Clinical Outcome After A More Conservative Management Of Patent Ductus Arteriosus In Preterm Infants

Author :
Publisher :
ISBN 13 :
Total Pages : pages
Book Rating : 4.84/5 ( download)

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Download or read book Clinical Outcome After A More Conservative Management Of Patent Ductus Arteriosus In Preterm Infants written by and published by . This book was released on 2017 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Introduction and aims: Management of patent ductus arteriosus (PDA) is still controversial in extremely low birthweight infants. We aim to describe the impact of a more conservative approach in medical and surgical treatment rates and in the outcome before discharge specially in preterm less than 26 weeks of gestation.Methods. Review of clinical charts of preterm infants u226430 weeks with a PDA diagnosis admitted in two NICUs between 2009 and 2016. In 2011 we changed our PDA management: before 2011, in the first period (P1), patients who failed medical treatment underwent surgical closure; after 2011, period 2 (P2), only those with cardiopulmonary compromise (mainly those that could not be weaned from ventilator) received surgery.Results: We included 188 patients (average 27u00b12 weeks and 973u00b1272 grams birth weight); 63 patients in P1 and 125 in P2. Both groups showed similar clinical characteristics. Significant lower rates of medical therapy (85.7% vs 56.0%) and surgical ligation (34.5% vs 16.1%) were observed in P2. There were no significant differences in the short-term outcomes between periods. After stratified analysis, an increased survival rate was observed in infants born below 26 weeks of gestation in the second period compare with those born below 26 weeks of gestation in the first group (45.6% vs 20%; p=0.028). Conclusions: A conservative approach in preterm infants with PDA can avoid medical and surgical treatments and its side effects, without a significant impact in survival-without-morbidity. However, two thirds of preterm infants born under 26 weeks are still treated for PDA.

Author : Institute of Medicine
Publisher : National Academies Press
ISBN 13 : 030910159X
Total Pages : 791 pages
Book Rating : 4.92/5 ( download)

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Download or read book Preterm Birth written by Institute of Medicine and published by National Academies Press. This book was released on 2007-05-23 with total page 791 pages. Available in PDF, EPUB and Kindle. Book excerpt: The increasing prevalence of preterm birth in the United States is a complex public health problem that requires multifaceted solutions. Preterm birth is a cluster of problems with a set of overlapping factors of influence. Its causes may include individual-level behavioral and psychosocial factors, sociodemographic and neighborhood characteristics, environmental exposure, medical conditions, infertility treatments, and biological factors. Many of these factors co-occur, particularly in those who are socioeconomically disadvantaged or who are members of racial and ethnic minority groups. While advances in perinatal and neonatal care have improved survival for preterm infants, those infants who do survive have a greater risk than infants born at term for developmental disabilities, health problems, and poor growth. The birth of a preterm infant can also bring considerable emotional and economic costs to families and have implications for public-sector services, such as health insurance, educational, and other social support systems. Preterm Birth assesses the problem with respect to both its causes and outcomes. This book addresses the need for research involving clinical, basic, behavioral, and social science disciplines. By defining and addressing the health and economic consequences of premature birth, this book will be of particular interest to health care professionals, public health officials, policy makers, professional associations and clinical, basic, behavioral, and social science researchers.

Author : Mary Ellen McCann
Publisher : Cambridge University Press
ISBN 13 : 1107069777
Total Pages : 465 pages
Book Rating : 4.70/5 ( download)

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Download or read book Essentials of Anesthesia for Infants and Neonates written by Mary Ellen McCann and published by Cambridge University Press. This book was released on 2018-02-22 with total page 465 pages. Available in PDF, EPUB and Kindle. Book excerpt: A practical, comprehensive guide to the special needs of infants and neonates undergoing anesthesia.

Author : Henry C. Lee
Publisher :
ISBN 13 : 9781610023986
Total Pages : 0 pages
Book Rating : 4.86/5 ( download)

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Download or read book Questions from NeoReviews written by Henry C. Lee and published by . This book was released on 2020 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Enhance your knowledge of neonatal-perinatal medicine and/or study for Neonatal-Perinatal Medicine board certification or recertification with this new study guide from the editors of NeoReviews. This new guide includes more than 1,200 questions previously published in NeoReviews from January 2007 to December 2017. Each question is followed by a short explanation of the correct answer with references, including the original article. Chapters include Cardiology Dermatology Endocrinology ENT and Ophthalmology Fluids, Electrolytes, Nutrition Gastrointestinal Genetics and Inborn Errors of Metabolism Hematology/Oncology Immunology Infectious Diseases Maternal-Fetal Medicine Neonatal Resuscitation Neurology Renal Respiratory Statistics, Research, Health Services, and Ethics

Author : Pedro A. de Alarcón
Publisher : Cambridge University Press
ISBN 13 : 1108488986
Total Pages : 501 pages
Book Rating : 4.83/5 ( download)

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Download or read book Neonatal Hematology written by Pedro A. de Alarcón and published by Cambridge University Press. This book was released on 2021-02-18 with total page 501 pages. Available in PDF, EPUB and Kindle. Book excerpt: An essential guide to the pathogenesis, diagnosis and management of hematologic problems in the neonate, covering erythrocyte disorders, leukocyte disorders, immunologic disorders and hemostatic disorders. Guidance is practical, including blood test interpretation, advice on transfusions and reference ranges for hematological values.

Author : Eduardo da Cruz
Publisher : Springer
ISBN 13 : 9781447146186
Total Pages : 3572 pages
Book Rating : 4.82/5 ( download)

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Download or read book Pediatric and Congenital Cardiology, Cardiac Surgery and Intensive Care written by Eduardo da Cruz and published by Springer. This book was released on 2013-10-28 with total page 3572 pages. Available in PDF, EPUB and Kindle. Book excerpt: Pediatric and Congenital Cardiology, Cardiac Surgery and Intensive Care provides a consistent and comprehensive approach to multiple congenital and acquired cardiac pathologies pre, peri and postoperatively, with the use of algorhythms, guidelines and current research issues. Included with the e-reference are interactive videos with the most common interventions, online access to practical learning activities, and to the comprehensive Aristotle score and database. This reference work satisfies the need for a universal and practical review of management of critically ill children and adults with congenital heart disease, based upon taskforce decisions and the cumulative experience of the world leaders in the field.

Author : Charles Vacanti
Publisher : Cambridge University Press
ISBN 13 : 1139498401
Total Pages : 1191 pages
Book Rating : 4.01/5 ( download)

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Download or read book Essential Clinical Anesthesia written by Charles Vacanti and published by Cambridge University Press. This book was released on 2011-07-11 with total page 1191 pages. Available in PDF, EPUB and Kindle. Book excerpt: The clinical practice of anesthesia has undergone many advances in the past few years, making this the perfect time for a new state-of-the-art anesthesia textbook for practitioners and trainees. The goal of this book is to provide a modern, clinically focused textbook giving rapid access to comprehensive, succinct knowledge from experts in the field. All clinical topics of relevance to anesthesiology are organized into 29 sections consisting of more than 180 chapters. The print version contains 166 chapters that cover all of the essential clinical topics, while an additional 17 chapters on subjects of interest to the more advanced practitioner can be freely accessed at www.cambridge.org/vacanti. Newer techniques such as ultrasound nerve blocks, robotic surgery and transesophageal echocardiography are included, and numerous illustrations and tables assist the reader in rapidly assimilating key information. This authoritative text is edited by distinguished Harvard Medical School faculty, with contributors from many of the leading academic anesthesiology departments in the United States and an introduction from Dr S. R. Mallampati. This book is your essential companion when preparing for board review and recertification exams and in your daily clinical practice.

Author : Sinha, Ian P
Publisher : European Respiratory Society
ISBN 13 : 1849841365
Total Pages : 387 pages
Book Rating : 4.68/5 ( download)

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Download or read book Respiratory Diseases of the Newborn Infant written by Sinha, Ian P and published by European Respiratory Society. This book was released on 2021-06-01 with total page 387 pages. Available in PDF, EPUB and Kindle. Book excerpt: So much of our lung health throughout life is determined by what happens before birth and when we are born. Managing respiratory problems in newborn infants requires experience and teamwork, an understanding of the background to the problems, and knowledge of the evidence behind the clinical options available. In this Monograph, science, evidence and expertise are brought together in a collection of comprehensive, state-of-the-art reviews that cover: the structure and function of the newborn respiratory system; neonatal lung disease in preterm infants; developmental, structural and functional diseases of the respiratory system; and more. This book will prove a valuable resource for neonatal clinicians, scientists researching the area and adult clinicians managing lung health.

Author : Alexander Sandor Nadas
Publisher : W.B. Saunders Company
ISBN 13 :
Total Pages : 776 pages
Book Rating : 4.88/5 ( download)

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Download or read book Pediatric Cardiology written by Alexander Sandor Nadas and published by W.B. Saunders Company. This book was released on 1972 with total page 776 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Author : Leslie Neal-Boylan
Publisher : John Wiley & Sons
ISBN 13 : 1118277856
Total Pages : 432 pages
Book Rating : 4.50/5 ( download)

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Download or read book Clinical Case Studies for the Family Nurse Practitioner written by Leslie Neal-Boylan and published by John Wiley & Sons. This book was released on 2011-11-28 with total page 432 pages. Available in PDF, EPUB and Kindle. Book excerpt: Clinical Case Studies for the Family Nurse Practitioner is a key resource for advanced practice nurses and graduate students seeking to test their skills in assessing, diagnosing, and managing cases in family and primary care. Composed of more than 70 cases ranging from common to unique, the book compiles years of experience from experts in the field. It is organized chronologically, presenting cases from neonatal to geriatric care in a standard approach built on the SOAP format. This includes differential diagnosis and a series of critical thinking questions ideal for self-assessment or classroom use.