Indomethacin as a Rescue Therapy for Patent Ductus Arteriosus in Extremely Premature Infants after Failed Ibuprofen Treatment
<p dir="ltr">Hemodynamically significant patent ductus arteriosus (hsPDA) is a major cause of neonatal morbidity and mortality in extremely low birth weight (ELBW) infants. The optimal management of PDA in these infants is unsettled; however, medical treatment with cyclooxygenases (C...
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| مؤلفون آخرون: | , , , |
| منشور في: |
2023
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| الموضوعات: | |
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| _version_ | 1864513521194106880 |
|---|---|
| author | Amal Sabouni (17046236) |
| author2 | Ashraf Gad (17040114) Alaa ElMasry (17046276) Fawzia Elghabawy (17046280) Sheikha Alnaimi (17046281) |
| author2_role | author author author author |
| author_facet | Amal Sabouni (17046236) Ashraf Gad (17040114) Alaa ElMasry (17046276) Fawzia Elghabawy (17046280) Sheikha Alnaimi (17046281) |
| author_role | author |
| dc.creator.none.fl_str_mv | Amal Sabouni (17046236) Ashraf Gad (17040114) Alaa ElMasry (17046276) Fawzia Elghabawy (17046280) Sheikha Alnaimi (17046281) |
| dc.date.none.fl_str_mv | 2023-10-12T09:15:12Z |
| dc.identifier.none.fl_str_mv | 10.57945/manara.24198339.v1 |
| dc.relation.none.fl_str_mv | https://figshare.com/articles/poster/Indomethacin_as_a_Rescue_Therapy_for_Patent_Ductus_Arteriosus_in_Extremely_Premature_Infants_after_Failed_Ibuprofen_Treatment/24198339 |
| dc.rights.none.fl_str_mv | CC BY 4.0 info:eu-repo/semantics/openAccess |
| dc.subject.none.fl_str_mv | Biomedical and clinical sciences Cardiovascular medicine and haematology Clinical sciences Paediatrics Hemodynamically significant patent ductus arteriosus (hsPDA) extremely low birth weight (ELBW) cyclooxygenases (COX) neonatal intensive care units (NICU) Echocardiogram (echo) |
| dc.title.none.fl_str_mv | Indomethacin as a Rescue Therapy for Patent Ductus Arteriosus in Extremely Premature Infants after Failed Ibuprofen Treatment |
| dc.type.none.fl_str_mv | Image Poster info:eu-repo/semantics/publishedVersion image |
| description | <p dir="ltr">Hemodynamically significant patent ductus arteriosus (hsPDA) is a major cause of neonatal morbidity and mortality in extremely low birth weight (ELBW) infants. The optimal management of PDA in these infants is unsettled; however, medical treatment with cyclooxygenases (COX) inhibitors such as ibuprofen or indomethacin is the current practice in most neonatal intensive care units (NICU). Most studies show equal efficacy of both drugs but with a better side effect profile with ibuprofen treatment. While most PDAs close after one 3-day course of either medicine, a repeat course may be necessary before considering surgical ligation for those who remain with hsPDAs. In our practice, we administer one or two courses of ibuprofen followed by a single course of indomethacin if the PDA has not shown closure or decrease in size on the echocardiogram (echo) exam. The goal of this study is to assess PDA close status by echo with this current regimen. We aim to find the success rates of indomethacin treatment for hsPDA following unsuccessful ibuprofen treatment. </p> |
| eu_rights_str_mv | openAccess |
| id | Manara2_be4e5c69d976df9986915cb70b21a162 |
| identifier_str_mv | 10.57945/manara.24198339.v1 |
| network_acronym_str | Manara2 |
| network_name_str | Manara2 |
| oai_identifier_str | oai:figshare.com:article/24198339 |
| publishDate | 2023 |
| repository.mail.fl_str_mv | |
| repository.name.fl_str_mv | |
| repository_id_str | |
| rights_invalid_str_mv | CC BY 4.0 |
| spelling | Indomethacin as a Rescue Therapy for Patent Ductus Arteriosus in Extremely Premature Infants after Failed Ibuprofen TreatmentAmal Sabouni (17046236)Ashraf Gad (17040114)Alaa ElMasry (17046276)Fawzia Elghabawy (17046280)Sheikha Alnaimi (17046281)Biomedical and clinical sciencesCardiovascular medicine and haematologyClinical sciencesPaediatricsHemodynamically significant patent ductus arteriosus (hsPDA)extremely low birth weight (ELBW)cyclooxygenases (COX)neonatal intensive care units (NICU)Echocardiogram (echo)<p dir="ltr">Hemodynamically significant patent ductus arteriosus (hsPDA) is a major cause of neonatal morbidity and mortality in extremely low birth weight (ELBW) infants. The optimal management of PDA in these infants is unsettled; however, medical treatment with cyclooxygenases (COX) inhibitors such as ibuprofen or indomethacin is the current practice in most neonatal intensive care units (NICU). Most studies show equal efficacy of both drugs but with a better side effect profile with ibuprofen treatment. While most PDAs close after one 3-day course of either medicine, a repeat course may be necessary before considering surgical ligation for those who remain with hsPDAs. In our practice, we administer one or two courses of ibuprofen followed by a single course of indomethacin if the PDA has not shown closure or decrease in size on the echocardiogram (echo) exam. The goal of this study is to assess PDA close status by echo with this current regimen. We aim to find the success rates of indomethacin treatment for hsPDA following unsuccessful ibuprofen treatment. </p>2023-10-12T09:15:12ZImagePosterinfo:eu-repo/semantics/publishedVersionimage10.57945/manara.24198339.v1https://figshare.com/articles/poster/Indomethacin_as_a_Rescue_Therapy_for_Patent_Ductus_Arteriosus_in_Extremely_Premature_Infants_after_Failed_Ibuprofen_Treatment/24198339CC BY 4.0info:eu-repo/semantics/openAccessoai:figshare.com:article/241983392023-10-12T09:15:12Z |
| spellingShingle | Indomethacin as a Rescue Therapy for Patent Ductus Arteriosus in Extremely Premature Infants after Failed Ibuprofen Treatment Amal Sabouni (17046236) Biomedical and clinical sciences Cardiovascular medicine and haematology Clinical sciences Paediatrics Hemodynamically significant patent ductus arteriosus (hsPDA) extremely low birth weight (ELBW) cyclooxygenases (COX) neonatal intensive care units (NICU) Echocardiogram (echo) |
| status_str | publishedVersion |
| title | Indomethacin as a Rescue Therapy for Patent Ductus Arteriosus in Extremely Premature Infants after Failed Ibuprofen Treatment |
| title_full | Indomethacin as a Rescue Therapy for Patent Ductus Arteriosus in Extremely Premature Infants after Failed Ibuprofen Treatment |
| title_fullStr | Indomethacin as a Rescue Therapy for Patent Ductus Arteriosus in Extremely Premature Infants after Failed Ibuprofen Treatment |
| title_full_unstemmed | Indomethacin as a Rescue Therapy for Patent Ductus Arteriosus in Extremely Premature Infants after Failed Ibuprofen Treatment |
| title_short | Indomethacin as a Rescue Therapy for Patent Ductus Arteriosus in Extremely Premature Infants after Failed Ibuprofen Treatment |
| title_sort | Indomethacin as a Rescue Therapy for Patent Ductus Arteriosus in Extremely Premature Infants after Failed Ibuprofen Treatment |
| topic | Biomedical and clinical sciences Cardiovascular medicine and haematology Clinical sciences Paediatrics Hemodynamically significant patent ductus arteriosus (hsPDA) extremely low birth weight (ELBW) cyclooxygenases (COX) neonatal intensive care units (NICU) Echocardiogram (echo) |