Publications by authors named "B Barzilay"
Article Synopsis
- Non-invasive cardiac output monitoring using electrical biosensing technology (EBT) allows for continuous monitoring of hemodynamic variables in neonates, helping to identify instability early for potential interventions.
- The use of thoracic (TEBT) and whole body (WBEBT) monitoring methods has grown in neonatology, although TEBT is not a reliable measure of cardiac output, it may track changes in individual patients over time.
- Recommendations suggest avoiding WBEBT for cardiac output monitoring and highlight the need for further research to address variations in technology and methodology before EBT can become routine in clinical practice.
Article Synopsis
- An international survey was conducted across 560 neonatal intensive care units (NICUs) in 24 European countries to assess the usage of lung ultrasound (LU), revealing significant variability in adoption rates (20%-98%).
- Most NICUs (76%) use LU for clinical reasons, primarily to diagnose respiratory issues and manage acute conditions.
- Key barriers to LU implementation include lack of experience in technical skills and image interpretation, with suggestions for improvement involving specific training courses and a standardized international guideline.
The use of point of care ultrasound to assess cardiovascular function performed by a neonatologist who is not a cardiologist, is gaining interest in the neonatal intensive care unit (NICU). Clinical signs such as heart rate, blood pressure and capillary refill time provide limited insight into the adequacy of systemic blood flow and organ perfusion. Functional echocardiography (echo) enables real time evaluation of cardiac performance, identifying the nature of cardiovascular compromise, guiding therapeutic decisions and monitoring response to treatment.
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