0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Comment & Response |

Patent Ductus Arteriosus in Preterm Neonates—Concerns With Some Recommendations

Prakesh S. Shah, MD, MSc, FRCPC1,2; Amish Jain, MBBS, MRCPCH1,2
[+] Author Affiliations
1Department of Paediatrics, Mount Sinai Hospital, Toronto, Ontario, Canada
2University of Toronto, Toronto, Ontario, Canada
JAMA Pediatr. 2015;169(12):1177-1178. doi:10.1001/jamapediatrics.2015.2792.
Text Size: A A A
Published online

Extract

In Reply We thank Golombek and Sola for their comments on our article.1 We completely agree with their concern regarding diuretics and particularly increased synthesis of prostaglandin following administration of furosemide2 (and not prostaglandin inhibition as mentioned in the letter). We would like to inform the readers that Figure 1 of the article1 was shown to inform readers of all therapeutic modalities used so far in the treatment of patent ductus arteriosus. In the text, it is clearly written “However, 3 RCTs [randomized clinical trials] of furosemide showed no apparent benefit,” and at no point in the article did we assert that diuretics should be used for the treatment of patent ductus arteriosus. We would like to point out that in addition to its potential for increasing ductal size, furosemide is also associated with nephrotoxic effects, and it is not recommended for the treatment of patent ductus arteriosus.3,4

Topics

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

First Page Preview

View Large
First page PDF preview

Figures

Tables

References

Correspondence

December 1, 2015
Sergio G. Golombek, MD, MPH; Augusto Sola, MD
1Division of Newborn Medicine, Department of Pediatrics and Clinical Public Health, New York Medical College, Valhalla2Maria Fareri Children’s Hospital at Westchester Medical Center, Valhalla, New York3SIBEN (Iberoamerican Society of Neonatology), Dana Point, California
3SIBEN (Iberoamerican Society of Neonatology), Dana Point, California
JAMA Pediatr. 2015;169(12):1177. doi:10.1001/jamapediatrics.2015.2789.
CME
Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.

Multimedia

Some tools below are only available to our subscribers or users with an online account.

326 Views
0 Citations
×

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.

See Also...
Jobs
brightcove.createExperiences();