The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians
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J. Matern. Fetal. Neonatal. Med. · Mar 2018
ReviewA comparison between the two methods of chest compression in infant and neonatal resuscitation. A review according to 2010 CPR guidelines.
The quality of chest compression (CC) delivered during neonatal and infant cardiopulmonary resuscitation (CPR) is identified as the most important factor to achieve the increase of survival rate without major neurological deficit to the patients. The objective of the study was to systematically review all the available studies that have compared the two different techniques of hand placement on infants and neonatal resuscitation, from 2010 to 2015 and to highlight which method is more effective. ⋯ The majority of the studies suggest the TT method as the more useful for infants and neonatal resuscitation than the TF.
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J. Matern. Fetal. Neonatal. Med. · Mar 2018
Is procalcitonin to C-reactive protein ratio useful for the detection of late onset neonatal sepsis?
Procalcitonin (PCT) has been reported as a sensitive marker for neonatal bacterial infections. Recently, small numbers of studies reported usefulness of PCT/C-reactive protein (CRP) ratio in detection of infectious conditions in adults. Thus, we conducted this study to evaluate PCT/CRP ratio in late onset neonatal sepsis. ⋯ In conclusion, CRP and PCT showed good performance in discrimination between sepsis and healthy controls. However, PCT/CRP ratio seems to be helpful in distinguishing proven sepsis from suspected sepsis together with PCT. Further studies are warranted to elucidate the efficacy of PCT/CRP ratio with enrollment of enough numbers of infants.
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J. Matern. Fetal. Neonatal. Med. · Mar 2018
Observational StudyInfluence of difficulty of instrumentation with vacuum on the rate of levator ani muscle avulsion identified by 3-4 d transperineal ultrasound.
Evaluation of the influence of difficulty of instrumentation with vacuum on the rate of levator ani muscle (LAM) avulsions. ⋯ The number of vacuum tractions needed to complete fetal extraction is not associated to a higher LAM avulsion rate nor with differences in levator hiatus area.