Archives of disease in childhood. Fetal and neonatal edition
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Arch. Dis. Child. Fetal Neonatal Ed. · Jan 2006
Blood flow in the common carotid artery in term and preterm infants: reproducibility and relation to cardiac output.
To assess the reproducibility of, and determine normative data for, flow volume measurements from the right common carotid artery (CCA) and its relation to left ventricular output (LVO) in stable term and preterm babies using Doppler ultrasound. ⋯ It is possible to perform reproducible measurements of flow volume in the CCA of newborn infants. In stable, spontaneously breathing babies, both cardiac output and carotid flow increased with gestation and body weight. The proportion of cardiac output distributed to the right CCA remained relatively constant across gestation.
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Arch. Dis. Child. Fetal Neonatal Ed. · Jan 2006
Can all neonatal resuscitation be managed by nurse practitioners?
To assess the ability of nurse practitioners to manage the care of all babies requiring resuscitation at birth in a unit without on site medical assistance. ⋯ The practitioners successfully managed all the problems coming their way from the time of appointment. There was no evidence that their skill decreased over time even though, on average, they only found themselves undertaking laryngeal intubation once a year. It remains to be shown that this level of competence can be replicated in other settings.
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Arch. Dis. Child. Fetal Neonatal Ed. · Jan 2006
Randomized Controlled Trial Multicenter StudyMorphine in ventilated neonates: its effects on arterial blood pressure.
To study the effects of continuous morphine infusion on arterial blood pressure in ventilated neonates. ⋯ Overall arterial blood pressure, use of inotropes, and blood pressure variability were not influenced by morphine infusion. Therefore the clinical impact of hypotension as a side effect of low dose morphine treatment in neonates is negligible.
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Arch. Dis. Child. Fetal Neonatal Ed. · Jan 2006
ReviewWithholding and withdrawing of life sustaining treatment in the newborn.
The rapid progress of medical technology has resulted in more opportunities to maintain the life of infants in serious and potentially life threatening situations. Whether to treat such infants is a common dilemma. ⋯ Sometimes, either parents or care teams choose to seek a decision from the courts. Ways of reaching the best possible and most inclusive consensus decisions are examined in this review.
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Arch. Dis. Child. Fetal Neonatal Ed. · Jan 2006
Developmental outcome in newborn infants treated for acute respiratory failure with extracorporeal membrane oxygenation: present experience.
To describe the later health status of newborn infants who received extracorporeal membrane oxygenation (ECMO) for acute respiratory failure in the era after the UK ECMO trial. ⋯ Most newborn infants with acute respiratory failure treated with ECMO will have a normal neurodevelopment screening assessment at 11-19 months of postnatal age. There is no evidence to suggest that changes in neonatal practice since the UK ECMO trial have led to changes in outcome of infants undergoing ECMO therapy.