Journal of paediatrics and child health
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J Paediatr Child Health · Jan 2004
Outcomes for infants weighing less than 1000 grams cared for with a nasal continuous positive airway pressure-based strategy.
To compare outcomes for infants weighing less than 1000 g treated with a predominantly nasal continuous positive airways pressure (CPAP) approach (modelled on that of Columbia University, New York) with outcomes audited by the Australian and New Zealand Neonatal Network (ANZNN). ⋯ Improved respiratory outcomes for infants weighing less than 1000 g were evident at Middlemore Hospital. This was attributed to the use of a nasal CPAP-based respiratory support system.
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J Paediatr Child Health · Nov 2003
Pilot study of a pain assessment tool in the Neonatal Intensive Care Unit.
To develop and validate a pain assessment tool to assess procedural pain experienced by mechanically ventilated neonates. ⋯ The NNICUPAT does show validity in the assessment of procedural pain in the ventilated neonate. Further evaluation of both inter- and intra-rater reliability will be necessary to establish the ongoing validity of the NNICUPAT.
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Pneumatosis intestinalis, found commonly in neonatal necrotising enterocolitis (NEC), can occur in any part of the gastrointestinal tract, from the oesophagus to the rectum. Gastric pneumatosis, defined as air within the wall of the stomach, however, is an extremely rare sign during infancy and is usually secondary to gastric outlet obstruction. The clinical course and outcome of a neonate with gastric pneumatosis associated with NEC is reported along with a brief review of the literature. The findings illustrate that gastric pneumatosis can be the presenting feature of fulminant NEC and may indicate widespread, severe gastrointestinal insult.
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J Paediatr Child Health · May 2003
Barriers to the use of interpreters in emergency room paediatric consultations.
To identify barriers to the use of trained interpreters in emergency department (ED) paediatric consultations. ⋯ Barriers to the use of interpreters in ED paediatric consultations include poor identification of the need for and provision of an interpreter in the ED, and a preference for NESB carers to use ad hoc interpreters or no interpreter. Recommendations include the implementation in the ED of strategies to improve identification of NESB carers, as well as to improve awareness, access and use of trained interpreters during paediatric consultations. There is also a need to explore the experience of ED staff in accessing and using trained interpreters.