Diagnosis and Management of Shock in Neonates

Published by National Neonatology Forum of India on Nov 26, 2023

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Abstract

NNF/2023/CPG/2023.3.0

 

©National Neonatology Forum of India 2023

 

Some rights reserved. This work is licensed under Attribution-NonCommercial-ShareAlike 4.0 International. To view a copy of this license, visit http://creativecommons.org/licenses/by-nc-sa/4.0/ This license requires that you must give credit to the creator. It allows you to distribute, remix, adapt, and build upon the material in any medium or format, for noncommercial purposes only. If you modify or adapt the material, you must license the modified material under identical terms.

 

Suggested citation: Diagnosis and Management of Shock in Neonates. 25 November 2023. New Delhi: National Neonatology Forum of India; 2023 (NNF/2023/CPG/ 2023.3.0). License: CC BY-NC-SA 4.0 

 

Disclaimers: Due care has been taken to verify the accuracy of all the information in these Clinical Practice Guidelines. However, the contributors, editors, or National Neonatology Forum are not responsible for errors or omissions or any consequences from the application of information provided in this book and give no guarantee concerning the completeness or accuracy of the contents. Application of the information in a situation different from that described in guidelines remains the professional responsibility of the concerned physicians. The guidelines do not endorse any particular brand of equipment or drug. The contributors, editors, and NNF have no affiliation with any of the companies.

The contributors and editors have made great efforts to ensure that all information is according to currently accepted recommendations. However, given the rapidity with which such information changes, the reader is urged to check the latest updates. Updates as and when they occur, shall be posted on the website of NNF and published in the issues of the official journal of NNF, the Journal of Neonatology.
 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

National Neonatology Forum of India

About us: National Neonatology Forum (NNF), established in 1980, is the professional association of neonatologists of India. It currently has more than 9000 members (https://www.nnfi.org/about-us). NNF has been instrumental in bringing up neonatology and neonatal care services in India to the forefront. It is actively involved in advocacy, policy-making, capacity-building, and improving quality of care. One of its important mandates is to draw out evidence-based recommendations for neonatal care at different levels. The members of NNF have developed expertise and experience in using GRADE methodology and have released several clinical practice guidelines over the years which are available online (https://www.nnfi.org/cpg) as well as in Google and Apple Playstores (NNF CPG) as app. 

E-mail: secnnf@nnfi.org

 

Office-bearers 2022:

President: Dr. Siddharth Ramji
President-Elect: Dr. Praveen Kumar
Secretary: Dr. Dinesh Tomar
Past President: Dr. Ranjan Kumar Pejaver
Vice President: Dr. Vikram Dutta
Treasurer: Dr. Surender Bisht
Jt. Secretary: Dr. Dinesh Chirla

 

Office-bearers 2023:

President: Dr. Praveen Kumar
President-Elect: Dr. Sushma Nangia
Secretary: Dr. Surender Bisht
Past President: Dr. Siddharth Ramji
Vice President: Dr. Alok Bhandari
Treasurer: Dr. Amit Upadhyay
Jt. Secretary: Dr. Srinivas Murki
Immediate Past Secretary General: Dr. Dinesh Tomar

Language

en

PICOS

PICO 5.1

Population
Neonates with shock
Intervention
Non Invasive blood presure
Comparator
Invasive blood pressure
Outcomes

PICO 8.1

Population
Preterm neonates born at less than 37 weeks gestation
Intervention
Active treatment (isolated hypotension without any active clinical or biochemical signs of poor perfusion)
Comparator
Restrictive treatment (no treatment of isolated hypotension or treatment of hypotension with clinical or biochemical signs of poor perfusion)
Outcomes

PICO 9.1

Population
Preterm or term neonates (28 days or less) with shock
Intervention
Earlier hydrocortisone of any dosage along with the use of first inotropes or increasing requirement of the first inotropes or VIS<10
Comparator
Use of inotropes with or without volume expansion
Outcomes

PICO 9.2

Population
Preterm or term neonates (28 days or less) with shock
Intervention
Late hydrocortisone with VIS >=10
Comparator
Inotrope alone
Outcomes

PICO 11.1

Population
Term neonates with cardiogenic shock secondary to asphyxia
Intervention
Dopamine
Comparator
Dopamine with hydrocortisone
Outcomes

PICO 12.1

Population
Preterm neonates with shock secondary to patent ductus arterious
Intervention
Inotropes/Vasopressor
Comparator
No Inotropes/Vasopressor
Outcomes

PICO 13.1

Population
Preterm or term neonates (28 days or less) with shock
Intervention
Adrenaline
Comparator
Dopamine
Outcomes