Is refractory hypotension in preterm infants a manifestation of early ductal shunting?

Journal of Perinatology

Volumn 27, Issue 6, 2007, Pages 353-358

  Sarkar, S ^a   Dechert, R ^b   Schumacher, R E ^a   Donn, S M ^a  

^a UNIVERSITY OF MICHIGAN HEALTH SYSTEM   (United States)

^b UNIVERSITY OF MICHIGAN   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ADRENALIN; DOBUTAMINE; DOPAMINE; HYDROCORTISONE; HYPERTENSIVE FACTOR; INDOMETACIN; SURFACTANT;

ARTICLE; BRAIN HEMORRHAGE; CONFIDENCE INTERVAL; CONTROLLED STUDY; DISEASE SEVERITY; DRUG MEGADOSE; FEMALE; GESTATIONAL AGE; HIGH FREQUENCY VENTILATION; HUMAN; HYPERKALEMIA; HYPOTENSION; INFANT; LOW BIRTH WEIGHT; MAJOR CLINICAL STUDY; MALE; MEAN ARTERIAL PRESSURE; MEDICAL RECORD; MULTIVARIATE ANALYSIS; PATENT DUCTUS ARTERIOSUS; PATHOGENESIS; PERINATAL PERIOD; PREMATURITY; RISK FACTOR; SEPSIS; UNIVARIATE ANALYSIS;

ANTI-INFLAMMATORY AGENTS; BIRTH WEIGHT; DRUG ADMINISTRATION SCHEDULE; DUCTUS ARTERIOSUS, PATENT; FEMALE; GESTATIONAL AGE; HUMANS; HYDROCORTISONE; HYPOTENSION; INDOMETHACIN; INFANT, NEWBORN; INFANT, PREMATURE; MALE; MEDICAL RECORDS; MISSOURI; RETROSPECTIVE STUDIES; RISK FACTORS; SURFACE-ACTIVE AGENTS;

EID: 34249860349     PISSN: 07438346     EISSN: 14765543     Source Type: Journal    
DOI: 10.1038/sj.jp.7211749     Document Type: Article

References (18)

1. Goldstein RF, Thompson Jr RJ, Oehler JM, Brazy JE. Influence of acidosis, hypoxemia and hypotension on neurodevelopmental outcome in very low birth weight infants. Pediatrics 1995; 95: 238-243.
2. Mattia FR, deRegnier RA. Chronic physiologic instability is associated with neurodevelopmental morbidity at one and two years in extremely premature infants. Pediatrics 1998; 102 (3): E35.
3. Fanaroff JM, Wilson-Costello DE, Newman NS, Montpetite MM, Fanaroff AA. Treated hypotension is associated with neonatal morbidity and hearing loss in extremely low birth weight infants. Pediatrics 2006; 117(4): 1131-1135.
4. Al-Aweel I, Pursley DM, Rubin LP, Shah B, Weisberger S, Richardson DK. Variations in prevalence of hypotension, hypertension, and vasopressor use in NICUs. J Perinatol 2001; 21 (5): 272-278.
5. Seri I. Hydrocortisone and vasopressor-resistant shock in preterm neonates. Pediatrics 2006; 117(2): 516-518.
6. Dempsey EM, Barrington KJ. Diagnostic criteria and therapeutic interventions for the hypotensive very low birth weight infant. J Perinatol 2006; 26(11): 677-681.
7. Evans N, Moorcraft J. Effect of patency of the ductus arteriosus on blood pressure in very preterm infants. Arch Dis Child 1992; 67 1169-1173.
8. Evans N, Iyer P. Change in blood pressure after treatment of patent ductus arteriosus with indomethacin. Arch Dis Child 1993; 68 584-587.
9. Clyman RI. Recommendations for the postnatal use of indomethacin: An analysis of four separate treatment strategies. J Pediatric 1996; 128 (5 Pt 1): 60l-607.
10. Gersony WM, Peckham GJ, Ellison RC, Miettinen OS, Nadas AS. Effects of indomethacin in premature infants with patent ductus arteriosus: Results of a national collaborative study. J Pediatr 1983; 102 (6): 895-906.
11. Eronen M, Kari A, Pesonen E, Hallman M. The effect of antenatal dexamethasone administration on the fetal and neonatal ductus arteriosus. A randomized double-blind study. Am J Dis Child 1993; 147 (2): 187-192.
12. Report of a joint Working Group of the British Association of Perinatal Medicine and the Research Unit of the Royal College of Physicians. Development of audit measures and guidelines for good practice in the management of neonatal respiratory distress syndrome. Arch Dis Child 1992; 67: 1221-1227.
13. Seri I. Management of hypotension and low systemic blood flow in the very low birth weight neonate during the first postnatal week. Journal of Perinalogy 2006; 26: S8-S13.
14. Skinner J. Diagnosis of PDA. Semin Neonatol 2001; 6: 49-61.
15. Seri I, Noori S. Diagnosis and treatment of neonatal hypotension outside the transitional period. Early Human Dev 2005; 81(5): 405-411.
16. Zubrow AB, Hulman S, Kushner H, Falkner B. Determinants of blood pressure in infants admitted to neonatal intensive care units: A prospective multicenter study. J Perinatol 1995; 15: 470-479.
17. Revich M, Brann A, Shapiro BM, Myers RE. Regional cerebral blood flow during prolonged partial asphyxia In: Meyer JS, Reivich M, Lechner H et al. (eds) Research on The Cerebral Circulation 1972. Thomas: Springfield, IL.
18. Watterberg KL, Gerdes JS, Cole CH, Aucott SW, Thilo EH, Mammel MC et al. Prophylaxis of early adrenal insufficiency to prevent bronchopulmonary dysplasia: A multicenter trial. Pediatrics 2004; 114: 1649-1657.