Details

Interventions for Persisting Ductus Arteriosus in the Preterm Infant


Interventions for Persisting Ductus Arteriosus in the Preterm Infant



von: Michael Obladen, P. Koehne

24,99 €

Verlag: Springer
Format: PDF
Veröffentl.: 20.01.2006
ISBN/EAN: 9783540265092
Sprache: englisch
Anzahl Seiten: 103

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Beschreibungen

Over the past few years a remarkably rapid evolution in the professional level of neonatology and in the survival of immature infants has been witnessed. Persisting ductus arteriosus is common in this population and is associated with impaired longterm outcome. Many uncertainties exist concerning indication, approach, best time, and side effects of necessary measurements and interventions to avoid later neurodevelopmental handicaps of the survivors.
Experts in neonatology and pediatric cardiology give their opinion in this book. We are sure it will help to define the level of evidence and to develop standards of intervention for persisting ductus arteriosus in Europe. Adequate dealing with the ductus will become a challenge for every perinatal center.
Over the past few years a remarkably rapid evolution in the professional level of neonatology and in the survival of immature infants has been witnessed. Persisting ductus arteriosus is common in this population and is associated with impaired longterm outcome. Many uncertainties exist concerning indication, approach, best time, and side effects of necessary measurements and interventions to avoid later neurodevelopmental handicaps of the survivors.
Experts in neonatology and pediatric cardiology give their opinion in this book. We are sure it will help to define the level of evidence and to develop standards of intervention for persisting ductus arteriosus in Europe. Adequate dealing with the ductus will become a challenge for every perinatal center.
Part I - Basics: Developmental Anatomy of the Ductus Arteriosus.- Regulation of Smooth Muscle Contraction.- Prostaglandin Metabolism and Effects of Inhibitors.- Postnatal Circulatory Adaption.- Epidemiology of Persisting Ductus in Preterm Infants.- Part II - Clinical Features: Persisting Ductus Arteriosus and Respiratory Problems.- Influence on Mesenteric Perfusion and Necrotizing Enterocolitis.- Patent Ductus Arteriosus and Intraventricular Hemorrhage.- Part III - Diagnostics: Echocardiographic Assessment.- Cerebral Doppler Sonographic Measurements.- Part IV - Interventions: Therapeutic Options.- Surgical Closure.- Comparison of Indomethacin and Ibuprofen.- Indomethacin Effects and Side Effects.- Complications of Cyclooxygenase Inhibition in Preterm Infants.- Ibuprofen in Infants Below 28 Gestational Weeks.- Intravenous Ibuprofen: State of Registration.- Part V - Perspectives: Summary and Perspectives.
Only book dealing specifically with the ductus arteriosus
Gives current state of the art

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