Duration of Indomethacin Treatment of the Preterm Patent Ductus Arteriosus as Directed by Echocardiography

Carmo, Kathryn Browning; Evans, Nick; Paradisis, Mary

doi:10.1016/j.jpeds.2009.06.013

Cited by 67 publications

(31 citation statements)

References 7 publications

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“…The increased use of functional echocardiography may help in identifying PDAs that have low chances of spontaneous closure earlier, as well as aid in limiting unnecessary exposure to a COX inhibitor to the minimum necessary doses required to permanently close the ductus arteriosus. 4,63,64 Similarly, advances in monitoring systemic hemodynamics and cerebral and renal-intestinal oxygenation by a combination of the use of echocardiography, electrical impedance and near-infrared spectroscopy may aid in early identification of the 'hostile' ductus arteriosus that deserves aggressive treatment.…”

Section: Discussionmentioning

confidence: 99%

Patent ductus arteriosus in the preterm infant: to treat or not to treat?

Noori

2010

J Perinatol

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Pharmacological and/or surgical closure of a hemodynamically significant patent ductus arteriosus (PDA) in the very preterm infant has been the standard of care over the past few decades. However, the rationale for closure of PDA has recently been challenged. In this article, the factors that have fueled the controversy of the approach to the management of PDA and the gap in our knowledge are reviewed in detail. In addition, the pros and cons of the different treatment strategies applied in clinical care are evaluated with a focus on discussing the available evidence in the literature.

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Section: Discussionmentioning

confidence: 99%

Patent ductus arteriosus in the preterm infant: to treat or not to treat?

Noori

2010

J Perinatol

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“…Intensive care clinicians in multiple specialties are utilising ultrasound techniques to improve patient monitoring and management [1][2][3][4]. This is particularly the case for cardiovascular assessment in the neonatal intensive care unit (NICU) setting where non-invasive imaging techniques such as echocardiography are particularly attractive due to their portability and bedside feasibility in haemodynamic assessment, diagnosing congenital heart conditions and monitoring patient clinical progress.…”

Section: Introductionmentioning

confidence: 99%

Expert consensus statement ‘Neonatologist-performed Echocardiography (NoPE)’—training and accreditation in UK

et al. 2015

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This is the first document of consensus best practice statement for training of neonatologists in neonatologist-performed echocardiogram (NoPE), jointly drafted by Neonatologists with interest in cardiology & haemodynamics (NICHe), paediatric cardiology and paediatricians with expertise in cardiology interest groups in UK. Key elements of a code of practice for neonatologist-performed echocardiogram are suggested.

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“…The use of echocardiography in the neonatal intensive care unit, also referred to as targeted neonatal echocardiography, has been shown to identify cardiovascular compromise earlier, guide therapeutic intervention, monitor treatment response, and improve overall outcome [4][5][6] .…”

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confidence: 99%

Novel Echocardiography Methods in the Functional Assessment of the Newborn Heart

et al. 2016

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Echocardiography in the neonatal intensive care unit has led to improvements in our ability to assess the neonatal heart in health and disease. Advances in neonatal cardiac imaging have provided the capability to obtain quantitative information that often supersedes the qualitative information provided by conventional methods. Novel quantitative measures of function include the assessment of the velocity of muscle tissue movement during systole and diastole using tissue Doppler velocity imaging, and evaluation of deformation and rotational characteristics of the myocardium utilizing speckle tracking echocardiography or tissue Doppler-derived strain imaging. A comprehensive understanding of these novel functional modalities, their predictive value, and limitations can greatly assist in managing both the normal and maladaptive responses in the newborn period. This article discusses the novel and emerging methods for assessment of left and right heart function in the neonatal population.

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Duration of Indomethacin Treatment of the Preterm Patent Ductus Arteriosus as Directed by Echocardiography

Cited by 67 publications

References 7 publications

Patent ductus arteriosus in the preterm infant: to treat or not to treat?

Patent ductus arteriosus in the preterm infant: to treat or not to treat?

Expert consensus statement ‘Neonatologist-performed Echocardiography (NoPE)’—training and accreditation in UK

Novel Echocardiography Methods in the Functional Assessment of the Newborn Heart

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