Effects of indomethacin and ibuprofen on mesenteric and renal blood flow in preterm infants with patent ductus arteriosus

Objective: To evaluate the effect of intravenous ibuprofen and indomethacin for treatment of patent ductus arteriosus (PDA) on mesenteric and renal blood flow velocity in preterm infants. Study design: Seventeen mechanically ventilated preterm infants (

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Veröffentlicht in:The Journal of pediatrics 1999-12, Vol.135 (6), p.733-738
Hauptverfasser: Pezzati, Marco, Vangi, Venturella, Biagiotti, Roberto, Bertini, Giovanna, Cianciulli, Domenico, Rubaltelli, Firmino F.
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container_end_page 738
container_issue 6
container_start_page 733
container_title The Journal of pediatrics
container_volume 135
creator Pezzati, Marco
Vangi, Venturella
Biagiotti, Roberto
Bertini, Giovanna
Cianciulli, Domenico
Rubaltelli, Firmino F.
description Objective: To evaluate the effect of intravenous ibuprofen and indomethacin for treatment of patent ductus arteriosus (PDA) on mesenteric and renal blood flow velocity in preterm infants. Study design: Seventeen mechanically ventilated preterm infants (
doi_str_mv 10.1016/S0022-3476(99)70093-4
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Study design: Seventeen mechanically ventilated preterm infants (&lt;33 weeks’ gestation) with PDA received either 0.2 mg/kg indomethacin (n = 8) or 10 mg/kg ibuprofen (n = 9), infused over 15 minutes. Mesenteric and renal blood flow velocity were measured by using Doppler ultrasonography. Results: Indomethacin caused a significant reduction in mesenteric and renal blood flow velocity 30 minutes after drug administration; mesenteric and renal blood flow velocity did not return to the pretreatment values by 120 minutes. Ibuprofen did not alter blood flow 30 minutes after treatment, and blood flow increased 120 minutes after treatment. Mesenteric and renal blood flow velocity changes were significantly different between the 2 treatment groups. Conclusions: Compared with indomethacin, ibuprofen did not significantly reduce mesenteric and renal blood flow velocity.(J Pediatr 1999;135:733-8)</description><identifier>ISSN: 0022-3476</identifier><identifier>EISSN: 1097-6833</identifier><identifier>DOI: 10.1016/S0022-3476(99)70093-4</identifier><identifier>PMID: 10586177</identifier><identifier>CODEN: JOPDAB</identifier><language>eng</language><publisher>New York, NY: Mosby, Inc</publisher><subject>Anti-Inflammatory Agents, Non-Steroidal - therapeutic use ; Biological and medical sciences ; Delivery. Postpartum. Lactation ; Disorders ; Ductus Arteriosus, Patent - physiopathology ; Gynecology. Andrology. 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Study design: Seventeen mechanically ventilated preterm infants (&lt;33 weeks’ gestation) with PDA received either 0.2 mg/kg indomethacin (n = 8) or 10 mg/kg ibuprofen (n = 9), infused over 15 minutes. Mesenteric and renal blood flow velocity were measured by using Doppler ultrasonography. Results: Indomethacin caused a significant reduction in mesenteric and renal blood flow velocity 30 minutes after drug administration; mesenteric and renal blood flow velocity did not return to the pretreatment values by 120 minutes. Ibuprofen did not alter blood flow 30 minutes after treatment, and blood flow increased 120 minutes after treatment. Mesenteric and renal blood flow velocity changes were significantly different between the 2 treatment groups. Conclusions: Compared with indomethacin, ibuprofen did not significantly reduce mesenteric and renal blood flow velocity.(J Pediatr 1999;135:733-8)</description><subject>Anti-Inflammatory Agents, Non-Steroidal - therapeutic use</subject><subject>Biological and medical sciences</subject><subject>Delivery. Postpartum. Lactation</subject><subject>Disorders</subject><subject>Ductus Arteriosus, Patent - physiopathology</subject><subject>Gynecology. Andrology. Obstetrics</subject><subject>Humans</subject><subject>Ibuprofen - therapeutic use</subject><subject>Infant, Newborn</subject><subject>Infant, Premature</subject><subject>Infant, Premature, Diseases - physiopathology</subject><subject>Kidney - blood supply</subject><subject>Medical sciences</subject><subject>Mesentery - blood supply</subject><subject>Regional Blood Flow - drug effects</subject><issn>0022-3476</issn><issn>1097-6833</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1999</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkU1vFSEUhomxsbfVn6BhYYwupsLA8LFqTNOqSZMuqmvCwCHFzMAVZmz67-V-RN254hCe9xx4QOg1JReUUPHxnpC-7xiX4r3WHyQhmnX8GdpQomUnFGPP0eYPcorOav1BGsQJeYFOKRmUoFJu0NN1COCWinPAMfk8w_JgXUzYJo_juG5LDpBwTniGCmmBEt3-rECyEx6nnD0OU35sabwt0IC5lcGm1vMxLg94a5eWw351y1qxLbsWua71JToJdqrw6rieo-8319-uvnS3d5-_Xn267Rzn_dJpS4EP2ooRpAbFgDhGR6AwtpJ73pOgBqdAjqptB616PkrmPBfAuJKWnaN3h77tKT9XqIuZY3UwTTZBXqsRmrFBMNnA4QC6kmstEMy2xNmWJ0OJ2Tk3e-dmJ9RobfbODW-5N8cB6ziD_yd1kNyAt0fAVmenUGxysf7lesG02mGXBwyajV8RiqkuQnLgY2lfZHyO_7nJb0zVn_I</recordid><startdate>19991201</startdate><enddate>19991201</enddate><creator>Pezzati, Marco</creator><creator>Vangi, Venturella</creator><creator>Biagiotti, Roberto</creator><creator>Bertini, Giovanna</creator><creator>Cianciulli, Domenico</creator><creator>Rubaltelli, Firmino F.</creator><general>Mosby, Inc</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>19991201</creationdate><title>Effects of indomethacin and ibuprofen on mesenteric and renal blood flow in preterm infants with patent ductus arteriosus</title><author>Pezzati, Marco ; Vangi, Venturella ; Biagiotti, Roberto ; Bertini, Giovanna ; Cianciulli, Domenico ; Rubaltelli, Firmino F.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c442t-9a1e459a6be79e83e0c31be1eb3e04d420f85c8e7b804d59824b73cd46e3487a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1999</creationdate><topic>Anti-Inflammatory Agents, Non-Steroidal - therapeutic use</topic><topic>Biological and medical sciences</topic><topic>Delivery. 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Study design: Seventeen mechanically ventilated preterm infants (&lt;33 weeks’ gestation) with PDA received either 0.2 mg/kg indomethacin (n = 8) or 10 mg/kg ibuprofen (n = 9), infused over 15 minutes. Mesenteric and renal blood flow velocity were measured by using Doppler ultrasonography. Results: Indomethacin caused a significant reduction in mesenteric and renal blood flow velocity 30 minutes after drug administration; mesenteric and renal blood flow velocity did not return to the pretreatment values by 120 minutes. Ibuprofen did not alter blood flow 30 minutes after treatment, and blood flow increased 120 minutes after treatment. Mesenteric and renal blood flow velocity changes were significantly different between the 2 treatment groups. 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source MEDLINE; Access via ScienceDirect (Elsevier)
subjects Anti-Inflammatory Agents, Non-Steroidal - therapeutic use
Biological and medical sciences
Delivery. Postpartum. Lactation
Disorders
Ductus Arteriosus, Patent - physiopathology
Gynecology. Andrology. Obstetrics
Humans
Ibuprofen - therapeutic use
Infant, Newborn
Infant, Premature
Infant, Premature, Diseases - physiopathology
Kidney - blood supply
Medical sciences
Mesentery - blood supply
Regional Blood Flow - drug effects
title Effects of indomethacin and ibuprofen on mesenteric and renal blood flow in preterm infants with patent ductus arteriosus
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