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. · Jan 2019
ReviewRole of chest ultrasound in neonatal lung disease: a review of current evidences.
Among the common causes of neonatal admission to NICU, respiratory distress is one of the important causes. The neonatal respiratory distress is end result of various pulmonary and non-pulmonary causes. Differentiation of pulmonary causes of respiratory distress is important for the neonatologist as treatment differs with different etiologies. ⋯ In recent decades, there has been use of lung ultrasound (LUS) to identify and differentiate the etiologies of respiratory distress. The current available evidence show that LUS has good sensitivity and specificity to identify all the common causes of neonatal distress like respiratory distress syndrome, transient tachypnea of newborn, pneumothorax, and pneumonia. This review will cover the various uses of LUS in neonatal care with current available evidence.
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J. Matern. Fetal. Neonatal. Med. · Dec 2018
A survey of physicians' attitudes toward uterotonic administration in parturients undergoing cesarean section.
Oxytocin is globally accepted as first-line treatment for prevention of post-partum hemorrhage. However, there is wide variability in its use in clinical practice. In this study, we aimed to evaluate obstetricians and anesthesiologists attitudes towards uterotonic practices in Israel. ⋯ Our study confirmed significant variability in attitudes towards uterotonic management amongst obstetricians and anesthesiologists. Our study highlights the importance of implementing national guidelines for oxytocin use, which will hopefully reduce the use of high bolus dosage usage, thereby increasing patient safety.
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J. Matern. Fetal. Neonatal. Med. · Dec 2018
Systematic review seeking erythropoietin role for neuroprotection in neonates with hypoxic ischemic encephalopathy: presently where do we stand.
Hypoxic ischemic encephalopathy (HIE) is one of the leading causes of neonatal mortality in developing countries and leads to some form of neuro-developmental disability in latter part of life. ⋯ EPO treatment has neuroprotective effects against moderate/severe HIE and improves long-term behavioral neurological developments in neonates.
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J. Matern. Fetal. Neonatal. Med. · Nov 2018
Randomized Controlled TrialNebulized hypertonic saline to prevent ventilator associated pneumonia in premature infants, a randomized trial.
Ventilator associated pneumonia (VAP) is a leading cause of death. Nebulized hypertonic saline solution (HSS) has been used to improve pulmonary clearance and reduce infection in intubated patients. This study examines whether nebulized HSS may reduce VAP in intubated premature infants. ⋯ Nebulized HSS may help preserving lung clearance mechanisms and therefore reduce VAP in premature infants. Multi center, double blinded, randomized, controlled, trial is needed to confirm safety and efficacy of such intervention.
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J. Matern. Fetal. Neonatal. Med. · Nov 2018
Randomized Controlled Trial Comparative StudyEfficacy of oxytocin versus carbetocin in prevention of postpartum hemorrhage after cesarean section under general anesthesia: a prospective randomized clinical trial.
To compare the use of carbetocin and oxytocin in the prevention of postpartum hemorrhage after cesarean section. ⋯ It may be concluded that carbetocin is a good alternative modality to conventional uterotonic agents such as oxytocin for the prevention of postpartum hemorrhage after cesarean sections. Registration ID in IRCT: NCT02079558.