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Pulmonary hypertension diagnosis in NICU


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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! :).    

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