• Permissive hypotension in the extremely low birthweight infant with signs of good perfusion.

      Dempsey, E M; Al Hazzani, F; Barrington, K J; Neonatology, Cork University Maternity Hospital, Cork, Ireland. (2012-01-31)
      INTRODUCTION: Many practitioners routinely treat infants whose mean arterial blood pressure in mm Hg is less than their gestational age in weeks (GA). OBJECTIVE: To assess the effectiveness of utilising a combined approach of clinical signs, metabolic acidosis and absolute blood pressure (BP) values when deciding to treat hypotension in the extremely low birthweight (ELBW) infant. METHODS: Retrospective cohort study of all live born ELBW infants admitted to our neonatal intensive care unit over a 4-year period. Patients were grouped as either normotensive (BP never less than GA), hypotensive and not treated (BP