Ductus arteriosus blood flow during first 48 hours of life.

Abstract:

:A volumetric Doppler technique was used to measure net ductus arteriosus shunt during the first 48 hours of life in 30 infants of less than 33 weeks' gestation, and in 10 full term infants. In the full term infants a left to right shunt of 62 ml/kg/minute (95% confidence limits 43-82) shortly after birth decreased rapidly over the first 12 hours and was not measurable by 48 hours. The preterm infants had smaller left to right shunts shortly after birth--49 ml/kg/minute (95% confidence limits 38-59). There was no obvious subsequent change in the mean shunt, although by 48 hours there was greater variation in the size of the shunt. The respiratory distress syndrome did not affect the size of the ductal shunt, but the shorter the gestation period the larger the shunt by 48 hours. A ductal flow of greater than 70 ml/kg/minute at 48 hours of age predicted the subsequent development of a ductal murmur with 75% sensitivity and 100% specificity.

journal_name

Arch Dis Child

authors

Drayton MR,Skidmore R

doi

10.1136/adc.62.10.1030

subject

Has Abstract

pub_date

1987-10-01 00:00:00

pages

1030-4

issue

10

eissn

0003-9888

issn

1468-2044

journal_volume

62

pub_type

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