Archives of disease in childhood. Fetal and neonatal edition
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Arch. Dis. Child. Fetal Neonatal Ed. · Jan 2007
Quick identification of febrile neonates with low risk for serious bacterial infection: an observational study.
To examine the possible usefulness of simple and quick criteria for identifying febrile neonates with low risk for serious bacterial infection (SBI). ⋯ Fulfillment of the criteria for low risk might be a reliable and useful tool for excluding SBI in febrile neonates.
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Arch. Dis. Child. Fetal Neonatal Ed. · Jan 2007
Palliative care for prenatally diagnosed lethal fetal abnormality.
Diagnosis of lethal fetal abnormality raises challenging decisions for parents and clinicians. Most parents opt for termination, which may include feticide. ⋯ Parental decision making and the clinical aspects of perinatal palliative care were studied after a prenatal diagnosis of lethal fetal abnormality in 20 pregnancies. 40% of parents chose to continue the pregnancy and pursue perinatal palliative care. Six of these eight babies were liveborn and lived for between 1(1/2) h and 3 weeks.
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Arch. Dis. Child. Fetal Neonatal Ed. · Jan 2007
Critical dependence of acetate thermal mattress on gel activation temperature.
Sodium acetate gel mattresses provide an active method of warming patients through release of latent heat of crystallisation. They can be used as an adjunct to incubator care or as an exclusive heat source. ⋯ Safe use of this device is critically dependent on gel temperature at the point of activation. To ensure warming of a hypothermic neonatal patient without running any risk of burns, the mattress should be activated with a gel temperature between 19 degrees C and 28 degrees C.
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Arch. Dis. Child. Fetal Neonatal Ed. · Jan 2007
Biography Historical ArticleJohn Whitridge Williams, MD (1866-1931) of Baltimore: pioneer of academic obstetrics.
Williams was the founder of academic obstetrics in the United States and with his textbook was the recognised leader of this discipline in America during the first 30 years of the 20th century.
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Arch. Dis. Child. Fetal Neonatal Ed. · Nov 2006
ReviewPharmacological therapy for analgesia and sedation in the newborn.
Rapid advances have been made in the use of pharmacological analgesia and sedation for newborns requiring neonatal intensive care. Practical considerations for the use of systemic analgesics (opioids, non-steroidal anti-inflammatory agents, other drugs), local and topical anaesthetics, and sedative or anaesthetic agents (benzodiazepines, barbiturates, other drugs) are summarised using an evidence-based medicine approach, while avoiding mention of the underlying basic physiology or pharmacology. ⋯ The desired or adverse effects of drug combinations, interactions with non-pharmacological interventions or use for specific conditions also remain unknown. Despite the huge gaps in our knowledge, preliminary evidence for the use of neonatal analgesia and sedation is available, but must be combined with a clear definition of clinical goals, continuous physiological monitoring, evaluation of side effects or tolerance, and consideration of long-term clinical outcomes.