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- W2992196865 endingPage "101070" @default.
- W2992196865 startingPage "101070" @default.
- W2992196865 abstract "Premature neonates <34 weeks gestation can present with early-onset, late-onset and bronchopulmonary dysplasia (BPD) associated pulmonary hypertension (PHT), with clinical, echocardiographic, and histological features similar to term infants with PHT. Changes in pulmonary vascular resistance (PVR) in response to oxygen are diminished in preterm infants compared to term. Studies from preterm lambs and human infants with BPD have shown that PaO2 > 30-55 mm Hg promotes pulmonary vasodilation. Targeting saturations of 80-85% by 5 min, 85-95% by 10 min during resuscitation and 90-95% during the postnatal course are appropriate targets for routine management of preterm infants. Among preterm infants with PHT, avoiding hypoxia/hyperoxia by titrating supplemental oxygen to maintain saturations in low to mid 90s with alarm limits at 90 and 97% seems to be a reasonable approach pending further studies. Further high-quality evidence generated from randomized trials is required to guide oxygen therapy in preterm PHT." @default.
- W2992196865 created "2019-12-13" @default.
- W2992196865 creator A5003732931 @default.
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- W2992196865 date "2020-04-01" @default.
- W2992196865 modified "2023-10-18" @default.
- W2992196865 title "Oxygen therapy in preterm infants with pulmonary hypertension" @default.
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- W2992196865 doi "https://doi.org/10.1016/j.siny.2019.101070" @default.
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