Archives of disease in childhood. Fetal and neonatal edition
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Arch. Dis. Child. Fetal Neonatal Ed. · May 2019
Observational StudyHypoxemic and hyperoxemic likelihood in pulse oximetry ranges: NICU observational study.
Describe the likelihood of hypoxemia and hyperoxemia across ranges of oxygen saturation (SpO2), during mechanical ventilation with supplemental oxygenation. ⋯ The likelihood of a PaO2 <40 mm Hg is marked with SpO2 below 86%. The likelihood of a PaO2 >99 mm Hg is marked in term infants with SpO2 above 95% and above 98% in preterm infants. SpO2 levels between 90% and 95% are appropriate targets for term and preterm infants.
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Arch. Dis. Child. Fetal Neonatal Ed. · Mar 2019
Randomized Controlled TrialCord milking versus immediate clamping in preterm infants: a randomised controlled trial.
To investigate whether umbilical cord milking (UCM) at birth improves systemic blood flow and short-term outcomes, as compared with immediate cord clamping (ICC). ⋯ Cord milking was not shown to improve functional cardiac outcomes, neonatal morbidity or mortality. More research is needed before routine cord milking can be recommended for very preterm infants.
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Arch. Dis. Child. Fetal Neonatal Ed. · Mar 2019
Pulseless electrical activity: a misdiagnosed entity during asphyxia in newborn infants?
The 2015 neonatal resuscitation guidelines added ECG as a recommended method of assessment of an infant's heart rate (HR) when determining the need for resuscitation at birth. However, a recent case report raised concerns about this technique in the delivery room. ⋯ Clinicians should be aware of the potential inaccuracy of ECG assessment during asphyxia in newborn infants and should rather rely on assessment using a combination of auscultation, palpation, pulse oximetry and ECG.
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Arch. Dis. Child. Fetal Neonatal Ed. · Jan 2019
Multicenter StudyWide variation in severe neonatal morbidity among very preterm infants in European regions.
To investigate the variation in severe neonatal morbidity among very preterm (VPT) infants across European regions and whether morbidity rates are higher in regions with low compared with high mortality rates. ⋯ Severe neonatal morbidity rates for VPT survivors varied widely across European regions and were independent of mortality rates.
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Arch. Dis. Child. Fetal Neonatal Ed. · Sep 2018
Comparative StudyComparison of infant heart rate assessment by auscultation, ECG and oximetry in the delivery room.
Clinical assessment of an infant's heart rate (HR) in the delivery room (DR) has been reported to be inaccurate. We compared auscultation of the HR using a stethoscope with electrocardiography (ECG) and pulse oximetry (PO) for determining the HR in 92 low-risk newborn infants in the DR. ⋯ The median (IQR) time to HR by auscultation was 14 (10-18) s. As HR was determined quickly and with reasonable accuracy by auscultation in low-risk newborns, study in high-risk infants is warranted.