Archives of disease in childhood. Fetal and neonatal edition
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Arch. Dis. Child. Fetal Neonatal Ed. · Mar 1995
Changes in oxygenation and heart rate after administration of artificial surfactant (ALEC) to preterm infants.
To determine if changes in oxygenation and heart rate occur after surfactant, changes in these variables were recorded continuously for 15 minutes before, during, and 15 minutes after the administration of the artificial surfactant ALEC to 21 preterm infants ventilated for respiratory distress syndrome. Median (range) birth weight and gestation were 1199 (561-2680) g and 28 (21-43) weeks, respectively. ⋯ No clinically important changes resulted from the administration of ALEC in the mean (SD) values for oxygen saturation (before 91.3 (3.4)%, during 90.7 (3.2)%, after 90.4 (3.7)% and heart rate (before 143 (15), during 138 (17), after 142 (16)). The maximum change in mean arterial oxygen saturation (SaO2) was a fall of 4.8%.
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Arch. Dis. Child. Fetal Neonatal Ed. · Mar 1995
Stress and mental health in neonatal intensive care units.
The views of 34 neonatologists (a 78% response rate) and 192 neonatal intensive care nurses (a 66% response rate) were obtained on work, stress, and relationships in neonatal intensive care units. The survey was conducted by post and included Goldberg's General Health Questionnaire (GHQ). A comparison of the responses of neonatologists and nurses to 21 identical statements showed significant differences in 12. ⋯ However, the nurses' responses differed significantly in these areas, suggesting that the neonatologists may have a more rosy view of life in the neonatal intensive care unit than their nurse colleagues. Twenty seven per cent of neonatologists and 32% of nurses had GHQ scores indicating psychological dysfunction. The neonatologists who had dysfunctional scores differed from their colleagues in only one area surveyed--a higher proportion experienced conflict between the demands of their work and their personal lives.