Archives of disease in childhood. Fetal and neonatal edition
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Arch. Dis. Child. Fetal Neonatal Ed. · Sep 2010
Multicenter Study Comparative StudyNon-urgent caesarean delivery increases the need for ventilation at birth in term newborn infants.
To compare the need for positive pressure ventilation (PPV) by bag and mask and by bag and endotracheal tube in newly born term infants with vertex presentation delivered by non-urgent caesarean section under regional anaesthesia or non-instrumental vaginal delivery. ⋯ Term neonates with vertex presentation and clear amniotic fluid born by non-urgent caesarean section under regional anaesthesia need to be assisted at birth by health professionals skilled in PPV.
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Arch. Dis. Child. Fetal Neonatal Ed. · Sep 2010
Multicenter StudyFamily centred care? Facilities, information and support for parents in UK neonatal units.
To assess how UK neonatal units address parent communication, support and information needs during neonatal care and the early months after discharge. ⋯ Elements of unit policy and practice that support family-centred care are variably in place currently and units need to address the gaps.
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Arch. Dis. Child. Fetal Neonatal Ed. · Sep 2010
Comparative StudyTemperature control during therapeutic moderate whole-body hypothermia for neonatal encephalopathy.
The precision of temperature control achieved in clinical practice during therapeutic hypothermia in neonates has not been described. ⋯ The rectal temperature can be maintained close to the target temperature with either manually adjusted or servo controlled equipment, but there is less temperature variability with the servo controlled system in use in the UK.
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Arch. Dis. Child. Fetal Neonatal Ed. · Sep 2010
Comparative StudyOxygen delivery using neonatal self-inflating resuscitation bags without a reservoir.
Guidelines recommend avoidance of excessive oxygen administration during neonatal resuscitation. Blenders are used in some but not all hospitals. It has been suggested that self-inflating bags without a reservoir deliver around 40% oxygen and could be used to provide an inexpensive and effective technique of avoiding oxygen toxicity. ⋯ When using the Laerdal and Ambu infant resuscitation self-inflating bags without a reservoir, delivered oxygen concentration is >70% for currently recommended flow and pressure settings.
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Arch. Dis. Child. Fetal Neonatal Ed. · Sep 2010
Cerebral tissue oxygen saturation and extraction in preterm infants before and after blood transfusion.
Preterm infants often need red blood cell (RBC) transfusions. The aim of this study was to determine whether haemoglobin levels before transfusion were associated with regional cerebral tissue oxygen saturation (r(c)SO(2)) and fractional tissue oxygen extraction (FTOE) and whether RBC transfusions were associated with r(c)SO(2) and FTOE during the 24-h period thereafter. ⋯ Following RBC transfusion, cerebral tissue oxygen saturation increases and FTOE decreases. The data suggest that cerebral oxygenation in preterm infants may be at risk when haemoglobin decreases under 6 mmol/l (97 g/l).