Archives of disease in childhood. Fetal and neonatal edition
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Arch. Dis. Child. Fetal Neonatal Ed. · May 2019
Observational StudyVisual attention on a respiratory function monitor during simulated neonatal resuscitation: an eye-tracking study.
A respiratory function monitor (RFM) may improve positive pressure ventilation (PPV) technique, but many providers do not use RFM data appropriately during delivery room resuscitation. We sought to use eye-tracking technology to identify RFM parameters that neonatal providers view most commonly during simulated PPV. ⋯ Wearable eye-tracking technology is feasible to identify gaze fixation on the RFM display and is well accepted by providers. Neonatal providers look at exhaled tidal volume more than any other RFM parameter. Future applications of eye-tracking technology include use during clinical resuscitation.
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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
ReviewClinical aspects of incorporating cord clamping into stabilisation of preterm infants.
Fetal to neonatal transition is characterised by major pulmonary and haemodynamic changes occurring in a short period of time. In the international neonatal resuscitation guidelines, comprehensive recommendations are available on supporting pulmonary transition and delaying clamping of the cord in preterm infants. ⋯ We reviewed the current knowledge on how to incorporate cord clamping into stabilisation of preterm infants and the physiological-based cord clamping (PBCC) approach, with the infant's transitional status as key determinant of timing of cord clamping. This approach could result in optimal timing of cord clamping and has the potential to reduce major morbidities and mortality in preterm infants.