Indomethacin Therapy, Patent Ductus Arteriosus
Conditions
Keywords
indomethacin therapy, patent ductus arteriosus
Brief summary
A patent ductus arteriosus (PDA) is associated with increased morbidity in premature infants. Standard indomethacin treatment is associated with intestinal and renal morbidity. B-type natriuretic peptide is elevated in significant PDAs. This study will determine whether BNP guided therapy could reduce doses of indomethacin.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* Infants with echocardiographically confirmed PDA * Infants determined by attending physician to require PDA closure
Exclusion criteria
* infants with congenital hearts disease * infants with creatinine value \> 2.0
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Number of indomethacin doses given on study | 2 days |
Secondary
| Measure | Time frame |
|---|---|
| rate of PDA ligation | Discharge from NICU |
| Rate of Chronic lung disease | 36 weeks corrected gestational age |