N/IICU Clinical Pathway for the Management of PDA in the First Month in the High-Risk Preterm Neonate

 
 
 
 
 
 
 
 
Clinical Management
Consider:
 
 
Stable Findings
Continue to monitor
 
 
Discharge
Cardiology follow-up recommended if ductus remains patent
 
 
Obtain Echocardiogram
Echocardiogram Staging
Persistent or worsening
Clinical Assessment
 
 
 
 
Echo: Small/Moderate PDA
 
 
Clinical Management
Enteral Feedings
 
 
 
 
Stable findings
Continue to monitor
 
 
Echo: Large PDA
 
 
 
 
Worsening Clinical Assessment Consider repeat Echo
 
 
Persistent or worsening
Clinical Assessment