Our new article of the month comes from Dr. Lochie Milner and is a systemic review and analysis of blood pressure measurements in neonates.
Accurate blood pressure measurements in neonates are fraught with challenges which is influenced by several factors including technique, cuff size and location of measurement. Since hypertension is being seen more frequently in neonates, especially in those with lung disease, the accuracy of neonatal blood pressure measurements is important for therapeutic guidance and potentially preventing long term cardiovascular complications.
This study entitled: ”Method of blood pressure measurement in neonates and infants: a systematic review and analysis" by Dionne et al sheds some light on some of these issues highlighting important aspects and pitfalls in evaluating blood pressures of premature babies in the NICU. Helpful recommendations are offered by the authors which are thought provoking with important implications.