Archives of disease in childhood. Fetal and neonatal edition
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Arch. Dis. Child. Fetal Neonatal Ed. · Jul 2018
Randomized Controlled TrialRandomised trial of estimating oral endotracheal tube insertion depth in newborns using weight or vocal cord guide.
When intubating newborns, clinicians aim to position the endotracheal tube (ETT) tip in the midtrachea. The depth to which ETTs should be inserted is often estimated using the infant's weight. ETTs are frequently incorrectly positioned in newborns, most often inserted too far. Using the vocal cord guide (a mark at the distal end of the ETT) to guide insertion depth has been recommended. ⋯ Estimating ETT insertion depth using the vocal cord guide did not result in more correctly positioned ETT tips.
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Arch. Dis. Child. Fetal Neonatal Ed. · Jul 2018
Frequency, duration and cause of ventilator alarms on a neonatal intensive care unit.
To investigate the frequency and cause of neonatal ventilator alarms. Neonatal ventilators frequently alarm and also disturb babies, parents and nurses. If frequent they may cause alarm fatigue and be ignored. The number, frequency and details of neonatal ventilator alarms are unreported. ⋯ Frequent ventilator alarms are caused by physiological variability in the respiratory rate or minute volume, inappropriate alarm limits or too low maximum peak inflating pressure during volume-targeted ventilation. While most alarms were very short, sometimes alarms were ignored by neonatal intensive care unit staff for long periods.
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Arch. Dis. Child. Fetal Neonatal Ed. · Jul 2018
Randomized Controlled TrialNon-invasive high-frequency oscillatory ventilation in preterm infants: a randomised controlled cross-over trial.
Non-invasive high-frequency oscillatory ventilation (nHFOV) has recently been described as a novel mode of respiratory support for premature infants. This study was designed to determine whether nHFOV decreases CO2 partial pressure (pCO2) in premature infants more effectively than non-invasive continuous positive airway pressure (nCPAP). ⋯ We could not demonstrate an increased carbon dioxide clearance applying nHFOV compared with nCPAP in this cohort of preterm infants.
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Arch. Dis. Child. Fetal Neonatal Ed. · Jul 2018
Parental experience of interaction with healthcare professionals during their infant's stay in the neonatal intensive care unit.
To explore the experiences of parents of infants admitted to the neonatal intensive care unit towards interaction with healthcare professionals during their infants critical care. ⋯ Factors including the context of infant admission, interprofessional consistency, humane touches of staff and the transition into the culture of the neonatal unit are important issues for parents. These issues warrant further investigation to facilitate individualised family needs, attachment between parents and their baby and the professional team.