Pulmonary hypertension diagnosis in NICU

[AmoZee 1]

Dear fellow doctors, from a practical point of view, how to diagnose pulmonary hypertension in NICU?

[Stefan Johansson 606]

Echo!

Come to the #99nicuMeetup, Yogen Singh from Cambridge/UK will lecture about PPHN (and run a workshop on echocardiography for neonatologists)

https://99nicu.org/meetup

[AmoZee 1]

Thank you, appreciate it!

[Andrej Vitushka 33]

Nice suggestion! Especially if you have a appropriate ultrasound machine and relevant knowledge to use it by yourself or possibility to invite specialist to do it. Definitely bedside echo must be a standard. Must be, but not now yet universally (unfortunately).

So sometimes also clinical criteria help as central cyanosis, refractory arterial hypoxemia and pre/postductal SpO2 difference more than 20%. Also "quite healthy" looking non-edematous lungs together with persisting hypoxemia, low SpO2 (heart defects should be prenatally excluded).

But all these are not reliable. So May the Echo be with You! :).    

[AmoZee 1]

Thank you so much, that’s really a so precious piece of information