Journal Article10.1016/J.JPEDS.2018.09.061
Predictors of Respiratory Improvement 1 Week after Ligation of Patent Ductus Arteriosus in Preterm Infants.
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TL;DR: Those on high frequency ventilation were more likely to have respiratory improvement in the first week, possibly because of the prevention of further respiratory deterioration, and the findings suggest that those with worse lung disease may achieve greater short term benefit from PDA ligation.
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About: This article is published in The Journal of Pediatrics. The article was published on 01 Feb 2019. The article focuses on the topics: High-frequency ventilation & Ductus arteriosus.
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Citations
Respiratory Trajectory after Invasive Interventions for Patent Ductus Arteriosus of Preterm Infants
Yu-Jen Wei,Yen-Ju Chen,Yung Chieh Lin,Chung Dann Kan,Min Ling Hsieh,Yuh Jyh Lin,Jing-Ming Wu,Jieh Neng Wang +7 more
TL;DR: In this paper, the authors compared transcatheter and surgical techniques in very low birthweight (VLBW) infants in terms of short-term respiratory outcomes, and found that transcatheters performed better than surgical ligation.
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Phenotyping respiratory decompensation following definitive closure of the patent ductus arteriosus in preterm infants.
Craig R Wheeler,Daniel Gagner,Holly Stephens,Amelia Kraus,David Zurakowski,Kevin G. Friedman,Juan C. Ibla,Ryan Callahan,Diego Porras,Philip T. Levy +9 more
TL;DR: In this paper, the authors performed a retrospective study of premature infants (<37 weeks) who were mechanically ventilated before and after surgical or transcatheter PDA closure and found that surgical ligation and elevated Respiratory Severity Score (RSS) were independent predictors of HFV.
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Patent Ductus Arteriosus in the Preterm Infant
Luke P. Lee
- 01 Jan 2024
TL;DR: In this article , the clinical consequences of exposure to a persistent moderate-to-large patent ductus arteriosus (PDA) shunt for greater than 1 week were investigated.
Mortality Risk Factors in Preterm Infants Treated With High-Frequency Jet Ventilation
TL;DR: It was identified that oxygen saturation index > 5.5 after 4 h of HFJV, female sex, and closed ductus arteriosus were independent predictors of mortality.
References
PDA ligation and health outcomes: a meta-analysis.
TL;DR: Surgical ligation of PDA is associated with reduced mortality, but surviving infants are at increased risk of NDI, however, there is a lack of studies addressing survival bias and confounding by indication.
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The Role of Patent Ductus Arteriosus Ligation in Bronchopulmonary Dysplasia: Reexamining a Randomized Controlled Trial
TL;DR: Prophylactic ligation, while eliminating the PDA, increases the risk for BPD.
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Changes in myocardial function and hemodynamics after ligation of the ductus arteriosus in preterm infants.
TL;DR: After PDA ligation, LV output and MPI decrease, due primarily to a decrease in LV preload, although LV contractility and diastolic function do not change, however, the changes in LV MPI after ligation also reflect an acute deterioration followed by an improvement in global cardiac function.
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Managing the patent ductus arteriosus: current treatment options
TL;DR: The current literature, evidence for treatment options, including a non-interventional approach, and research directions for infants <28 weeks’ gestational age are reviewed.
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Lung Compliance in Newborns with Patent Ductus Arteriosus before and after Surgical Ligation
Tilo Gerhardt,Eduardo Bancalari +1 more
TL;DR: A PDA with left to right shunt is frequently associated with a decrease in lung compliance that improves after ligation, and measurement of lung compliance in infants with PDA can be helpful in predicting the degree of improvement in lung function that may result from the closure of the ductus.
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