THE ROLE OF TERGET ECHOCARDIOGRAPHY IN THE DIAGNOSIS AND CONTROL OF THE EFFECTIVENESS OF THERAPY FOR HEMODYNAMICALLY INDUCED NEONATAL PULMONARY HEMORRHAGE

Abstract

Pulmonary hemorrhage is a life-threatening condition that is one of the clinical manifestations of hemodynamically caused pulmonary edema and requires urgent diagnosis and therapy. One of the methods of urgent diagnosis of hemodynamic disorders in pulmonary bleeding can be target echocardiography performed by intensive care physicians. Timely determination of the mechanism of formation of hemodynamic disorders may allow for targeted therapy of this condition, monitor its effectiveness and may improve the outcome of the disease.

The aim of the research – to present clinical cases of diagnosis and treatment control of hemodynamically induced pulmonary hemorrhage in newborns using target echocardiography.

Materials and methods. The article describes two clinical cases of pulmonary hemorrhage in newborns caused by a hemodynamically significant ductus arteriosus and acute left ventricular insufficiency. Target echocardiography performed by intensive care physicians played a leading role in diagnosing the causes of pulmonary bleeding and monitoring therapy.

Results. Case N 1 describes pulmonary bleeding caused by a hemodynamically significant ductus arteriosus. Target echocardiography made it possible to optimize the volemic status of the child in order to reduce preload and prevent the progression of pulmonary bleeding. Case N 2 describes pulmonary hemorrhage caused by acute left ventricular failure. Target echocardiography revealed the ineffectiveness of the initial therapy of hemodynamic disorders and selected the optimal combined inotropic therapy, which led to the relief of pulmonary bleeding.

Conclusion. The use of target echocardiography makes it possible to diagnose the cause of hemodynamically caused pulmonary bleeding in newborns at an early stage and to carry out targeted therapy under the control of hemodynamic parameters. In the described cases, the use of target echocardiography made it possible to quickly stop pulmonary bleeding and improve the outcome of the disease.