Acta paediatrica
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Comparative Study
Association of house staff training with mortality in children with critical illness.
To evaluate the association of house staff training with mortality in children with critical illness. ⋯ Our study establishes that ICU care provided in hospitals with training programmes is associated with improved adjusted survival rates among the Virtual PICU database hospitals in the United States.
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To determine the accuracy of current methods of heart rate (HR) assessment. ⋯ Current methods in assessing rates below 60 bpm are inaccurate and may overestimate HR. We recommend that these methods alone should not be relied upon in neonatal resuscitation and objective assessment of heart rate should be readily available at all newborn resuscitations.
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Randomized Controlled Trial
Analgesia by cooling vibration during venipuncture in children with cognitive impairment.
Children with cognitive impairment experience pain more frequently than healthy children and are more likely to require venipuncture or intravenous cannulation for various procedures. They are frequently unable to report pain and often receive poor pain assessment and management. This study assessed the effectiveness of physical analgesia during vascular access in children with cognitive impairments. ⋯ Cooling vibration analgesia during vascular access reduced pain in children with cognitive impairment.
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Randomized Controlled Trial
Automated control of inspired oxygen in ventilated preterm infants: crossover physiological study.
To evaluate the efficacy of automated control of the fraction of inspired oxygen (FiO2 ) in comparison with manual FiO2 control in maintaining target pulse oxygen saturation (SpO2 ) range. ⋯ Automated control of FiO2 significantly improved compliance of oxygen saturation targeting and significantly reduced exposure to hypoxaemia as well as hyperoxaemia.
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The safety of SwabCap alcohol impregnated disinfection caps was questioned in our unit because of malfunctions in luer access valves. We examined whether SwabCaps affected the integrity of two luer access valves and were associated with alcohol injected into the lines. ⋯ The SwabCap altered the valves' appearance and allowed significant amounts of isopropyl alcohol to be injected. It should not be used for neonates without further research.