Journal of perinatology : official journal of the California Perinatal Association
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To evaluate cerebrovascular autoregulation as a function of arterial blood pressure (ABP) in the critically ill, premature infant. ⋯ All infants studied had periods with intact and periods with impaired cerebrovascular autoregulation, measured with the COx. Low ABP was associated with impaired autoregulation.
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An appropriate neonatal resuscitation device for village midwives in Indonesia is chosen. ⋯ Given the similarity in functionality, ease of use, infection prevention, and portability and the significant difference in price, public health experts and neonatologists chose the local tube and mask device for use by village midwives.
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Case Reports
Hyperammonemic coma in an ornithine transcarbamylase mutation carrier following antepartum corticosteroids.
Women who are carriers of the ornithine transcarbamylase (OTC) mutation are at risk for developing hyperammonemia during the postpartum period and at times of metabolic stress. We present a unique case of hyperammonemic coma occurring in an OTC mutation carrier during the antepartum period. Multiple factors, including the administration of antenatal corticosteroids, likely precipitated this critical condition. Clinicians should be aware of this life-threatening clinical presentation and be prepared to identify, treat, and prevent hyperammonemia in affected individuals.