Journal of perinatology : official journal of the California Perinatal Association
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Comparative Study
A delivery room-focused education and deliberate practice can improve pediatric resident resuscitation training.
To determine if deliberate practice and simulation would improve pediatric residents' neonatal resuscitation abilities. ⋯ The use of deliberate practice and simulation can improve a residents' resuscitation training, particularly for equipment.
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Comparative Study
Complications associated with central and non-central venous catheters in a neonatal intensive care unit.
The objective of this study is to compare complication rates between peripherally inserted central catheters (PICCs) and peripherally inserted non-central catheters (PINCCs) in the neonatal intensive care unit (NICU). ⋯ The rate of associated complications with the use of PINCCs in the NICU population is more than twice that of the PICCs.
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The objective of this study is to assess the opportunities afforded to and competence of pediatric residents in performing neonatal endotracheal intubations. ⋯ Opportunities for residents to intubate neonates were few and their success rate was low. In the current care paradigm, it is doubtful if trainees can be sufficiently skilled in endotracheal intubation during residency. Residents that plan to pursue procedure-intensive subspecialties may benefit from other models for training.
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Comparative Study
Prolonged persistent patent ductus arteriosus: potential perdurable anomalies in premature infants.
Patent ductus arteriosus (PDA) is a common condition among preterm infants. Controversy exists regarding the risk-benefit ratio of early closure of PDAs by either medical or surgical treatments. On the other hand, potential morbidities associated with no or delayed closure has not been well studied. The objective of the study was to determine if there is an association of prolonged persistent PDA (PP-PDA) with various morbidities in infants ≤28 weeks or 1250 g. ⋯ A prolonged exposure to PDA does not seem to be inconsequential for some infants and is associated with an increase prevalence of severe morbidities with potential long lasting effects.