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Patent Ductus Arteriosus
Background 1. The ductus arteriosus is a vessel connecting the pulmonary artery to the aorta that allows blood flow to bypass the fetal...


Intraventricular hemorrhage: (Prevention)
Prevention 1. Antenatal corticosteroids a. Betamethasone b. Although their primary indication is to promote fetal lung maturation,...


Intraventricular hemorrhage
Clinical Presentation 1. Symptoms a. Often asymptomatic – Up to 50% of cases b. Symptoms may include rapid decline in hematocrit,...


Intraventricular hemorrhage
Background 1. Mechanism of hemorrhage a. Likely multifactorial b. Lack of cerebral pressure autoregulation resulting in an inability to...


Apnea of Prematurity (Treatment)
Methylxanthines (i.e., theophylline/aminophylline and caffeine) a. Mechanism of action – Nonspecific inhibitor of adenosine receptors ...


Apnea of Prematurity
Clinical Presentation 1. Cessation of breathing for at least 20 seconds or the episode of apnea may be shorter if associated with ...


Apnea of Prematurity
An immature central respiratory drive, inability to maintain airway patency, and underdeveloped respiratory muscles cause...


Bronchopulmonary Dysplasia
Treatment : 1. Diuretics a. Thiazide diuretics (e.g., hydrochlorothiazide), potassium-sparing diuretics (e.g., spironolactone), and...


Bronchopulmonary Dysplasia
Clinical Presentation 1. Tachypnea, retractions, shallow breathing, wheezing, increased oxygen requirement, and bronchospasm may be...


Bronchopulmonary Dysplasia
>Also known as chronic lung disease >Significant risk of mortality and long-term morbidity >Definition – “Old” versus “new” BPD. i....
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