Book chapter
Chapter 16 - Diagnosis, evaluation, and monitoring of patent ductus arteriosus in the very preterm infant
Neonatology Questions and Controversies: Neonatal Hemodynamics, pp.301-329
Elsevier, Fourth Edition
2023
DOI: 10.1016/B978-0-323-88073-2.00025-2
Abstract
Although a patent ductus arteriosus (PDA) can easily be visualized using ultrasound/echocardiography, the challenge for clinicians relates to differentiating a hemodynamically significant and potentially harmful ductus arteriosus from one which does not significantly affect the hemodynamics and therefore does not contribute to organ injury. Selection of the “right” PDA to treat, based on comprehensive evaluation of hemodynamic significance, is particularly important in an era of controversy regarding management. Over the past decade, there has been an increased recognition of the need to better define the PDA that requires treatment. Consequently, different classifications and scoring tools have been proposed. Attention to certain variables such as gestational and chronologic age, associated morbidities, and subpopulation characteristics with regard to the risk of complications attributable to the PDA can be helpful in the diagnosis of a pathologic PDA and subsequent selection for treatment.
Details
- Title: Subtitle
- Chapter 16 - Diagnosis, evaluation, and monitoring of patent ductus arteriosus in the very preterm infant
- Creators
- Audrey HébertAfif Faisal El-KhuffashShahab NooriPatrick J. McNamara
- Resource Type
- Book chapter
- Publication Details
- Neonatology Questions and Controversies: Neonatal Hemodynamics, pp.301-329
- Edition
- Fourth Edition
- DOI
- 10.1016/B978-0-323-88073-2.00025-2
- Publisher
- Elsevier; Amsterdam
- Language
- English
- Date published
- 2023
- Academic Unit
- Stead Family Department of Pediatrics; Neonatology
- Record Identifier
- 9984949226302771
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