Doppler ultrasound assessment of the splanchnic circulation in preterms with neonatal sepsis at risk for necrotizing enterocolitis

Objective To evaluate the role of Doppler ultrasonography in the assessment of splanchnic circulation’s hemodynamic changes in septic preterms at risk of necrotizing enterocolitis. Methods A total of 51 septic preterms were divided into two groups: 25 preterms with clinical signs of necrotizing ente...

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Bibliographic Details
Published in:Journal of ultrasound 2017-03, Vol.20 (1), p.59-67
Main Authors: Hashem, Rania H., Mansi, Yasmeen A., Almasah, Nehal S., Abdelghaffar, Shereen
Format: Article
Language:English
Subjects:
Biomarkers - blood
Blood Flow Velocity
Celiac Artery - diagnostic imaging
Celiac Artery - physiopathology
Circulation
Cross-Sectional Studies
Enterocolitis, Necrotizing - diagnostic imaging
Enterocolitis, Necrotizing - physiopathology
Fatal Outcome
Female
Hemodynamics
Humans
Infant, Newborn
Infant, Premature
Intensive Care Units, Neonatal
Male
Medicine
Medicine & Public Health
Mesenteric Artery, Superior - diagnostic imaging
Mesenteric Artery, Superior - physiopathology
Neonatal Sepsis - diagnostic imaging
Neonatal Sepsis - physiopathology
Original
Original Article
Prospective Studies
Pulsatile Flow
Radiography, Abdominal
Splanchnic Circulation
Ultrasonic imaging
Ultrasonography, Doppler - methods
Ultrasound
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Summary:Objective To evaluate the role of Doppler ultrasonography in the assessment of splanchnic circulation’s hemodynamic changes in septic preterms at risk of necrotizing enterocolitis. Methods A total of 51 septic preterms were divided into two groups: 25 preterms with clinical signs of necrotizing enterocolitis (NEC) and 26 preterms with no clinical signs of NEC. Both groups were assessed with Doppler ultrasonography of the celiac and superior mesenteric arteries, and each septic preterm’s peak systolic velocity (PSV), end-diastolic velocity (EDV), resistivity index (RI), and pulsatility index (PI) was calculated and recorded. Results These included a statistically significant lower PSV ( p : 0.001) and a lower EDV ( p : 0.001) in the superior mesenteric artery in the septic group with clinical signs of NEC in comparison with the septic group with no clinical signs of NEC. A statistically significant ( p  
ISSN:1876-7931
1971-3495
1876-7931
DOI:10.1007/s40477-016-0228-z