Archives of disease in childhood. Fetal and neonatal edition
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Arch. Dis. Child. Fetal Neonatal Ed. · Nov 2010
Passive cooling for initiation of therapeutic hypothermia in neonatal encephalopathy.
To determine the feasibility of passive cooling to initiate therapeutic hypothermia before and during transport. ⋯ Passive cooling is a simple and effective technique if portable cooling equipment is unavailable. Rectal temperature monitoring is essential; active cooling methods without core temperature monitoring may lead to overcooling.
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Arch. Dis. Child. Fetal Neonatal Ed. · Nov 2010
Leak and obstruction with mask ventilation during simulated neonatal resuscitation.
To evaluate mask technique during simulated neonatal resuscitation and test the effectiveness of training in optimal mask handling. ⋯ Mask ventilation during simulated neonatal resuscitation was often hampered by large leaks at the face mask. Moderate airway obstruction occurred frequently when effort was taken to minimise leak. Training in mask ventilation reduced mask leak but should also focus on preventing airway obstruction.
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Arch. Dis. Child. Fetal Neonatal Ed. · Nov 2010
Nasal trauma due to continuous positive airway pressure in neonates.
To evaluate the incidence and severity of nasal trauma secondary to nasal continuous positive airway pressure (nCPAP) in neonates. ⋯ Nasal trauma is a frequent complication of nCPAP, especially in preterm neonates, but long-term cosmetic sequelae are very rare. This study provides a description of nasal trauma and proposes a simple staging system. This could serve as a basis to develop strategies of prevention and treatment of this iatrogenic event.
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Arch. Dis. Child. Fetal Neonatal Ed. · Nov 2010
Predicting death despite therapeutic hypothermia in infants with hypoxic-ischaemic encephalopathy.
To determine precooling attributes possibly predicting death in infants with hypoxic-ischaemic encephalopathy (HIE) despite therapeutic cooling. ⋯ Of the selected precooling variables, only the 10 min Apgar score is independently associated with death despite therapeutic cooling in infants with HIE. Infants who remain asystolic at 10 min and beyond are unlikely to survive despite cooling, and the rare survivor is likely to have severe disability.
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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.