Archives of disease in childhood. Fetal and neonatal edition
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Arch. Dis. Child. Fetal Neonatal Ed. · Jul 2008
Randomized Controlled TrialPharyngeal pressure value using two continuous positive airway pressure devices.
The aim of the study was to measure the difference between the set continuous positive airway pressure (CPAP) value and the pharyngeal pressure reading during CPAP in premature infants with mild respiratory distress syndrome, using two different devices: hood CPAP and the conventional nasal system. The preliminary results suggest that hood CPAP may produce more stable pharyngeal pressure than the conventional nasal device.
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Arch. Dis. Child. Fetal Neonatal Ed. · Jul 2008
A trial of spontaneous breathing to determine the readiness for extubation in very low birth weight infants: a prospective evaluation.
Extubation failure in premature infants is common. A spontaneous breathing trial (SBT) was prospectively evaluated to determine timing of extubation. Compared with historical controls, infants were extubated at significantly higher ventilator rates and airway pressures using the SBT. No differences in rates of bronchopulmonary dysplasia or duration of ventilation were seen.
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Arch. Dis. Child. Fetal Neonatal Ed. · May 2008
Multicenter Study Comparative StudyDoctors' and nurses' attitudes towards neonatal ethical decision making in Ireland.
To explore the clinical staff attitudes towards ethical decision making in neonatal intensive care units (NICUs) in Ireland, to establish differences between doctors and nurses and to compare attitudes in Ireland with those in Europe. ⋯ In Ireland, NICU doctors and nurses hold similar attitudes towards ethical decision making. Personal and professional factors have a statistically significant impact on attitude score. Compared with the rest of Europe, attitudes in Ireland appear more similar to those of southern rather than northern European countries.
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Arch. Dis. Child. Fetal Neonatal Ed. · May 2008
Multicenter StudyDefining the gap between electrographic seizure burden, clinical expression and staff recognition of neonatal seizures.
Neonatal seizures are often subclinical, making accurate diagnosis difficult. ⋯ Only one-third of neonatal EEG seizures displays clinical signs on simultaneous video recordings. Moreover, two-thirds of these clinical manifestations are unrecognised, or misinterpreted by experienced neonatal staff. In the recognition and management of neonatal seizures clinical diagnosis alone is not enough.