411126

Evaluation of superior vena cava flow and cardiac output in neonatal sepsis using functional echocardiography

Article

Last updated: 29 Mar 2025

Subjects

-

Tags

Internal medicine ·

Abstract

Background: One of the major causes of newborn mortality is sepsis. The results of sepsis in newborns include cardiovascular problems. Specific hemodynamic phenotypes may be distinguished by echocardiography, which also facilitates physiology-based therapy of sepsis-related cardiovascular dysfunction on an individual basis. The Left Ventricular Output (LVO), Right Ventricular Output (RVO), and Superior Vena Cava Flow (SVCF) are the three parameters that are most often used to evaluate the central blood flow in newborns. Aim: This research used functional echocardiography to assess LVO, RVO, and SVCF in newborns with sepsis. Patients and methods: In the Beni-Suef University Hospital Neonatal Care Unit, this case-control research was carried out. There were 40 newborn sepsis cases and 40 healthy controls in it. All research participants had a meticulous medical history, comprehensive physical examination, and a battery of investigations, including C-reactive protein, complete blood count, blood culture, and a functional echocardiogram on a GE Vivid T8 echocardiography machine.  Results: Patients with neonatal sepsis had considerably greater RVO, LVO, and SVC flow than controls. Additionally, gram-negative sepsis had much greater LVO, RVO, and SVC flow than gram-positive sepsis. Further study revealed that gram-negative LOS had considerably greater LVO, RVO, and SVCF than gram-positive LOS, while gram-negative and gram-positive EOS showed no appreciable differences. Prematurity as well as low birth weight were the commonest risk factors for sepsis. Gram-negative bacteria overwhelmed gram-positive ones. The most prevalent gram-positive and gram-negative bacteria were CONS and Klebsiella pneumoniae respectively. Neonatal sepsis patients had considerably greater levels of WBCs and a prolonged capillary refill time than controls, while their platelet counts were much lower than controls. Conclusions and Recommendations: In newborn sepsis, serious cardiovascular consequences are frequent. To better assess RVO, LVO, and SVCF in newborns with sepsis, multicenter studies on several populations are advised.

DOI

10.21608/ejmr.2023.227259.1435

Keywords

RVO, LVO, SVCF, Neonatal sepsis

Authors

First Name

Mahmoud

Last Name

Noureldeen

MiddleName

Mahmoud

Affiliation

Pediatrics department, Faculty of Medicine, Beni-Suef University

Email

mmpediatrics@med.bsu.edu.eg

City

-

Orcid

-

First Name

Hadeer

Last Name

Abdallah

MiddleName

Mohammed

Affiliation

Pediatrics department, Faculty of Medicine, Beni-Suef University

Email

dody11494@gmail.com

City

-

Orcid

Hadeer1994Omar2022

First Name

Dalia

Last Name

Morgan

MiddleName

Saber

Affiliation

Pediatrics department, Faculty of Medicine, Beni-Suef University

Email

daliasabermorgan@yahoo.com

City

cairo

Orcid

-

First Name

Khaled

Last Name

Hussien

MiddleName

Mohammed

Affiliation

Cardiology department, Faculty of Medicine, Beni-Suef University

Email

khaled4ever_88@yahoo.com

City

-

Orcid

-

Volume

6

Article Issue

1

Related Issue

52942

Issue Date

2025-01-01

Receive Date

2023-08-27

Publish Date

2025-01-01

Page Start

172

Page End

191

Print ISSN

2682-4396

Online ISSN

2682-440X

Link

https://ejmr.journals.ekb.eg/article_411126.html

Detail API

http://journals.ekb.eg?_action=service&article_code=411126

Order

411,126

Type

Original Article

Type Code

1,224

Publication Type

Journal

Publication Title

Egyptian Journal of Medical Research

Publication Link

https://ejmr.journals.ekb.eg/

MainTitle

Evaluation of superior vena cava flow and cardiac output in neonatal sepsis using functional echocardiography

Details

Type

Article

Created At

15 Feb 2025