Feasibility of Surgery for Patent Ductus Arteriosus of Premature Babies in a Neonatal Intensive Care Unit

2003 ◽  
Vol 13 (5) ◽  
pp. 294-297 ◽  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Patent Ductus Arteriosus ◽  
Neonatal Intensive Care Unit ◽  
Neonatal Intensive Care ◽  
Ductus Arteriosus ◽  
Premature Babies ◽  
Patent Ductus

scholarly journals Patent ductus arteriosus in preterm infants; experience of a tertiary referral neonatal intensive care unit: prevalence, complications, and management

2020 ◽  
Vol 68 (1) ◽  
Author(s):  
Reem M. Soliman ◽  
Fatma Alzahraah Mostafa ◽  
Antoine Abdelmassih ◽  
Elham Sultan ◽  
Dalia Mosallam
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Side Effects ◽  
Patent Ductus Arteriosus ◽  
Neonatal Intensive Care Unit ◽  
Preterm Infants ◽  
Neonatal Intensive Care ◽  
Ductus Arteriosus ◽  
Patent Ductus

Abstract Background Patent ductus arteriosus poses diagnostic and therapeutic dilemma for clinicians, diagnosis of persistent PDA, and determination of its clinical and hemodynamic significance are challenging. The aim of this study is to determine the prevalence of PDA in preterm infants admitted to our NICU, to report cardiac and respiratory complications of PDA, and to study the management strategies and their subsequent outcomes. Result Echocardiography was done for 152 preterm babies admitted to neonatal intensive care unit (NICU) on day 3 of life. Eighty-seven (57.2%) preterms had PDA; 54 (62.1%) non-hemodynamically significant PDA (non-hsPDA), and 33 (37.9%) hemodynamically significant PDA. Hemodynamically significant PDA received medical treatment (paracetamol 15 mg/kg/6 h IV for 3 days). Follow-up echocadiography was done on day 7 of life. Four babies died before echo was done on day 7. Twenty babies (68.9%) achieved closure after 1st paracetamol course. Nine babies received 2nd course paracetamol. Follow-up echo done on day 11 of life showed 4 (13.7%) babies achieved successful medical closure after 2nd paracetamol course; 5 babies failed closure and were assigned for surgical ligation. The group of non-hsPDA showed spontaneous closure after conservative treatment. Pulmonary hemorrhage was significantly higher in hsPDA group. Mortality was higher in hsPDA group than non-hsPDA group. Conclusion Echocardiographic evaluation should be done for all preterms suspected clinically of having PDA. We should not expose vulnerable population of preterm infants to medication with known side effects unnecessarily; we should limit medical closure of PDA to hsPDA. Paracetamol offers several important therapeutic advantages options being well tolerated and having more favorable side effects profile.

PP-54. Evaluation of patent ductus arteriosus cases in a neonatal intensive care unit

2010 ◽  
Vol 86 ◽  
pp. S40
Author(s):  
Avyaz Aydogdu ◽  
Bilin Cetinkaya Cakmak ◽  
Ali Rahmi Bakiler ◽  
Defne Engur ◽  
Munevver Kaynak Turkmen
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Patent Ductus Arteriosus ◽  
Neonatal Intensive Care Unit ◽  
Neonatal Intensive Care ◽  
Ductus Arteriosus ◽  
Patent Ductus

Operative closure of patent ductus arteriosus in premature infants in the neonatal intensive care unit

1986 ◽  
Vol 152 (6) ◽  
pp. 704-708 ◽  
Author(s):  
Robert L. Taylor ◽  
Frederick L. Grover ◽  
P.Kent Harman ◽  
Marilyn K. Escobedo ◽  
Rajam S. Ramamurthy ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Patent Ductus Arteriosus ◽  
Neonatal Intensive Care Unit ◽  
Premature Infants ◽  
Neonatal Intensive Care ◽  
Ductus Arteriosus ◽  
Operative Closure ◽  
Patent Ductus

In Reply: Phototherapy Effect on the Incidence of Patent Ductus Arteriosus

PEDIATRICS ◽  
1987 ◽  
Vol 79 (4) ◽  
pp. 654-654
Author(s):  
WARREN ROSENFELD
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Patent Ductus Arteriosus ◽  
Neonatal Intensive Care Unit ◽  
Doppler Echocardiography ◽  
Neonatal Intensive Care ◽  
Ductus Arteriosus ◽  
Two Dimensional ◽  
Considerable Time ◽  
Patent Ductus

Dr Ward points to two major problems that we discussed in our paper. At the time this study was begun in our neonatal intensive care unit, only M-mode echocardiography was available. We agree our methods were relatively gross estimations of ductal patency, and we are presently studying the effect of phototherapy using two-dimensional and Doppler echocardiography. The second flaw of nonblinding was an extremely difficult one to solve in our unit. Those physicians involved in the study spent considerable time in the unit and, even if shields were removed during the scheduled daily examination, it would be difficult to truly blind observers because shields would have been replaced.

Surgical Closure of the Patent Ductus Arteriosus in the Neonatal Intensive Care Unit

1989 ◽  
Vol 48 (3) ◽  
pp. 386-389 ◽  
Author(s):  
David D. Coster ◽  
Michael E. Gorton ◽  
Ronald K. Grooters ◽  
Kent C. Thieman ◽  
Robert F. Schneider ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Patent Ductus Arteriosus ◽  
Neonatal Intensive Care Unit ◽  
Neonatal Intensive Care ◽  
Ductus Arteriosus ◽  
Surgical Closure ◽  
Patent Ductus
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