Archives of disease in childhood. Fetal and neonatal edition
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Arch. Dis. Child. Fetal Neonatal Ed. · Sep 2008
Randomized Controlled Trial Multicenter StudyMorphine analgesia and gastrointestinal morbidity in preterm infants: secondary results from the NEOPAIN trial.
To investigate the influence of morphine therapy and other factors on the attainment of full enteral feeds and on acquired gastrointestinal pathology in preterm infants. ⋯ Morphine delays the attainment of full enteral feeds, partly by delaying the start of feeding, but does not discernibly increase gastrointestinal complications. The attainment of full feeds is influenced by morphine dose, but other factors seem to be important, including birth weight and neonatal morbidity.
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Arch. Dis. Child. Fetal Neonatal Ed. · Sep 2008
Randomized Controlled Trial Comparative StudyDoes the monitoring method influence stability of oxygenation in preterm infants? A randomised crossover study of saturation versus transcutaneous monitoring.
Hyperoxia and variable oxygenation are associated with morbidity in preterm infants. The optimal range of oxygen tensions is not known. This study aimed to determine whether care based on transcutaneous oxygen tension (TcPO2) or saturation (SpO2) monitoring is associated with less time spent with high oxygen tension and less variability of oxygenation. ⋯ Within the target ranges studied SpO2 monitoring was associated with significantly more variable oxygenation than TcPO2 monitoring.
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Arch. Dis. Child. Fetal Neonatal Ed. · Sep 2008
A respiratory function monitor improves mask ventilation.
This study investigated whether the use of a respiratory monitor during simulated neonatal resuscitation reduced leak at the face mask. It showed the leak was more than halved, being reduced from 27% to 11% when 25 participants used the monitor to identify and correct the mask leak.