HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS REGISTER		Author Keyword(s) Vol Page [Advanced]

This Article Full Text Full Text (PDF) Submit a response Alert me when this article is cited Alert me when eLetters are posted Alert me if a correction is posted Services Email this link to a friend Similar articles in ADC Online Similar articles in PubMed Add article to my folders Download to citation manager Request Permissions Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Fowlie, P W Search for Related Content PubMed PubMed Citation Articles by Fowlie, P W Topic Collections Related Article

Managing the baby with a patent ductus arteriosus. More questions than answers?

Correspondence to:
Correspondence to:
Dr Fowlie
Neonatal Intensive Care Unit, Ninewells Hospital and Medical School, Dundee DD1 9SY, Scotland, UK; peter.w.fowlie@tuht.scot.nhs.uk

Keywords: patent ductus arteriosus; respiratory distress syndrome; long term outcome

The first 150 words of the full text of this article appear below.

Premature infants with a patent ductus arteriosus (PDA) are at increased risk of more prolonged and more severe respiratory distress syndrome, bronchopulmonary dysplasia, and death than similar infants whose ductuses have closed. In an attempt to improve the outcome for these infants, three broad strategies have been proposed: prophylactic "closure", closure of the asymptomatic but clinically detected PDA, and closure of the symptomatic PDA. Interventions, some of which have been subjected to more rigorous scrutiny than others, used as part of these strategies include fluid restriction, the use of diuretics, the use of cyclo-oxygenase inhibitors, and surgical closure using a variety of surgical techniques. There are now seven completed systematic reviews in the Cochrane library looking at such interventions.¹ The bulk of the evidence available assesses the impact on short term outcomes, with some of the strategies resulting in, for example, an apparent decrease in the risk . . . [Full text of this article]

Related Article

Fantoms

Ben Stenson
Arch. Dis. Child. Fetal Neonatal Ed. 2005 90: F189. [Extract] [Full Text] [PDF]

This article has been cited by other articles:

				S. Vanhaesebrouck, I. Zonnenberg, P. Vandervoort, E. Bruneel, M.-R. Van Hoestenberghe, and C. Theyskens Conservative treatment for patent ductus arteriosus in the preterm Arch. Dis. Child. Fetal Neonatal Ed., July 1, 2007; 92(4): F244 - F247. [Abstract] [Full Text] [PDF]