tricuspid annular plane systolic excursion.

Keywords

hypoxic–ischaemic encephalopathyresuscitationechocardiogram
Type
Brief Report
Information
Cardiology in the Young , Volume 32 , Issue 9 , September 2022 , pp. 1513 - 1515
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Copyright
© The Author(s), 2022. Published by Cambridge University Press

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