Journal of perinatology : official journal of the California Perinatal Association
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Multicenter Study Clinical Trial
Failure of early nasal continuous positive airway pressure in preterm infants of 26 to 30 weeks gestation.
To identify variables associated with early nasal continuous positive airway pressure (ENCPAP) failure in preterm neonates less than 30 weeks gestational age. ⋯ The need for oxygen in resuscitation and maintained in first hours of life, male gender, a CPAP pressure over 5 cm H(2)O and surfactant need are predictors of ENCPAP failure in preterm neonates 26 to 30 weeks gestational age.
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We documented time to key milestones and determined reasons for transport-related delays during simulated emergency cesarean. ⋯ In this series of emergency cesarean drills, our teams required approximately nine and a half minutes to move from the labor room to the nearby operating room (OR) and make the surgical incision. Multiple barriers to efficient transport were identified. This study demonstrates the utility of simulation to identify and correct institution-specific barriers that delay transport to the OR and initiation of emergency cesarean delivery.
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Randomized Controlled Trial Comparative Study
Effect of delivery room temperature on the admission temperature of premature infants: a randomized controlled trial.
To determine if increasing delivery room temperature to that recommended by the World Health Organization results in increased admission temperatures of preterm infants. ⋯ Increasing delivery room temperatures to that recommended by the World Health Organization decreases cold stress in premature newborns.
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To characterize the relationship between peripherally inserted central catheters (PICC) tip positions and associated complications in neonates. ⋯ Non-central PICCs are associated with higher rates of infiltration and mechanical complications when the tip is in MC region. BC catheters may have comparable outcomes to SVC in neonates. A careful risk-benefit analysis is warranted when MC catheters are used in neonates.
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The study investigated the ability of near-infrared spectroscopy (NIRS) to detect subgroups of preterm infants who benefit most from red blood cell (RBC) transfusion in regard to cerebral/renal tissue oxygenation (i) and the number of general oxygen desaturation below 80% (SaO(2) <80%) (ii). ⋯ NIRS measurement is a simple, non-invasive method to monitor regional tissue oxygenation and the efficacy of RBC transfusion. Infants with low initial NIRS values benefited most from blood transfusions regarding SaO(2) <80%, which may be important for their general outcome.