Archives of disease in childhood. Fetal and neonatal edition
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Arch. Dis. Child. Fetal Neonatal Ed. · Mar 2011
Randomized Controlled TrialHeart rate changes during resuscitation of newly born infants <30 weeks gestation: an observational study.
The International Liaison Committee on Resuscitation recommends starting positive pressure ventilation (PPV) in the delivery room when heart rate (HR) <100 beats per min (bpm) and giving cardiac compressions when HR <60 bpm. ⋯ It takes more than a minute for newly born infants <30 weeks gestation with a HR <100 bpm to achieve a HR above 100 bpm. In these infants HR does not stabilise until it reaches 120 bpm.
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Arch. Dis. Child. Fetal Neonatal Ed. · Mar 2011
Comparative StudyThe two-thumb is superior to the two-finger method for administering chest compressions in a manikin model of neonatal resuscitation.
Current neonatal guidelines endorse both the two-thumb and the two-finger techniques for performing chest compressions. It remains unclear whether one method is superior to the other in achieving consistent depth. ⋯ The two-thumb technique is superior to the two-finger technique, achieving greater depth and less variability with each compression. The two-finger technique was incorrectly applied in most cases and deviations in technique may have contributed to the significant differences in depth.
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Arch. Dis. Child. Fetal Neonatal Ed. · Mar 2011
Nurse:patient ratio and achievement of oxygen saturation goals in premature infants.
Premature newborns often experience oxygen saturations outside policy-specified targets, which may be associated with increased morbidity. Nurse workload may affect oxygen management. ⋯ Fewer patients per nurse may be associated with improved achievement of oxygen saturation goals and may be an important modifiable factor influencing oxygen-related outcomes in premature newborns. This effect may vary with mode of respiratory support.
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Arch. Dis. Child. Fetal Neonatal Ed. · Jan 2011
Multicenter StudyHeel blood sampling in European neonatal intensive care units: compliance with pain management guidelines.
To describe the use of heel blood sampling and non-pharmacological analgesia in a large representative sample of neonatal intensive care units (NICUs) in eight European countries, and compare their self-reported practices with evidence-based recommendations. ⋯ Heel puncture is a common procedure in preterm neonates, but pain appears inadequately treated in many units and countries. Better compliance with published guidelines is needed for clinical and ethical reasons.