{
    "abstract": "Effective resuscitation of neonates with congenital heart disease (CHD) depends on comprehensive planning, thorough understanding of physiology, vigilant monitoring, and interdisciplinary collaboration to achieve the best outcomes. Neonatal heart disease can affect cardiac structure, rhythm, or ventricular function, and may be either congenital or acquired. Critical congenital heart disease (CCHD) can result in inadequate pulmonary blood flow, impaired intracardiac mixing, airway obstruction, or insufficient cardiac output. Tailored resuscitation strategies are important as early as the delivery room, where some CHD lesions may cause immediate cardiovascular instability during the transition from fetal to postnatal circulation. Premature infants with CHD are at higher risk due to their small size and the complications associated with prematurity, affecting both CHD management and overall clinical stability. Addressing both cardiac and non-cardiac causes of decompensation requires a precise understanding of each patient's unique physiology and trajectory from delivery through postintervention intensive care.",
    "authors": [
        {
            "affiliation": "Division of Neonatology, Cincinnati Children's Hospital Medical Center, Department of Pediatrics, University of Cincinnati, Cincinnati, OH, USA. Electronic address: beth_ann.johnson@cchmc.org.",
            "firstname": "Beth Ann",
            "initials": "BA",
            "lastname": "Johnson"
        },
        {
            "affiliation": "Fetal and Neonatal Institute, Division of Neonatology, Children's Hospital Los Angeles, Department of Pediatrics, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA.",
            "firstname": "Jennifer",
            "initials": "J",
            "lastname": "Shepherd"
        },
        {
            "affiliation": "Children's Healthcare of Atlanta and Department of Pediatrics, Division of Neonatology, Emory University, Atlanta, Georgia, USA.",
            "firstname": "Shazia",
            "initials": "S",
            "lastname": "Bhombal"
        },
        {
            "affiliation": "Division of Neonatal-Perinatal Medicine, Department of Pediatrics, University of Texas Southwestern, Dallas, TX, USA.",
            "firstname": "Noorjahan",
            "initials": "N",
            "lastname": "Ali"
        },
        {
            "affiliation": "Division of Neonatology, Department of Pediatrics, Stollery Children's Hospital/University of Alberta, Edmonton, AB, Canada.",
            "firstname": "Chloe",
            "initials": "C",
            "lastname": "Joynt"
        }
    ],
    "conclusions": null,
    "copyrights": "Copyright \u00a9 2024. Published by Elsevier Inc.",
    "doi": "10.1016/j.semperi.2024.151989",
    "journal": "Seminars in perinatology",
    "keywords": [
        "APV, absent pulmonary valve",
        "ARC, acute respiratory compromise",
        "ARF, acute renal failure",
        "AV, atrioventricular",
        "AVRT, atrioventricular reentrant tachycardia",
        "Abbreviations: AHA, American Heart Association",
        "Ao, aorta",
        "BP, blood pressure",
        "CCHB, congenital complete heart block",
        "CCHD, critical congenital heart disease",
        "CHD, congenital heart disease",
        "CLD, chronic lung disease",
        "CPAP, continuous positive airway pressure",
        "CPR, cardiopulmonary resuscitation",
        "CVC, central venous catheter",
        "DCM, dilated cardiomyopathy",
        "DR, delivery room",
        "EAT, ectopic atrial tachycardia",
        "ECA, extracardiac anomalies",
        "ECMO, extracorporeal membrane oxygenation",
        "EKG, electrocardiogram",
        "HCM, hypertrophic cardiomyopathy",
        "HLHS, hypoplastic left heart syndrome",
        "HR, heart rate",
        "ICU, intensive care unit",
        "IV, intravenous",
        "IVC, inferior vena cava",
        "IVH, intraventricular hemorrhage",
        "IVS, intact ventricular septum",
        "LA, left atrium",
        "LV, left ventricle",
        "LVOTO, left ventricular outflow tract obstruction",
        "MI, myocardial infarction",
        "NCCM, noncompaction cardiomyopathy",
        "NEC, necrotizing enterocolitis",
        "NICU, neonatal intensive care unit",
        "NRP, neonatal resuscitation program",
        "PA, pulmonary artery",
        "PALS, pediatric advanced life support",
        "PDA, patent ductus arteriosus",
        "PEA, pulseless electrical activity",
        "PEEP, positive end-expiratory pressure",
        "PGE, prostaglandin E",
        "PLCS, Postligation cardiac syndrome",
        "PPV, positive pressure ventilation",
        "PS, pulmonary stenosis",
        "PVR, pulmonary vascular resistance",
        "Qp, pulmonary blood flow",
        "Qs, systemic blood flow",
        "RA, right atrium",
        "RV, right ventricle",
        "RVOTO, right ventricular outflow tract obstruction",
        "SSA, Sj\u00f6gren's-syndrome-related antigen A",
        "SVC, superior vena cava",
        "SVR, systemic vascular resistance",
        "SVT, supraventricular tachycardia",
        "SpO(2), pulse oximetry measured oxygen saturation",
        "SvO(2), mixed venous oxygen saturation",
        "TAPVR, total anomalous pulmonary venous return",
        "TGA, transposition of the great arteries",
        "TOF, tetralogy of Fallot",
        "VSD, ventricular septal defect",
        "VT, ventricular tachycardia",
        "eCPR, extracorporeal cardiopulmonary resuscitation",
        "pCO(2), partial pressure of carbon dioxide"
    ],
    "methods": null,
    "publication_date": "2024-10-31",
    "pubmed_id": "39477714",
    "results": null,
    "title": "Special considerations for the stabilization and resuscitation of patients with cardiac disease in the Neonatal Intensive Care Unit.",
    "xml": "<Element 'PubmedArticle' at 0x788505d48cc0>"
}