Archives of disease in childhood. Fetal and neonatal edition
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Arch. Dis. Child. Fetal Neonatal Ed. · Mar 2008
Randomized Controlled TrialLingual sucrose reduces the pain response to nasogastric tube insertion: a randomised clinical trial.
To determine whether lingual sucrose modifies the pain response to nasogastric tube insertion in preterm infants. ⋯ Nasogastric tube insertion induces a pain response comparable with previously reported responses to heel lance in neonates. Single-dose lingual 24% sucrose is effective in reducing the behavioural and physiological pain response to nasogastric tube insertion in preterm infants and it appears to be safe.
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Arch. Dis. Child. Fetal Neonatal Ed. · Mar 2008
A cohort study of low Apgar scores and cognitive outcomes.
To investigate the association of brief (0-5 minutes) and prolonged (>5 minutes) low Apgar scores (<7) in non-encephalopathic infants with educational achievement at age 15-16 and intelligence quotients (IQs) at age 18. ⋯ Infants in poor condition at birth have increased risk of poor functioning in cognitive tests in later life. This supports the idea of a "continuum of reproductive casualty", although the small individual effect suggests that these mild degrees of fetal compromise are not of clinical importance.
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Arch. Dis. Child. Fetal Neonatal Ed. · Mar 2008
Noise levels during nCPAP are flow-dependent but not device-dependent.
Nasal continuous positive airway pressure (nCPAP) has been shown to improve the outcome of infants with respiratory distress syndrome. However, noise generation could be of concern. Therefore, our study was designed to measure the noise levels of various CPAP drivers. ⋯ nCPAP drivers are valuable devices for neonatal care that may prevent primary mechanical ventilation or re-intubation, but generate a large amount of noise, often higher than occupational limits accepted for adult workers. Therefore, new devices must be designed to minimise this possible noxious exposure of premature infants to unacceptably high noise levels.