Journal of paediatrics and child health
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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.
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J Paediatr Child Health · Jan 2014
Comparative StudyDräger VN500's oscillatory performance has a frequency-dependent threshold.
The aim of this study is to compare the high-frequency pressure amplitude (oscillatory change in pressure (ΔP)) and tidal volume (high-frequency tidal volume at the airway opening (VTHF )) delivered by the Dräger VN500 (Drägerwerk Ag & Co., Lübeck, Germany) and the Sensormedics 3100 (SM3100; CareFusion, San Diego, CA, USA) through a range of oscillatory frequencies. ⋯ The VN500 demonstrates a frequency-related reduction in ΔP not observed in the SM3100. Clinicians need to be aware of these differences in performance characteristics.
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J Paediatr Child Health · Jan 2014
Quantifying temperature and relative humidity of medical gases used for newborn resuscitation.
The gases used to stabilise infants during resuscitation are usually unconditioned air and oxygen, often described as 'cold and dry', in comparison with the heated, humidified gases used for ongoing ventilation in neonatal intensive care units. The aim of this study was to determine exactly how 'cold and dry' these unconditioned gases are. ⋯ Piped gases were delivered at room temperature and were extremely dry. This highlights the importance of research assessing the practicality of heating and humidifying resuscitation gases, and assessing the impact of their use on clinically important neonatal outcomes.