American journal of perinatology
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To evaluate the outcome of pregnancy in diabetic women who had an episode of ketoacidosis during gestation, 20 consecutive cases of ketoacidosis in type I diabetic pregnant women were studied. They were divided into two groups for comparison: Group 1, 13 patients (65%), had a live fetus and group 2, seven patients (35%), had a fetal death on admission. Both groups were similar in age, gravidity, parity, abortions, height, weight, serum sodium and potassium, arterial pH, carbon dioxide tension, bicarbonate, base excess, and anion gap. ⋯ A high fetal mortality (35%) was found but there were no fetal losses once therapy was initiated. The unrecognized new onset diabetics accounted for almost a third (30%) of the cases of ketoacidosis and for 57% of the fetal deaths. Attentiveness to the symptoms of uncontrolled diabetes and appropriate screening can be effective preventive measures.
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Extracorporeal membrane oxygenation is now an accepted method of treatment for neonatal hypoxemia due to a number of causes. We extend the indications of ECMO to hypoxemia secondary to dysplastic tricuspid valve. We report the case of a neonate with congenital dysplastic tricuspid valve who responded to ECMO.
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The study was designed to determine the flow rate necessary to achieve adequate oxygen delivery from self-inflating resuscitation bags. When no reservoir was used the fraction of inspired oxygen (FiO2) was between 0.5 and 0.6 for all flow rates greater than 7 liters/min. ⋯ Individuals should become thoroughly familiar with the equipment they select for use. Most will find it necessary to provide an oxygen flow of at least 10 to 12 liters/min to provide an oxygen concentration of at least 80%.