PERIOPERATIVE MANAGEMENT OF PREMATURE NEONATES WITH PATENT DUCTUS ARTERIOSUS

• Published in: Japanese Journal of National Medical Services Vol. 53; no. 9; pp. 601 - 605
• Main Authors: YOROZUYA, Yuji, TAKAYANAGI, Toshimitsu, TAGAWA, Masato, YAMAGUCHI, Hiroshi, YOSHINAGA, Muneyoshi, NAGASAKA, Takafumi, NISHI, Katsuo, MATSUO, Toshiko, NARIMATSU, Motoharu, BABA, Hisamichi, SHIBATA, Itsuko, NAGATANI, Atsuko
• Format: Journal Article
• Language: Japanese
• Published: Japanese Society of National Medical Services 1999; 一般社団法人 国立医療学会
• Subjects: anesthetic methods; monitoring; patent ductus arteriosus; premature neonates; モニター; 動脈管開存症; 極低出生体重児; 麻酔法
• ISSN: 0021-1699; 1884-8729
• DOI: 10.11261/iryo1946.53.601

Premature neonates who require close of patent ductus arteriosus (PDA) are often extremely ill. We investigated perioperative management of ten premature neonates whose PDA needed for surgical closure in the last four years. At the time of surgery, the mean patient age was 19.5±10.9 days and the mean body weight was 727.2±174.6 grams. Monitoring of ECG, pulse oximetry (right upper and lower limbs), and temperature were adequate for intraoperative management. Simple double ligation was performed using axillar incision in a right lateral decubitus position. Eight patients alive and two patients died indirectly, one patient died of hepatic hemorrhage after three days and the other died of acute encephalopathy after one year postoperatively. Neither severe complication including wound infection concerned with operation nor accident during transportation of patients have happened. High-dose fentanyl technique could provide hemodynamic stability compared to sevoflurane while perioperative period.