Journal of paediatrics and child health
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J Paediatr Child Health · Feb 2014
Review Meta AnalysisRestrictive versus liberal red blood cell transfusion thresholds in very low birth weight infants: a systematic review and meta-analysis.
A systematic review was conducted to examine the effects of restrictive versus liberal red blood cell (RBC) transfusion thresholds on clinically important outcomes in very low birth weight (VLBW) infants. ⋯ Restrictive RBC transfusion thresholds in VLBW infants may be utilised without incurring clinically important increases in the risk of death or major short-term neonatal morbidities.
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J Paediatr Child Health · Feb 2014
Reducing the pain of intramuscular benzathine penicillin injections in the rheumatic fever population of Counties Manukau District Health Board.
To evaluate the effectiveness of lignocaine and a vibrating device with cold pack (Buzzy) for pain management of intramuscular (IM) benzathine penicillin injections in the rheumatic fever (RF) population of Counties Manukau District Health Board (CMDHB). ⋯ This study demonstrates a clinically important reduction in the subjective experience of pain when two analgesic interventions were offered with IM delivery of benzathine penicillin. These pain reduction strategies have been popular in the RF population of CMDHB with a 71% uptake and a corresponding reduction in pain and fear.
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J Paediatr Child Health · Feb 2014
Beyond the borderline: outcomes for inborn infants born at ≤500 grams.
To report survival, morbidity and neurodevelopmental outcome in a cohort of extremely low birthweight infants. ⋯ There was a high risk of death or impairment in this cohort of infants. Survival was rare for AGA infants weighing ≤500 g at birth. Our study provides an evidence base to assist counselling and decision-making.