Responses

Download PDFPDF
Conservative treatment for patent ductus arteriosus in the preterm
Compose Response

Plain text

  • No HTML tags allowed.
  • Web page addresses and e-mail addresses turn into links automatically.
  • Lines and paragraphs break automatically.
Author Information
First or given name, e.g. 'Peter'.
Your last, or family, name, e.g. 'MacMoody'.
Your email address, e.g. higgs-boson@gmail.com
Your role and/or occupation, e.g. 'Orthopedic Surgeon'.
Your organization or institution (if applicable), e.g. 'Royal Free Hospital'.
Statement of Competing Interests

PLEASE NOTE:

  • A rapid response is a moderated but not peer reviewed online response to a published article in a BMJ journal; it will not receive a DOI and will not be indexed unless it is also republished as a Letter, Correspondence or as other content. Find out more about rapid responses.
  • We intend to post all responses which are approved by the Editor, within 14 days (BMJ Journals) or 24 hours (The BMJ), however timeframes cannot be guaranteed. Responses must comply with our requirements and should contribute substantially to the topic, but it is at our absolute discretion whether we publish a response, and we reserve the right to edit or remove responses before and after publication and also republish some or all in other BMJ publications, including third party local editions in other countries and languages
  • Our requirements are stated in our rapid response terms and conditions and must be read. These include ensuring that: i) you do not include any illustrative content including tables and graphs, ii) you do not include any information that includes specifics about any patients,iii) you do not include any original data, unless it has already been published in a peer reviewed journal and you have included a reference, iv) your response is lawful, not defamatory, original and accurate, v) you declare any competing interests, vi) you understand that your name and other personal details set out in our rapid response terms and conditions will be published with any responses we publish and vii) you understand that once a response is published, we may continue to publish your response and/or edit or remove it in the future.
  • By submitting this rapid response you are agreeing to our terms and conditions for rapid responses and understand that your personal data will be processed in accordance with those terms and our privacy notice.
CAPTCHA
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.

Vertical Tabs

Other responses

Jump to comment:

  • Published on:
    Conservative treatment for patent ductus arteriosus
    • Rajeshwar Reddy Angiti, Senior Registrar in Neonatology
    • Other Contributors:
      • Martin Kluckow MBBS, FRACP, PhD Senior staff specialist in Neonatology

    Dear Editor,

    We read with interest the article by Vanhaesebrouck S et al[1]. We support the author's aims to properly study the role of conservative management of PDA, but advise caution in accepting their conclusions from results of such a small study. In their introduction the authors refer to the known consequences of a left to right shunt when a PDA is clinically significant, including IVH, NEC and chronic...

    Show More
    Conflict of Interest:
    None declared.
  • Published on:
    Risks of conservative management of patent ductus arteriosus in preterm infants
    • Eleanor J Molloy, Consultant Neonatologist
    • Other Contributors:
      • Roberta McCarthy and Afif El-Khuffash

    Dear Editor,

    We read with interest the recent article by Vanhaesebrouck S et al describing the conservative management of preterm infants with a patent ductus arteriosus (PDA). We would be interested in the duration of the fluid restriction and the impact on infant growth and kcal/kg/day. From our calculations, expressed human milk with the addition of human milk fortifier (e.g. Nutriprem: approx 85kcals plus 2.3g...

    Show More
    Conflict of Interest:
    None declared.
  • Published on:
    Adjustment of ventilation for treatment of patent ductus arteriosus

    Dear Editor,

    An interesting aspect is that the combination of adjustment of ventilation and fluid restriction achieved an overall ductal closure rate of 100%. There is no evidence for any effect of differing ventilation modalities upon the incidence of PDA.

    Both inspiratory time and positive end expiratory pressure (PEEP) can affect the mean airway pressure during mechanical ventilation. But mean airwa...

    Show More
    Conflict of Interest:
    None declared.
  • Published on:
    Complication rates

    Dear Editor,

    I found this article interesting but found the data presented in Table 2 regarding complication rates to be confusing. An n value of 30 is given for the conservative treatment group. However only 10 babies were "treated" for their PDA, 20 babies did not have a PDA. Therefore is it correct to compare percentage rates with studies of babies who did have a PDA?

    2% of this group had a grade 3 IV...

    Show More
    Conflict of Interest:
    None declared.