Archives of disease in childhood. Fetal and neonatal edition
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Arch. Dis. Child. Fetal Neonatal Ed. · Mar 2014
ReviewDefinitions of extubation success in very premature infants: a systematic review.
Studies of extubation in preterm infants often define extubation success as a lack of reintubation within a specified time window. However, the duration of observation that defines extubation success in preterm infants has not been validated. The purpose of this study was to systematically review published definitions of extubation success in very preterm infants and to analyse the effect of the definition of extubation success on the reported rates of reintubation. ⋯ Variability in the reported definitions of extubation success makes it difficult to compare extubation strategies across studies. The appropriate window of observation following extubation may depend on the population. In infants with BW ≤1000 g, even a week of observation may fail to identify some who will require reintubation.
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Arch. Dis. Child. Fetal Neonatal Ed. · Mar 2014
Multicenter Study Comparative StudyCompliance with the Baby-Friendly Hospital Initiative and impact on breastfeeding rates.
To examine compliance with the Baby-Friendly Hospital Initiative (BFHI) as well as evaluate the BFHI and its components on breastfeeding initiation and duration overall and according to maternal education level. ⋯ Compliance with BFHI practices among BFHI-accredited facilities is not optimal and needs to be monitored, as greater compliance may have an even larger impact on breastfeeding rates and potentially reduce socio-economic disparities in breast feeding.
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Arch. Dis. Child. Fetal Neonatal Ed. · Mar 2014
Heliox for mechanically ventilated newborns with bronchopulmonary dysplasia.
We assessed the safety and studied the influence of short-term helium-oxygen (heliox) mechanical ventilation (MV) on respiratory function, gas exchange and oxygenation in infants with bronchopulmonary dysplasia (BPD) or at high risk for BPD. ⋯ Helium-oxygen MV is safe and resulted in improvement of respiratory function and oxygenation in infants with severe BPD requiring MV.
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Arch. Dis. Child. Fetal Neonatal Ed. · Mar 2014
Comparative StudyA comparison of different mask holds for positive pressure ventilation in a neonatal manikin.
Ventilation during neonatal resuscitation is typically initiated with a face mask, but may be ineffective due to leak or obstruction. ⋯ There was no difference in the leak measured using the three different mask holds.
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Arch. Dis. Child. Fetal Neonatal Ed. · Mar 2014
Observational StudyHuman or monitor feedback to improve mask ventilation during simulated neonatal cardiopulmonary resuscitation.
To investigate if external chest compressions (ECC) increase mask leak, and if human or technical feedback improves mask ventilation during simulated neonatal cardiopulmonary resuscitation (CPR). ⋯ During simulated neonatal CPR, ECCs did not influence mask leak, and a RFM and verbal feedback were helpful methods to reduce mask leak and increase VT significantly.