Inadvertent Relaxation of the Ductus Arteriosus by Pharmacologic Agents that are Commonly Used in the Neonatal Period

作者: Jeff Reese , Alex Veldman , Lisa Shah , Megan Vucovich , Robert B. Cotton

DOI: 10.1053/J.SEMPERI.2010.02.007

关键词: Relaxation (psychology)Maturation processDuctus arteriosusCardiologyHeparinConservative managementAminoglycosideMedicineInternal medicineDUCTUS ARTERIOSUS PATENTAnesthesiaPremature birthObstetrics and gynaecologyPediatrics, Perinatology, and Child Health

摘要: Premature birth and disruption of the normal maturation process leave immature ductus arteriosus unable to respond postnatal cues for closure. Strategies that advocate conservative management patent (PDA) in premature infants are dependent on identification symptomatic PDA understanding risk factors predispose PDA. Exposure unintended vasodilatory stimuli may be one is underrecognized. In this article, we summarize clinical associated with review commonly used neonatal drugs their properties. Data demonstrating relaxation by gentamicin other aminoglycoside antibiotics, cimetidine H2 receptor antagonists, heparin provided as examples therapies have unanticipated effects promote

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