Journal of paediatrics and child health
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J Paediatr Child Health · Feb 2015
High flow nasal cannula for continuous positive airway pressure weaning in preterm neonates: A single-centre experience.
High flow nasal cannula therapy (HFNC) is an emerging method of non-invasive respiratory support therapy for premature infants. Recent evidence around its safety and efficacy for post-extubation respiratory support is encouraging. However, its effect on long-term respiratory outcomes is not known. The aim of this study is to determine the effect of HFNC on respiratory outcomes (chronic lung disease (CLD), need for home oxygen) when used to wean babies from continuous positive airway pressure (CPAP). ⋯ Introduction of HFNC for weaning nasal CPAP seems to have a minimal effect on CLD rates. The effect of HFNC on long-term outcomes needs to be further evaluated.
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J Paediatr Child Health · Feb 2015
'Playing favourites': Is there bias during patient selection by registrars in an Australian paediatric emergency department?
Overseas studies have suggested a bias in emergency department patient selection between paediatric and emergency medicine trainees. This study aimed to detect whether a similar bias existed in an Australasian setting. Specifically, we sought to determine whether vocational trainees choose patients based on presenting complaint, triage category or patient age. ⋯ Bias does not appear to exist in the selection of patients in this Australasian PED. Further study should address the impact of unbiased patient selection on emergency department efficiency and trainee education.