Tuesday, December 8, 2009

Does ECHO help decide number of Indocin doses?

Early targeted approach of using indomethacin in the first 12 hours of life if the Echocardiogram showed a duct of >2mm. Then they were randomized to echo directed indocin or standard 2 more doses of indomethacin. No differences in any complications or surgery were reported. but, the authors talk about TREND. I am not sure how trend in the absence of statistical significance has any relevance. However, they mention about higher trend of IVH in ECHO directed group than in 3 dose group. What is NOT mentioned is-the higher trend for chronic lung disease in standard 3 dose group (15% vs 6%). I believe this finding is also very important as Dr. Bancalari mentioned on Nicuniversity CME that prophylactic indocin may increase chronic lung disease. Less indocin=less CLD and more IVH?

1 comment:

  1. I have battled with scoliosis for 15 years and have been given all kinds of nsaids to help with the pain..This was the most recent and it has done nothing for the pain I'm experiencing.

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