Clinical correlates do not predict PaO2 response after tolazoline administration in hypoxic newborns

W. Meadow, A. Benn, N. Giardini, J. Hageman, S. Berger

Research output: Contribution to journalArticle

8 Scopus citations

Abstract

In an attempt to determine which hypoxic newborns might benefit from administration of tolazoline hydrochloride (Tz), we identified all neonates known to have received Tz at four Chicago area perinatal centers over a 4-yr period. For each of 41 infants, five statistical analyses were used to correlate 31 clinical and ventilatory variables with PaO2 values before and after Tz administration. Fourteen neonates responded to Tz infusion with more than a two-fold increase in PaO2. None of 31 clinical variables successfully predicted a positive Tz response in these infants, and a positive response (increased PaO2) was not associated with increased likelihood of survival. BP fell after Tz in 72% of patients, while heart rate rose after Tz treatment in 66% of cases. These data suggest a need to re-evaluate the administration of Tz to hypoxic newborn infants.

Original languageEnglish (US)
Pages (from-to)548-551
Number of pages4
JournalCritical Care Medicine
Volume14
Issue number6
DOIs
StatePublished - Jan 1 1986

ASJC Scopus subject areas

  • Critical Care and Intensive Care Medicine

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