Archives of disease in childhood. Fetal and neonatal edition
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Arch. Dis. Child. Fetal Neonatal Ed. · Jul 2006
ReviewAre carbon dioxide detectors useful in neonates?
Maintenance of neonatal normocarbia may prevent chronic lung disease and periventricular leucomalacia, but this requires frequent arterial sampling, which has risks. Alternative methods for measuring CO2 are therefore desirable. ⋯ However, this method relies on the presence of exhaled CO2, which may be reduced in certain situations, such as cardiopulmonary arrest. Colorimetric CO2 detectors are therefore valuable adjuncts for airway management, especially during resuscitation, but Pa(CO2) is still the best measure of CO2 in neonatal practice.
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Arch. Dis. Child. Fetal Neonatal Ed. · Jul 2006
Death in the neonatal intensive care unit: changing patterns of end of life care over two decades.
Death remains a common event in the neonatal intensive care unit, and often involves limitation or withdrawal of life sustaining treatment. ⋯ There have been substantial changes in the illnesses leading to death in the neonatal intensive care unit. These may reflect the combined effects of prenatal diagnosis and changing community and medical attitudes.
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Arch. Dis. Child. Fetal Neonatal Ed. · Jul 2006
Clinical TrialFacilitation of neonatal endotracheal intubation with mivacurium and fentanyl in the neonatal intensive care unit.
Endotracheal intubation in the neonate is painful and is associated with adverse physiological effects. Some premedication regimens have been shown to reduce these effects, but the optimal regimen is not yet determined. ⋯ Effective analgesia can be administered and intubation performed with some brief desaturations, even when junior personnel are being taught their first intubation. In this first report of mivacurium for intubation in the newborn, effective bag and mask ventilation was easily achieved during muscle relaxation and was associated with excellent intubation conditions, permitting a high success rate for inexperienced personnel.