neonatal shock
Conditions
Interventions
Standard treatment group:The standard treatment group receives routine treatment, and if ultrasound evaluation is required, it is requested by the attending physician and carried out by sonographers.
ultrasound-guided group :The ultrasound-guided group, in addition to standard treatment, incorporates intensive bedside ultrasound monitoring of hemodynamic changes in the patients at 1 hour, 6 hours,
Sponsors
Maternal and Child Health Hospital of Guangxi Zhuang Autonomous Region
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: Inclusion criteria:Clinical evidence of neonatal shock-inducing factors and manifestations. Neonatal shock score = 5 points. Consent from the parents to participate in the study and sign the informed consent form. According to Practical Neonatology, the diagnosis of neonatal shock is assessed based on five aspects: skin color, circulation, limb temperature, femoral artery pulsation, and blood pressure. Each aspect is assigned a score of 0, 1, or 2, with a total score = 5 indicating neonatal shock. Based on different scores, it can be classified as mild (5 points), moderate (6-8 points), or severe (9-10 points).
Exclusion criteria
Exclusion criteria: Exclusion criteria: Newborns with congenital heart disease or hematologic disorders. Newborns with severe primary organ diseases such as heart, lung, liver, kidney, and brain. Newborns who have already received Cardiotonic or vasopressor drugs before admission. Family members who do not agree to participate in the study.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| success rate of shock treatment ;shock reversal time; | — |
Secondary
| Measure | Time frame |
|---|---|
| mortality;duration of hospitalization;Lactate levels; | — |
Countries
China
Contacts
Public ContactXiaoyan Gao
Maternal and Child Health Hospital of Guangxi Zhuang Autonomous Region
Outcome results
None listed