USE OF POINT-OF-CARE ULTRASOUND (POCUS) IN THE REGIONAL HOSPITAL FOR DIAGNOSIS AND MONITORING OF POST-HEMORRHAGIC VENTRICULAR DILATION IN PREMATURE NEWBORNS: CASE REPORT
DOI:
https://doi.org/10.61651/rped.2026v78n1p30-36Keywords:
Ultrasonography, Cerebral Intraventricular Hemorrhage, Hydrocephalus, Newborn, PrematureAbstract
Intraventricular hemorrhage (IVH) is a frequent complication in premature neonates, especially those born before 32 weeks of gestation and may lead to posthemorrhagic ventricular dilatation (PHVD) and hydrocephalus. We present the case of a 33-week-old neonate with grade II IVH in the right ventricle and grade I in the left ventricle diagnosed using point-of-care ultrasound (POCUS). POCUS follow-up revealed progression of PHVD, prompting lumbar punctures and later the placement of a ventriculoperitoneal shunt. Early intervention helped prevent further complications. This case highlights the value of POCUS as a diagnostic and monitoring tool in Neonatal Intensive Care Units. The availability of this technology, together with adequate staff training, can significantly improve patient outcomes. Therefore, the use of POCUS should be promoted in all neonatal care centers to ensure timely diagnosis, management, and better neurological prognosis for premature infants affected by IVH.
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Copyright (c) 2026 Andrés Fernando Silva Horna, Franlis Adriana Barcenas Mundaray, Carlos Enrique Quispe Palacios

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