Archives of disease in childhood. Fetal and neonatal edition
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Arch. Dis. Child. Fetal Neonatal Ed. · Jul 2007
Randomized Controlled TrialAdmission temperatures following radiant warmer or incubator transport for preterm infants <28 weeks: a randomised study.
Sixty two infants <28 weeks were occlusively wrapped and randomised to radiant warmer or incubator transport to the neonatal unit. Median axillary temperature on arrival was 36.8 degrees C in both groups. Target temperatures (36.5-37.5 degrees C) were achieved in 60% of the incubator group compared to 75% in the warmer group (not statistically significant). While powered to detect a 35% difference between warming devices, a more modest difference is not excluded.
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Arch. Dis. Child. Fetal Neonatal Ed. · Jul 2007
Randomized Controlled Trial Comparative StudyMorphine versus remifentanil for intubating preterm neonates.
A double-blind, randomised controlled study was conducted to evaluate the intubation conditions in 20 preterm neonates following the use of either morphine or remifentanil as premedication. The findings suggest that the overall intubation conditions were significantly better (p=0.0034) in the remifentanil group than in the morphine group. No severe complications were observed in either group.
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Arch. Dis. Child. Fetal Neonatal Ed. · Jul 2007
Randomized Controlled Trial Comparative StudyInfluence of three nasal continuous positive airway pressure devices on breathing pattern in preterm infants.
The pattern of breathing was studied in 13 premature newborns treated by variable-flow Nasal Continuous Positive Airway Pressure (NCPAP), conventional NCPAP, and nasal cannulae. Compared to constant-flow NCPAP and nasal cannulae, the variable-flow NCPAP increases tidal volume and improves thoraco-abdominal synchrony, suggesting that variable-flow NCPAP provides more effective ventilatory support than conventional NCPAP or nasal cannulae.
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Arch. Dis. Child. Fetal Neonatal Ed. · May 2007
ReviewAccuracy of pulse oximetry in screening for congenital heart disease in asymptomatic newborns: a systematic review.
To evaluate the accuracy of pulse oximetry as a screening tool for congenital heart disease in asymptomatic newborns. DESIGN, DATA SOURCES AND METHODS: Systematic review of relevant studies identified through MEDLINE, EMBASE, Cochrane Library, MEDION, and bibliographies of retrieved primary and review articles. Two reviewers independently extracted data on study characteristics, quality and results to construct 2x2 tables with congenital heart disease as the reference standard. A random-effects bivariate model was used to meta-analyse estimates of sensitivity and specificity. Logit pairs of sensitivity and specificity of each study were analysed in a single model, accounting for their correlation due to differences in threshold between studies. ⋯ Pulse oximetry was found to be highly specific tool with very low false positive rates to detect congenital heart disease. Large, well-conducted prospective studies are needed to assess its sensitivity with higher precision.
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Arch. Dis. Child. Fetal Neonatal Ed. · May 2007
Biography Historical ArticleArvo Ylppö (1887-1992): pioneer of Finnish paediatrics.
Besides developing the clinical and social care of children throughout Finland from 1920 onwards, the earlier research of Ylppö in Germany had laid the foundations world wide for scientific progress in the understanding and care of the premature infant.