Operative closure of patent ductus arteriosus in premature infants in the neonatal intensive care unit
Fifty-two premature infants underwent hemoclip closure of patent ductus arteriosus in the neonatal intensive care unit after a brief trial of fluid restriction and diuretics. Indomethacin was used in only four patients. The median time from diagnosis to operation was 3 days. There were no deaths dir...
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| Veröffentlicht in: | The American journal of surgery 1986-12, Vol.152 (6), p.704-708 |
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| container_issue | 6 |
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| container_title | The American journal of surgery |
| container_volume | 152 |
| creator | Taylor, Robert L. Grover, Frederick L. Harman, P.Kent Escobedo, Marilyn K. Ramamurthy, Rajam S. Trinkle, J.Kent |
| description | Fifty-two premature infants underwent hemoclip closure of patent ductus arteriosus in the neonatal intensive care unit after a brief trial of fluid restriction and diuretics. Indomethacin was used in only four patients. The median time from diagnosis to operation was 3 days. There were no deaths directly attributable to operation. Nine operative complications developed in nine patients (17 percent). There were no surgical infections. Complications related to prematurity resulted in 20 deaths (38 percent). Patent ductus arteriosus closure in the neonatal intensive care unit prevented the complications of hypothermia, inadvertent extubation, and interruption of vascular access and monitoring. Early operative closure in the neonatal intensive care unit is the treatment of choice in most premature infants with patent ductus arteriosus. |
| doi_str_mv | 10.1016/0002-9610(86)90453-8 |
| format | Article |
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Indomethacin was used in only four patients. The median time from diagnosis to operation was 3 days. There were no deaths directly attributable to operation. Nine operative complications developed in nine patients (17 percent). There were no surgical infections. Complications related to prematurity resulted in 20 deaths (38 percent). Patent ductus arteriosus closure in the neonatal intensive care unit prevented the complications of hypothermia, inadvertent extubation, and interruption of vascular access and monitoring. Early operative closure in the neonatal intensive care unit is the treatment of choice in most premature infants with patent ductus arteriosus.</description><identifier>ISSN: 0002-9610</identifier><identifier>EISSN: 1879-1883</identifier><identifier>DOI: 10.1016/0002-9610(86)90453-8</identifier><identifier>PMID: 3789299</identifier><identifier>CODEN: AJSUAB</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Anesthesia ; Anesthesia depending on patient's condition ; Anesthesia. Intensive care medicine. Transfusions. 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Indomethacin was used in only four patients. The median time from diagnosis to operation was 3 days. There were no deaths directly attributable to operation. Nine operative complications developed in nine patients (17 percent). There were no surgical infections. Complications related to prematurity resulted in 20 deaths (38 percent). Patent ductus arteriosus closure in the neonatal intensive care unit prevented the complications of hypothermia, inadvertent extubation, and interruption of vascular access and monitoring. Early operative closure in the neonatal intensive care unit is the treatment of choice in most premature infants with patent ductus arteriosus.</description><subject>Anesthesia</subject><subject>Anesthesia depending on patient's condition</subject><subject>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</subject><subject>Biological and medical sciences</subject><subject>Ductus Arteriosus, Patent - surgery</subject><subject>Female</subject><subject>Humans</subject><subject>Infant, Newborn</subject><subject>Infant, Premature</subject><subject>Intensive Care Units, Neonatal</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Postoperative Complications</subject><issn>0002-9610</issn><issn>1879-1883</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1986</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kE1LxDAURYMoOn78A4UuRHRRTZo2TTaCDH6B4EbXIU1fMNJJa5IO-O9NZ8osXYWXe97lcRA6J_iWYMLuMMZFLhjB15zdCFxWNOd7aEF4LXLCOd1Hix1yhI5D-E4jISU9RIe05qIQYoHM-wBeRbuGTHd9GD1kvckGFcHFrB11HEOmfARvUxgy67LBw0rFCbTOKBc3n_ELMge9U1F1aU7bYVOpEjY6G0_RgVFdgLP5PUGfT48fy5f87f35dfnwlmvKWcw14YVpgQvBgWvWiLoB3rCm1kBMRcuqpC2DhoMxhaKtoaQoBQZWlaQoSuD0BF1tewff_4wQolzZoKHrVLpuDLKuiWCMkgSWW1D7PgQPRg7erpT_lQTLSa-c3MnJneRMbvTKqf9i7h-bFbS7pdlnyi_nXAWtOuOV0zbsMJ7OrAhL2P0Wg-RibcHLoC04Da31oKNse_v_HX_F9Jf_</recordid><startdate>19861201</startdate><enddate>19861201</enddate><creator>Taylor, Robert L.</creator><creator>Grover, Frederick L.</creator><creator>Harman, P.Kent</creator><creator>Escobedo, Marilyn K.</creator><creator>Ramamurthy, Rajam S.</creator><creator>Trinkle, J.Kent</creator><general>Elsevier 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>19861201</creationdate><title>Operative closure of patent ductus arteriosus in premature infants in the neonatal intensive care unit</title><author>Taylor, Robert L. ; Grover, Frederick L. ; Harman, P.Kent ; Escobedo, Marilyn K. ; Ramamurthy, Rajam S. ; Trinkle, J.Kent</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c386t-c182fde8998e8c6b97be8b6b7ce1f534543d6eb8eff2a3df312490e6541224e83</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1986</creationdate><topic>Anesthesia</topic><topic>Anesthesia depending on patient's condition</topic><topic>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</topic><topic>Biological and medical sciences</topic><topic>Ductus Arteriosus, Patent - surgery</topic><topic>Female</topic><topic>Humans</topic><topic>Infant, Newborn</topic><topic>Infant, Premature</topic><topic>Intensive Care Units, Neonatal</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Postoperative Complications</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Taylor, Robert L.</creatorcontrib><creatorcontrib>Grover, Frederick L.</creatorcontrib><creatorcontrib>Harman, P.Kent</creatorcontrib><creatorcontrib>Escobedo, Marilyn K.</creatorcontrib><creatorcontrib>Ramamurthy, Rajam S.</creatorcontrib><creatorcontrib>Trinkle, J.Kent</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The American journal of surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Taylor, Robert L.</au><au>Grover, Frederick L.</au><au>Harman, P.Kent</au><au>Escobedo, Marilyn K.</au><au>Ramamurthy, Rajam S.</au><au>Trinkle, J.Kent</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Operative closure of patent ductus arteriosus in premature infants in the neonatal intensive care unit</atitle><jtitle>The American journal of surgery</jtitle><addtitle>Am J Surg</addtitle><date>1986-12-01</date><risdate>1986</risdate><volume>152</volume><issue>6</issue><spage>704</spage><epage>708</epage><pages>704-708</pages><issn>0002-9610</issn><eissn>1879-1883</eissn><coden>AJSUAB</coden><abstract>Fifty-two premature infants underwent hemoclip closure of patent ductus arteriosus in the neonatal intensive care unit after a brief trial of fluid restriction and diuretics. Indomethacin was used in only four patients. The median time from diagnosis to operation was 3 days. There were no deaths directly attributable to operation. Nine operative complications developed in nine patients (17 percent). There were no surgical infections. Complications related to prematurity resulted in 20 deaths (38 percent). Patent ductus arteriosus closure in the neonatal intensive care unit prevented the complications of hypothermia, inadvertent extubation, and interruption of vascular access and monitoring. Early operative closure in the neonatal intensive care unit is the treatment of choice in most premature infants with patent ductus arteriosus.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>3789299</pmid><doi>10.1016/0002-9610(86)90453-8</doi><tpages>5</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0002-9610 |
| ispartof | The American journal of surgery, 1986-12, Vol.152 (6), p.704-708 |
| issn | 0002-9610 1879-1883 |
| language | eng |
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| source | MEDLINE; Access via ScienceDirect (Elsevier) |
| subjects | Anesthesia Anesthesia depending on patient's condition Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy Biological and medical sciences Ductus Arteriosus, Patent - surgery Female Humans Infant, Newborn Infant, Premature Intensive Care Units, Neonatal Male Medical sciences Postoperative Complications |
| title | Operative closure of patent ductus arteriosus in premature infants in the neonatal intensive care unit |
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